Development of a set of indicators as the basis for the morbidity map analysis

Abstract

The relevance of the research topic is due to high morbidity and mortality both in the world and in Russia, where every 13th Russian citizen suffers from cardiovascular pathology. In the general structure of mortality in Russia, mortality from diseases of the circulatory system (CVD) is 49%. Based on such high morbidity and mortality, cardiovascular diseases are considered a national problem. When comparing the numerical indicators of general morbidity and mortality on the territory of the Chuvash Republic, the disproportions between the mortality and general morbidity in certain administrative-territorial regions are especially clearly visible. Particularly important is the ratio of morbidity and mortality by administrative-territorial entities, in particular areas with low morbidity. Low morbidity and high mortality may be a performance index of the outpatient-polyclinic link and the quality of primary health care. A mapping study of the ratio of morbidity and mortality from circulatory diseases in a particular region of Russia is useful for identifying the “weakest link” in the system of providing outpatient medical care, assessing the effective-ness of management measures at the level of regional au-thorities, assessing the performance of heads of medical organizations, developing the necessary set of measures, based on the characteristics of the level of medical and demographic indicators with due regard to the leading principles of strategic planning. Trend maps show the emergence, development, past states, changes in time, and spatial movement of the analyzed phenomenon. One of the main methodological requirements, the conditions for the reliability of the medical and geographical assessment of morbidity and the preparation of a research forecast in the study of the spatial and temporal patterns of the spread of diseases among the population and the creation of nosogeographic maps are track of changes in morbidity. Trend maps show the emergence, develop-ment, past states, changes in time, movement in space of the analyzed phenomenon. Analysis of medical and geographical maps showed the limited set of methods and techniques used to show dynamic aspects.