电邮这篇文章 The influence of changes in the organization of medical care on the indicators of mental disorders in children
- 作者: Volova T.L.1, Shelygin K.V.1, Menshikova L.I.1, Redko A.N.2
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隶属关系:
- Northern State Medical University
- Kuban State Medical University
- 期: 卷 29, 编号 2 (2022)
- 页面: 99-108
- 栏目: ORIGINAL STUDY ARTICLES
- URL: https://journal-vniispk.ru/1728-0869/article/view/80632
- DOI: https://doi.org/10.17816/humeco80632
- ID: 80632
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AIM: This study aimed to assess the relationship between regulatory innovation strategy for changing the organization of medical care in children and adolescents and the dynamics of the incidence of mental and behavioral disorders in children aged 0–14 years.
MATERIAL AND METHODS: The rate of chronicity was calculated as the ratio of the primary morbidity to the overall morbidity of mental and behavioral disorders. The presence of outliers (anomalous observations) in the series was determined using Irwin’s method, with n=11, λcr=1.3. Mathematical apparatus: for the three analyzed series (primary, general morbidity, and chronicity coefficient), three mathematical models were built: one one-dimensional model and two — with the introduction of dummy variables — for orders No. 1346, No. 72n, No. 216n and order No. 1687n). The statistics of fit was compared between the one- dimensional model and each of the four models with dummy variables for the corresponding series. Moreover, their logarithmic values were used to reduce the variance of the series. Significance was assessed at p ≤0.05.
RESULTS: Evaluation of the analyzed series for the presence of anomalous observations revealed a similar trend in the Arkhangelsk region and North–West Federal District. In all regions, except for the Russian Federation, emissions were concentrated from 2015 to 2017. In 2010, national analysis revealed only one anomalous observation. Graphical analysis and analysis by Irwin’s method revealed similar trends with regard to abnormal observations of the dynamics of the coefficient of chronicity in the Arkhangelsk region and Northwestern Federal District, which confirmed the previously established dynamic trends in the general and primary morbidity in children aged 0–14 years. In addition, after 2015, the dynamic changes were most pronounced in the Arkhangelsk region.
CONCLUSIONS: No correlation was found among normative innovations for changing the organization of medical care among children and adolescents, changes in medical birth criteria, the dynamics of the incidence of mental disorders and behavioral disorders, indicators of the chronicity of this pathology in children aged 0–14 years, and mental and behavioral disorders in the Arkhangelsk region, Northwestern Federal District, and the Russian Federation in 2009–2019.
作者简介
Tatyana Volova
Northern State Medical University
编辑信件的主要联系方式.
Email: volovat@inbox.ru
ORCID iD: 0000-0002-7538-5713
SPIN 代码: 6424-1209
MD, PhD researcher
俄罗斯联邦, ArkhangelskKirill Shelygin
Northern State Medical University
Email: shellugin@yandex.ru
ORCID iD: 0000-0002-4827-2369
SPIN 代码: 7787-6746
MD, Dr. Sci. (Med.); Professor
俄罗斯联邦, ArkhangelskLarisa Menshikova
Northern State Medical University
Email: menshikova1807@gmail.com
ORCID iD: 0000-0002-1525-2003
SPIN 代码: 9700-6736
MD, Dr. Sci. (Med.); Professor
俄罗斯联邦, ArkhangelskAndrey Redko
Kuban State Medical University
Email: RedkoAN@ksma.ru
ORCID iD: 0000-0002-3454-1599
SPIN 代码: 5517-3692
Scopus 作者 ID: 6603910037
Researcher ID: N-7223-2014
MD, Dr. Sci. (Med.); Professor
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