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[The Territorial Accessibility of Primary Preliminary Medical Sanitary Care of Rural Population].

Research paper by A A AA Kalininskaia, N A NA Baianova

Indexed on: 20 Dec '18Published on: 20 Dec '18Published in: Problemy sotsial'noi gigieny, zdravookhraneniia i istorii meditsiny / NII sotsial'noi gigieny, ekonomiki i upravleniia zdravookhraneniem im. N.A. Semashko RAMN ; AO "Assotsiatsiia 'Meditsinskaia literatura'."



Abstract

The article presents the results of study of accessibility of preliminary medical sanitary care of rural population attached to the feldsher obstetric unit. Such forms of the Federal state statistical monitoring of the Orenburg oblast and the Russian Federation, data of the Medical Information Analytical Center of the Orenburg oblast of 2011-2015 were used. The statistical, monographic, cartographic research techniques and direct observation technique were applied. The statistical data was processed using STATISTICA 10.0 software. The study permitted to determine and propose the following models of positioning of settlements attached to the feldsher obstetric units: radial, radius, shoulder, linear and local. The results of study permitted to develop "The unified information data base of territorial accessibility of medical care to inhabitants of settlements residing in zone of servicing of the feldsher obstetric unit corresponding to register of feldsher districts in compliance with criteria of their complexity. On the basis of study results a software was developed for monitoring using as an accounting unit the the feldsher obstetric unit with evaluative indices of complexity of the feldsher district permitting to monitor migration processes in rural areas. The authorities of agencies and institutions of health care are recommended to apply the developed original software "The unified information data base of territorial accessibility of medical care to inhabitants of settlements residing in zone of servicing of the feldsher obstetric unit".