THE ANALYSIS OF MORBIDITY, HOSPITALIZATIONS, LETHALITY AND MORTALITY AMONG PEDIATRIC POPULATION OF THE MOSCOW REGION IN 2014 AND UPGRADING OF THE SYSTEM OF MEDICAL CARE FOR CHILDREN

Aim: To assess the rates and changes  in morbidity, hospitalizations, lethality and mortality of pediatric population in the Moscow Region in 2014, compared to 2013, and similar data for the Russian Federation  (RF). Materials and methods: We calculated  and  analyzed  morbidity  (based  on referrals),  hospitalizations, lethality  and  mortality  of the pediatric population aged  from 0 to 17 years in the  Moscow Region. The information  was taken from the Federal Statistical Surveillance report forms No 12 and No 14, as well as the Rosstat data for the Moscow Region. Results: In 2014, total pediatric morbidity (age 0–14) in the Moscow Region was 2290.2 per 1000 pediatric  population, being 10% higher, than that in 2013, but lower than the Russian Federation  average  for 2014  (2332.9‰) and lower than that in the Central Federal District (2333.5‰).  Total  morbidity  among   adolescents of 15 to 17 years of age in 2014 increased non-significantly by 1.6% and achieved  2104.7‰. This is lower than Russian Federation and Central Federal District  average   values   (2267.8  and   2188.5‰,   respectively). In 2014, pediatric lethality (age 0–17) in in-patient  department of the  Moscow Region was 0.1% (in infants, 0.13%) and was mainly related to neoplasms  (0.32%), blood and lymphatic disorders  (0.33%), congenital  abnormalities  and  birth defects  (2.61%). In 2014, infant  mortality  in the Moscow Region was 6.8‰ (in 2013, 7.0‰) versus 7.4‰ in Russian Federation  in general. In the first 6 months  of the  year 2015, this parameter in the Moscow Region continues  to  be  lower than  the average  values in Russian Federation  and Central Federal District (5.1, 6.6 and 6.2‰). With this infant mortality, the  Moscow Region ranks 13th   among Russian  Federation   administrative   subjects  and 5th  in Central Federal District. Conclusion: Despite positive trends in many parameters in the Moscow Region, it is necessary to further improve the system of pediatric medical care at all its levels.

children, morbidity, hospitalization, lethality, mortality