Annals of the Russian academy of medical sciencesAnnals of the Russian academy of medical sciencesВестник Российской академии медицинских наук0869-60472414-3545"Paediatrician" Publishers LLC12410.15690/vramn.v68i11.845HEALTH CARE MANAGEMENT: CURRENT ISSUESАКТУАЛЬНЫЕ ВОПРОСЫ ОРГАНИЗАЦИИ ЗДРАВООХРАНЕНИЯUnknownTHE NUMBER OF LIFE YEARS LOST (DALYS) DUE TO PREMATURE MORTALITY IN THE POPULATION OF TOMSK REGION IN 2012ЧИСЛО ПОТЕРЯННЫХ ЛЕТ ЖИЗНИ (DALY) В РЕЗУЛЬТАТЕ ПРЕЖДЕВРЕМЕННОЙ СМЕРТНОСТИ НАСЕЛЕНИЯ ТОМСКОЙ ОБЛАСТИ В 2012 Г.KobyakovaO. S.КобяковаО. С.
Russian Federation

PhD, professor, Head of the Department of General Practice and Polyclinic Therapy of Advanced Training and Occupational Retraining Faculty of SSMU. Address: 2, Moscow tract, Tomsk, RF, 634050

olga_kobyakova@rambler.ruDeevI. A.ДеевИ. А.
Russian Federation

PhD, professor of the Department of Theoretical Pediatrics with course of child diseases of the General Medicine Faculty of SSMU. Address: 2, Moscow tract, Tomsk, RF, 634050

ivandeyev@yandex.ruNesvetailoN. Ya.НесветайлоН. Я.
Russian Federation

Director of RSBIMH “Medical record office”. Address: 151, Lenin Avenue, Tomsk, RF, 634050

nesvetaylony@medstat.tomica.ruBoikovV. A.БойковВ. А.
Russian Federation

postgraduate of the Department of General Practice and Polyclinic Therapy of Advanced Training and Occupational Retraining Faculty of SSMU. Address: 2, Moscow tract, Tomsk, RF, 634050

boykov85@mail.ruShibalkovI. P.ШибалковИ. П.
Russian Federation

applicant for a degree of Management Department of Institute of socio-humanistic technologies of Tomsk Polytechnic University. Address: 151, Lenin Avenue, Tomsk, RF, 634050

shibalkov.ivan@yandex.ruNaumovA. O.НаумовО. А.
Russian Federation

employee of RSBIMH “Medical record office”. Address: 151, Lenin Avenue, Tomsk, RF, 634050

naumkz@yandex.ruKulikovE. S.КуликовЕ. С.
Russian Federation

MD, assistant of the Department of General Practice and Polyclinic Therapy of Advanced Training and Occupational Retraining Faculty of SSMU. Address: 2, Moscow tract, Tomsk, RF, 634050

evgeny.s.kulikov@gmail.comStarovoitovaE. A.СтаровойтоваЕ. А.
Russian Federation

MD, assistant professor of the Department of General Practice and Polyclinic Therapy of Advanced Training and Occupational Retraining Faculty of SSMU. Address: 2, Moscow tract, Tomsk, RF, 634050

starovoytova@yandex.ruMazeinaS. V.МазеинаС. В.
Russian Federation

chief physician of Kedrovyi Clinical medical unit. Address: 15, 2nd Microraion, Kedrovyi, Tomsk Region, RF, 634050; tel.: +7 (38 250) 35-449

kedrmsch@ngs.ruSiberian State Medical University, Tomsk, Russian FederationСибирский государственный медицинский университет, Томск, Российская ФедерацияRSBO «Bureau of medical statistics», Tomsk, Russian FederationОГБУЗ «Бюро медицинской статистики», Томск, Российская ФедерацияNational Research Tomsk Polytechnic University, Russian FederationНациональный исследовательский Томский политехнический университет, Российская Федерация121120136811Vestnik Rossiiskoi akademii medetsinskikh nauk / Annals of the Russian academy of medical sciencesВестник Российской академии медицинских наук606407082015Copyright ©; 1970, "Paediatrician" Publishers LLCCopyright ©; 1970, Издательство "Педиатръ"1970"Paediatrician" Publishers LLCИздательство "Педиатръ"https://vestnikramn.spr-journal.ru/jour/article/view/124

Aim: to calculate the index of years of life lost population due to premature death in the Tomsk region in 2012, and the contribution of various groups of diseases in the total indicator DALY among males and females. Materials and methods: in the calculation of DALY used the number and the gender and age structure of the population of Tomsk region by 01.01.2012, according to Rosstat. To conduct the calculation of DALY used the methodology presented by the world Bank in the report «Investing in health» in 1993 According to the methodology, the DALY is the number of years of life of the population, lived with disability or other health problems, and lost due to premature death. Results: the total loss of DALYs in the Tomsk region by the end of 2012 amounted 112,3, per 1000 population (11,6±8,9). In the structure of DALYs by cause of death 1st place is occupied by diseases of the circulatory system, 2nd injury and poisoning, 3rd neoplasms. Conclusions: the indicator DALY in the Tomsk region are significantly lower than the Russian Federation as a whole (according to S.A. Leonov - 1.25 times, according to G. Yang - 2 times). The relatively low level of DALYs in the Tomsk region is associated with favourable compared with other regions of the age structure (younger populations). It should also be noted that more than 70% of population live in urban areas, where, as is known, the availability of medical care are higher than in rural.

Цель исследования: расчет показателя потерянных лет жизни населения в результате преждевременной смерти в Томской обл. в 2012 г. и оценка вклада различных групп заболеваний в суммарный показатель DALY среди лиц мужского и женского пола. Материалы и методы: при расчете DALY использовали численность и половозрастную структуру населения Томской обл. по состоянию на 01.01.2012 г., согласно данным Росстата. Для проведения расчета DALY использовали методологию, представленную Всемирным Банком в отчете «Инвестиции в здоровье» в 1993 г. Согласно методике, DALY представляет собой число лет жизни популяции, прожитых с инвалидностью или другими проблемами со здоровьем и потерянных в результате преждевременной смерти. Результаты: суммарные потери DALY в Томской обл. по итогам 2012 г. составили 112,3 года на 1000 населения (11,6±8,9). В структуре DALY по причинам смертности 1-е место занимают болезни системы кровообращения, 2-е травмы и отравления, 3-е новообразования. Выводы: показатель DALY в Томской обл. значительно ниже, чем по Российской Федерации в целом (по данным С.А. Леонова — в 1,25 раза, по данным G. Yang — в 2 раза). Достаточно низкий уровень DALY в Томской обл. связан с благоприятной по сравнению с другими регионами возрастной структурой (более молодое население). Также следует отметить, что более 70% населения области проживают в городской местности, где, как известно, доступность медицинской помощи выше, нежели в сельской.

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