Научно-практический рецензируемый журнал
"Современные проблемы здравоохранения
и медицинской статистики"
Scientific journal «Current problems of health care and medical statistics»
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Диагностика и профилактика преждевременного старения

Медицинская статистика

ANALYSIS OF THE MORBIDITY DYNAMICS IN THE POPULATION ABOVE WORKING AGE FOR THE PERIOD 2019–2024 (A CASE STUDY OF A MEDICAL ORGANIZATION IN THE MOSCOW REGION)

N.L. Primilennaia1
1. Russian Research Institute of Health, Moscow
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Summary:
Significance. The study of morbidity rates based on healthcare-seeking behavior among individuals over working age is one of the most important components of public health assessment. Over the past decades, there has been a steady increase in morbidity among older age groups. This is associated with improvements in diagnostics, increased accessibility of medical care, as well as a growing proportion of elderly people in the population structure, who are characterized by a high prevalence of chronic diseases and multimorbidity. The recorded morbidity rates among individuals over working age are significantly higher than those in the working-age population. Thus, population aging leads to an increased burden on the primary healthcare system, which necessitates an analysis of morbidity trends to assess healthcare needs and plan resources. Objective. To analyze the dynamics of primary and general morbidity among patients over working age in a healthcare facility in the Moscow Region from 2019 to 2024 and to compare it with the corresponding indicators for the Russian Federation and the Moscow Region. Material and methods. A retrospective study was conducted by extracting data from the Federal Statistical Observation Form №12 for the years 2019-2024 for the Russian Federation, the Moscow Region, and the healthcare facility in the Moscow Region. Data on population size from Rosstat were used. Intensive rates of primary and general morbidity per 100,000 population of the corresponding age were calculated. Visualization indicators, time series analysis, relative values were calculated, and the structure of primary and general morbidity was assessed. Results and Discussion. The study revealed a steady upward trend in both primary and general morbidity among the population over retirement age during the period 2019-2024 in the studied healthcare facility, the Moscow Region, and the Russian Federation as a whole. Within the structure of primary morbidity, the leading conditions were diseases of the respiratory system, diseases of the circulatory system, and injuries, poisonings, and certain other consequences of external causes. In the structure of general morbidity, diseases of the circulatory system, diseases of the respiratory system, and endocrine diseases predominated. The study's results are consistent with findings from other authors and demonstrate a nationwide trend of increasing morbidity among the elderly population. The identified trends indicate a higher need for medical care among citizens of this age group, and the presented structure of general and primary morbidity reflects pathologies characteristic of the older age group. Conclusion. The conducted analysis revealed a trend towards an increase in both primary and general morbidity among the population above working age over the period 2019–2024 in the studied medical organization, the Moscow Region, and the Russian Federation.
Keywords population above working age, primary morbidity, general morbidity, morbidity dynamics, morbidity structure, healthcare facility, elderly population

Bibliographic reference:
N.L. Primilennaia, ANALYSIS OF THE MORBIDITY DYNAMICS IN THE POPULATION ABOVE WORKING AGE FOR THE PERIOD 2019–2024 (A CASE STUDY OF A MEDICAL ORGANIZATION IN THE MOSCOW REGION) // Scientific journal «Current problems of health care and medical statistics». - 2025. - №3;
URL: http://www.healthproblem.ru/magazines?textEn=1667 (date of access: 08.10.2025).

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