Improvement of primary medical care for preschoolers: medical and social research

Cover Page


Cite item

Full Text

Open Access Open Access
Restricted Access Access granted
Restricted Access Subscription or Fee Access

Abstract

AIM: The purpose of the study was to conduct a medical and social study of preschool children and scientifically substantiate measures to improve the preventive work of children's polyclinics.

MATERIALS AND METHODS: A study was conducted on 6,458 children aged from 3 to 6 yr, 11 months, and 29 days, and their families permanently reside in the city of Moscow and observed in children's city polyclinics of Moscow Department of Health.

RESULTS: The maximum incidence rate of preschoolers at 4 yr old is 4,221.6‰. Among them are also more frequently ill, with age the proportion of children with chronic pathology increases from 12.3% at 3 yr to 32.1% at 6 yr, by the age of 6, every 4th child has disharmonious physical development, and every 3rd has a «bad» state of health. With chronic diseases, 64.2% of children are covered by preventive examination. Parents with a high level of medical activity have healthier children. Filters operate only in 29.3% of children’s polyclinics.

CONCLUSION: To improve the preventive work of the children’s polyclinic, it is necessary to actively conduct sanitary and educational work with parents of preschoolers to increase their medical activity and ensure the full functioning of the filter in the children's polyclinic.

Full Text

Restricted Access

About the authors

Irina A. Kravchenko

The Russian National Research Medical University named after N.I. Pirogov

Email: krvi60@mail.ru
ORCID iD: 0000-0001-6845-1842
Russian Federation, Moscow

Sergey A. Oprischenko

The Russian National Research Medical University named after N.I. Pirogov

Email: 2277878@bk.ru
ORCID iD: 0000-0002-4170-8959
SPIN-code: 4668-7156

MD, Dr. Sci. (Med.), Assistant Professor

Russian Federation, Moscow

Valeri S. Polunin

The Russian National Research Medical University named after N.I. Pirogov

Author for correspondence.
Email: lunapol@yandex.ru
ORCID iD: 0000-0002-2681-8527
SPIN-code: 3491-4908

MD, Dr. Sci. (Med.), Professor

Russian Federation, Moscow

Galina N. Buslaeva

The Russian National Research Medical University named after N.I. Pirogov

Email: bus2107@yandex.ru
ORCID iD: 0000-0001-7129-9378
SPIN-code: 1695-6171

MD, Dr. Sci. (Med.), Professor

Russian Federation, Moscow

References

  1. Chislennost' naseleniya Rossiiskoi Federatsii po polu i vozrastu na 01.01.2021 (Statisticheskii byulleten'). Moscow; 2021. Available at: https://rosstat.gov.ru/storage/mediabank/Bul_chislen_nasel-pv_01-01-2021.pdf. Accessed: 05.09.2022 (In Russ).
  2. Pasport natsional'nogo proekta «Zdravookhranenie» (utv. prezidiumom Soveta pri Prezidente RF po strategicheskomu razvitiyu i natsional'nym proektam, protokol ot 24.12.2018 N 16). Moscow; 2018. Available at: http://static.government.ru/media/files/gWYJ4OsAhPOweWaJk1prKDEpregEcduI.pdf. Accessed: 05.09.2022 (In Russ).
  3. Skvortsova VI. Strategicheskie prioritety razvitiya zdravookhraneniya. Moscow; 2017. Available at: http://council.gov.ru/activity/documents/75632/. Accessed: 05.09.2022 (In Russ).
  4. Baranov AA, Albitskiy VY. State of health of children in Russia, priorities of its preservation and improving. Kazan medical journal. 2018;99(4):698–705. (In Russ). doi: 10.17816/KMJ2018-698
  5. Obshchaya zabolevaemost' detskogo naseleniya Rossii (0–14 let) v 2019 godu. Statisticheskie materialy. Chast' VI. Moscow: FGBU «TsNIIOIZ»; 2020. (In Russ).
  6. Antonova AA, Yamanova GA, Bogovdenova VF, Umarova DN. Main trends in morbidity among child population. International Research Journal. 2021;103(1):6–9. (In Russ). doi: 10.23670/IRJ.2021.103.1.054
  7. Banteva MN, Manoshkina EM, Sokolovskaya TA, Matveev EN. Trends in incidence and dynamics of chronic pathology in children aged 0–14 in the Russian Federation. Social'nye aspekty zdorov'a naselenia (Social aspects of population health). 2019;65(5):10. (In Russ). doi: 10.21045/2071-5021-2019-65-5-10
  8. Alekseeva AV. Puti sovershenstvovaniya organizatsii raboty detskoi polikliniki s det'mi pervogo goda zhizni [dissertation]. Saint Petersburg; 2020. Available at: https://www.dissercat.com/content/puti-sovershenstvovaniya-organizatsii-raboty-detskoi-polikliniki-s-detmi-pervogo-goda-zhizni/read. Accessed: 05.09.2022. (In Russ).
  9. Sokolovskaya TA. Dynamics of morbidity of children of first year of life in the Russian Federation. Current problems of health care and medical statistics. 2018;1:1–11. (In Russ).
  10. Mazur LI, Zhirnov VA, Dmitrieva MV. Monitoring of physical development and morbidity of children in the first year of life. Modern problems of science and education. 2016;2:106. Available at: https://science-education.ru/ru/article/view?id=24318. Accessed: 05.09.2022. (In Russ).
  11. Zdravookhranenie v Rossii. 2019: Stat. sb. Moscow: Rosstat; 2019. Available at: https://rosstat.gov.ru/storage/mediabank/Zdravoohran-2019.pdf. Accessed: 05.09.2022. (In Russ).
  12. Samsygina GA, Vyijlova EN. Once again about the problems of «frequently ill children» notion. Pediatria n.a. G.N. Speransky. 2016;95(4):209–215. (In Russ).
  13. Livschits SA, Nagornaya OV. Current trends of pediatric morbidity with special emphasis on patients with protracted and frequent morbid episodes. Modern problems of science and education. 2013;2:62. Available at: https://science-education.ru/ru/article/view?id=8807. Accessed: 05.09.2022. (In Russ).
  14. Egorova MS, Khanbikova ER, Pichugina NN. Dynamic assessment of health groups of children attending preschool educational institutions. Mezhdunarodnyi studencheskii nauchnyi vestnik. 2018;6. Available at: https://eduherald.ru/ru/article/view?id=19419. Accessed: 05.09.2022. (In Russ).
  15. Nasibullina LM. Sovershenstvovanie profilaktiki retsidiviruyushchei respiratornoi patologii u detei doshkol'nogo i mladshego shkol'nogo vozrasta [dissertation]. Ufa; 2019. Available at: https://www.dissercat.com/content/sovershenstvovanie-profilaktiki-retsidiviruyushchei-respiratornoi-patologii-u-detei-doshkoln/read. Accessed: 05.09.2022. (In Russ).
  16. Baranov AA, Albitskiy VYu, Namazova-Baranova LS. Child Mortality in Russia: Situation, Challenges and Prevention Aims. Current Pediatrics. 2020;19(2):96–106. (In Russ).doi: 10.15690/vsp.v19i2.2102
  17. Volkova AS, Kudaeva MM. About support of motherhood and childhood in family policy of Russia. Russian Journal of Labor Economics. 2019;6(4):1491–1504. (In Russ). doi: 10.18334/et.6.4.41215
  18. Day J, Savani S, Krempley BD, et al. Influence of paternal preconception exposures on their offspring: through epigenetics to phenotype. Am J Stem Cells. 2016;5(1):11–17.
  19. Mishanina VI, Malova AS. Organizatsiya ozdorovitel'no-profilakticheskoi raboty v doshkol'noi obrazovatel'noi organizatsii. Proceedings of the 14th International student scientific conference «Studencheskii nauchnyi forum-2022»; 2021 Oct 12– Mar 15. Vol. 9. P. 40–42. (In Russ).
  20. Order of the Ministry of Health of the Russian Federation N 92n of 7 March 2018 «Ob utverzhdenii Polozheniya ob organizatsii okazaniya pervichnoi mediko-sanitarnoi pomoshchi detyam». Available at: https://base.garant.ru/71925984/. Accessed: 05.09.2022. (In Russ).
  21. Okazanie meditsinskoi pomoshchi detskomu naseleniyu v tsentrakh zdorov'ya dlya detei Metodicheskie rekomendatsii. Moscow; 2017. Available at: https://www.med-prof.ru/upload/iblock/874/metod_recomend_detizs2017.pdf. Accessed: 05.09.2022. (In Russ).
  22. O realizatsii regional'nykh programm razvitiya detskogo zdravookhraneniya. Mat-ly zasedaniya Soveta po regional'nomu zdravookhraneniyu pri Sovete Federatsii Federal'nogo sobraniya Rossiiskoi Federatsii (Sovet Federatsii, 28.04.2020). Analiticheskii vestnik. 2020;751(8):55. Available at: http://council.gov.ru/media/files/EbuU1VfMn9AicqASZqoQKX12SQ3AKTli.pdf. Accessed: 05.09.2022. (In Russ).
  23. Antonova AA, Khutorskaya TA. Health and physical development condition of preschool children. International Research Journal. 2020;101(11):10–13. (In Russ). doi: 10.23670/IRJ.2020.101.11.034
  24. D'yachenko TS, Devlyashova OF. The results of the implementation of the principles of «lean production» in the children’s clinic. Medicine and Organization of Health Care. 2020;4(3):19–25. (In Russ).
  25. Gosudarstvennaya korporatsiya po atomnoi energii «Rosatom». Federal'nyi proekt «Berezhlivaya poliklinika». Primenenie metodov berezhlivogo proizvodstva v meditsinskikh organizatsiyakh. Otkrytie proektov po uluchsheniyam. Metodicheskie rekomendatsii. Moscow; 2017. Available at: https://amurzdrav.ru/ftp/pmsp/standarts/Методические%20рекомендации%20Федеральный%20проект%20Бережливая%20поликлиника.pdf. Accessed: 05.09.2022. (In Russ).
  26. Novaya model' meditsinskoi organizatsii, okazyvayushchei pervichnuyu mediko-sanitarnuyu pomoshch'. Metodicheskie rekomendatsii. Moscow; 2019. Available at: https://bazanpa.ru/minzdrav-rossii-metodicheskie-rekomendatsii-ot01012019-h4414286/. Accessed: 05.09.2022. (In Russ).

Supplementary files

Supplementary Files
Action
1. JATS XML
Download
2. Fig. The structure of the incidence of preschool children by age groups, % of the total.

Download (120KB)
Indexing metadata

Copyright (c) 2022 Eco-Vector


СМИ зарегистрировано Федеральной службой по надзору в сфере связи, информационных технологий и массовых коммуникаций (Роскомнадзор).
Регистрационный номер и дата принятия решения о регистрации СМИ: серия  ПИ № ФС 77 - 86296 от 11.12.2023 г. 
СМИ зарегистрировано Федеральной службой по надзору в сфере связи, информационных технологий и массовых коммуникаций (Роскомнадзор).
Регистрационный номер и дата принятия решения о регистрации СМИ: серия ЭЛ № ФС 77 - 80632 от 15.03.2021 г.