2015, № 12 (187)

Nikiforova E.B. THE CLINICAL EPIDEMIOLOGICAL ANALYSIS OF DYNAMICS OF EYE INCIDENCE, DISABILITY AND THE STATIONARY OPHTHALMOLOGICAL HELP TO THE POPULATION OF THE SAMARA REGION DURING 2010–2014 YEARSStatistical information of ocular morbidity, disability and prevalence determines the needs of the population in the eye care, which in turn is the basis of a network of ophthalmic offices, divisions, centers. The efficiency of use of hospital beds, the analysis of the organization of eye care in the outpatient level, the research of state of ophthalmologists allow you to adjust and optimize the organization of ophthalmic services in order to increase the availability of and satisfaction with public provision of eye care. There is the growth of ocular morbidity annually In the Samara region on during the reporting period, the growth was 9.8 %. The main role in this process was played by diseases such as cataract, glaucoma, retinal disease, disorders of refraction. In accordance with national trends in the structure of eye disability leading positions belong to glaucoma, degenerative myopia and diseases of the retina. At the same time the number of ophthalmologists of polyclinic decreased, accordingly the number of visits of ophthalmologist decreased also. Such discrepancy between the needs of the population in ophthalmological help and the actual delivery may cause a decrease the availability of ophthalmological help and, therefore, the growth of social tension in society. The clinical epidemiological analysis of dynamics of eye incidence during 2010-2014 years allowed to identify growth ophthalmological pathology of the population of the Samara region, primarily due to cataract, glaucoma, retinal diseases. The statistical indicators of stationary ophthalmological help in the Samara region improve annually. From year to year the number of patients treated in specialized ophthalmologic hospitals, in 5 years the number has increased by 32.5 %. The number of eye operations increased of 44.6 % at the same time. Modern technologies of surgical treatment of ophthalmological patients allow most of these patients to treat of hospital-replacement technology, which leads to significant reduction in bed-days and turnover of ophthalmological beds. Clinical and epidemiological analysis helped to develop a regional target program on improvement of ophthalmologic aid to the population of the Samara region and to identify the main activities to optimize the organization of the ophthalmological help to the population of the Samara region in order to improve its accessibility and quality.Key words: ophthalmological incidence, eye disablement, stationary ophthalmological help, cataract surgery rate, cataract, glaucoma, eye operation, middle duration of treatment, middle bed occupancy, middle bed turnover.

Download

References:

1. Yuzhakov А.М. Ophthalmological care of Russin Federation. ⁄⁄ Public health and health care.– 2001.– № 1.– p. 3-5.

2. Yuzhakov А.М., Travkin А.G., Kiseleva О.А., Mazurova L.М. Statistical analysis of ocular morbidity and disability in the RSFSR. ⁄⁄ Journal of ophthalmology.– 1991.– № 2.– p. 5-7.

3. Alikova Т.Т., Kosyreva F.U., Alikova Z.R. Pathology of view — one of the main problems of health students. // Modern problems of science and education. — 2012. — № 1.

4. Zolotarev А.V., Zolotareva А.I., Nikiforova Е.B. Dynamics of morbidity refractive disorders in the Samara region for the last 5 years// Proceedings of the VIII ophthalmic conference "Refraction-2011. Prospects". 26-28 november 2011 г./ edited: А.V.Zolotarev, Е.S. Miludin, V.М. Malov — Samara: 2011. — p.141-143.

5. Nikiforova Е.B., Karlova Е.V., Zolotarev А.V., Zolotareva А.I. The incidence of glaucoma in the Samara region for the last 5 years: trends and prospects// Proceedings of the VIII ophthalmic conference "Refraction-2011. Prospects". 26-28 november 2011 г./ edited: А.V.Zolotarev, Е.S. Miludin, V.М. Malov — Samara: 2011. — p.144-147.

6. Nikiforova Е.B., Karlova Е.V., Zolotarev А.V., Zolotareva А.I. The incidence of glaucoma in the Samara region for the last 5 years: trends and prospects. Materials of IX International conference "Glaucoma :theory, trends, technologies. HRT Club of Russia // proceedings / Prof. Е.А. Egorov, prof. Y.S. Astahov. — М.: 2011. p. 227-230.

7. Yablonskaya L.Y. Modern trends in diseases of the eye and ways to improve the organization of eye care in the subject of the Russian Federation: thesis PhD — Ekaterinburg, 2006.– p. 132.

8. Nikiforov S.А., Denisov I.N., Polzik Е.V. Municipal health services in the Russian Federation: problems and prospects.– Ekaterinburg: Ural branch of RAS, 2007.– p. 138.

9. Shilovskih О.V. Incidence of diseases of the eye and adnexa in the Sverdlovsk region. ⁄⁄ Ophthalmosurgery.– 2010.– № 3.– p. 43-47.

10. Serge Resnikoff. Prevention of blindness in the world: problems and approaches. Materials of the Russian interregional Symposium "Elimination of avoidable blindness: a global initiative of the WHO". — М.: 2003. p. 11-19.

11. Zolotarev А.V., Karlova E.V., Nikiforova Е.B. The impact of eye diseases on quality of life // Scientific-practical journal "Medicine and quality of life". Number.№11. p. 25.

12. Skorobogatova Е.S., Kulyagin А.М. Dynamics of disability due to diseases of the eye in Russia // Proc. Dokl. X Congress of ophthalmologists of Russia- М.: Publishing House "Ophthalmology", 2015. — p.45.

13. Ophthalmology: national leadership / edited S.E. Avetisov, Е.А. Egorov, L.К. Moshetova, V.V. Neroev, C.P. Tahchidi. — М.: GEOTAR-Media, 2008. — p. 17-19.

14. V.V. Neroev, А.V. Hvatova. Main directions of "the Russian Federal target programme for the elimination of avoidable childhood blindness". Materials of the Russian interregional Symposium "Elimination of avoidable blindness: a global initiative of the WHO. Elimination of childhood blindness". — М.: 2004. p. 39-49.

15. Е.S. Libman. Blind, visually impaired and sight disabilities in the Russian Federation. Materials of the Russian interregional Symposium "Elimination of avoidable blindness: a global initiative of the WHO. Elimination of childhood blindness". — М.: 2003. p. 38-42.

About this article

Author: Nikiforova E.B.

Year: 2015

Editor-in-chief

Sergey Aleksandrovich
MIROSHNIKOV

© Электронное периодическое издание: ВЕСТНИК ОГУ on-line (VESTNIK OSU on-line), ISSN on-line 1814-6465
Зарегистрировано в Федеральной службе по надзору в сфере связи, информационных технологий и массовых коммуникаций
Свидетельство о регистрации СМИ: Эл № ФС77-37678 от 29 сентября 2009 г.
Учредитель: Оренбургский государственный университет (ОГУ)
Главный редактор: С.А. Мирошников
Адрес редакции: 460018, г. Оренбург, проспект Победы, д. 13, к. 2335
Тел./факс: (3532)37-27-78 E-mail: vestnik@mail.osu.ru