Issues of improvement in medical rehabilitation of disabled people suffering from cardiovascular diseases at the present stage

The purpose of this study is to conduct a medical and statistical analysis of disability indicators for the period 2009-2019 in the territory of the Republic of Tatarstan (RT) and to substantiate the main directions for improving rehabilitation measures.

Material and methods. The object of the study was the medico-statistical indicators of «Main Bureau of Medical and Social Assessment in the Republic of Tatarstan (Tatarstan)» of the Ministry of Labor of Russia for 20092019. The study was conducted using a retrospective design. On the basis of the obtained indicators, the absolute and relative values of indicators per capita were calculated. Also, the calculation of the intensive and extensive indicators was carried out. Time series were constructed and trends were evaluated using Mann-Kendall test.

Results and discussion. According to the results of the study, a reliable trend was revealed to increase the share of first-time disabled persons of the first group by 2.6 times in 2009-2019, which is consistent with similar indicators for the Russian Federation. Analysis of the structure of the causes of primary disability for 10 years showed that one of the main causes, along with cancer, was diseases of the cardiovascular system. It was revealed that during the study period, the indicator of the level of primary disability among citizens with circulatory system diseases (CSD) decreased by 2.5 times, but the share of disabled people of the first group in 2019, significantly increased compared to 2009 - by 3.7 times. It was found that the main causes of primary disability in the adult population with CSD in the Republic of Tatarstan were coronary heart disease and cerebrovascular diseases. On the basis of the obtained data, the necessity of improving the measures of state control over the implementation of rehabilitation programs, in particular medical rehabilitation, by expanding the functionality of the «Federal Register of Disabled People» is justified.

Conclusion. Given that the most important element of secondary prevention in persons recognized as disabled is pharmacotherapy, improving the tools for its rationality and quality is one of the priorities for improving the system of rehabilitation of persons suffering from CSD.

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