DYNAMICS OF HEALTH GROUPS: MEDICAL DISPENSERIZATION OF CHILDREN IN DIFFICULT LIFE SITUATIONS

UDC 614.2-053.2-084:347.639

Authors

DOI:

https://doi.org/10.31684/25418475-2023-2-64

Keywords:

orphans, children in a difficult life situation, disabled children, clinical examination

Abstract

Evaluation of the effectiveness of medical care based on the results of medical examinations for orphans, children left without parental care, is an urgent area of work for pediatricians and healthcare organizers. The purpose of the study is to evaluate the effectiveness of clinical examination in terms of the health groups of children in a difficult life situation staying in stationary institutions in the Arkhangelsk region. Methods. Аn analytical observational cohort study was conducted, the rate of increase (loss) of indicators was assessed, the significance of a linear trend was determined using a chi-square test for a linear trend, and p was calculated using the Epi Info program. The study included children aged 0 to 17 years inclusive, who underwent a medical examination in 2016-2020. Results. Health group I decreased from 2.1 to 1.7%; II, from 41.3 to 38.9%; III, from 35.1 to 33.7%, IV - from 10.3 to 1.4%; increased from 11.2 to 24.3% of the V health group. The proportion of children with disabilities increased by 6%. Conclusion. The growth of an unfavorable health status in children shows the insufficient effectiveness of clinical examination, despite its annual conduct.

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Author information

Irina M. Pastbina,
Northern State Medical University, Arkhangelsk

Cand. Sci. (Med.), Assistant, Department of Pediatric Propaedeutics and Polyclinic Pediatrics, Northern State Medical University, Arkhangelsk
163069, Russia, Arkhangelsk, Troitsky Ave. 51.
E-mail: irina.pastbina@gmail.com. Tel: +79214853215.
AuthorID: 780220. https://orcid.org/0000-0003-1475-1529

Valeria I. Makarova,
Northern State Medical University, Arkhangelsk

Dr. Sci. (Med.), Professor, Head of the Department of Propaedeutics of Children's Diseases and Polyclinic Pediatrics, Northern State Medical University, Arkhangelsk.
163069, Russia, Arkhangelsk, Troitsky Ave. 51
E-mail: arhangelsk163020@yandex.ru. Tel: +7(8182)411014
AuthorID: 374277 

Olga A. Kharkova,
Northern State Medical University, Arkhangelsk

Cand. Sci. (Psychol.), MPH, PhD, Dean of Clinical Psychology, Social Work and Adaptive Physical Education Department, Associate Professor of Research Methodology Department, Northern State Medical University, Arkhangelsk.
163000 Russia, Arkhangelsk, Troitsky Ave. 51.
E-mail: harkovaolga@yandex.ru Tel.: +79116755051.
AuthorID: 494113. https://orcid.org/0000-0002-3130-2920

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    Published

    2023-06-26

    How to Cite

    Pastbina I. M., Makarova V. I., Kharkova O. A. DYNAMICS OF HEALTH GROUPS: MEDICAL DISPENSERIZATION OF CHILDREN IN DIFFICULT LIFE SITUATIONS: UDC 614.2-053.2-084:347.639 // Bulletin of Medical Science, 2023. Vol. 30, № 2. P. 64–71 DOI: 10.31684/25418475-2023-2-64. URL: https://newbmn.asmu.ru/bmn/article/view/572.

    Issue

    Vol. 30 No. 2 (2023): Bulletin of Medical Science

    Section

    ORIGINAL PAPERS

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    Copyright (c) 2023 Ирина Михайловна Пастбина, Валерия Ивановна Макарова, Ольга Александровна Харькова

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    This work is licensed under a Creative Commons Attribution 4.0 International License.