The age-related characteristics of the medical aid appealability of the adult population

This paper reports the results of the estimation of the requirements in different age-groups of the adult population for medical rehabilitation based at the outpatient facilities (OPF) calculated from the analysis of the medical assistance appealability of the adult population seeking the rehabilitative care depending on the main classes of pathology and a concrete disorder in accordance with the International Classification of Diseases (ICD-10). For the purpose of this study, the adult population was categorized into 6 age-groups, viz. 18 - 29, 30 - 39, 40 - 49, 50 - 59, 60 - 69, and 70 years and more. The healthcare providers and experts have developed the indications for the rehabilitative treatment starting immediately after the management of acute conditions and treatment of exacerbation of chronic diseases, consequences of the injuries and surgical interventions taking into consideration the stage of pathology and the patients’ health status. In addition, the conditions necessary to treat such patients based at inpatient or outpatient facilities are determined. Taking account of the data thus obtained for the analysis of the medical documentation made it possible to make a decision about the necessity and/or duration of further outpatient rehabilitation of the patients following their inpatient treatment. We estimated and analysed the age-related requirements of the adult population in the medical assistance and calculated the number of the outpatient visits depending on the main classes of pathology and a concrete disorder. It was shown that the subjects of the advanced age (60-69 and 70 or more years) make up the group of those who are most in need of medical care (3917.5 and 4716.9 visits per 10,000 population respectively) in comparison with the group of 18-29 year old subjects (832.2 visits per 10,000 population). Evidently, this difference can be accounted for by the higher frequency of diseases as well as the enhanced requirements for inpatient rehabilitation among the older age groups. The bodies of executive power in the subjects of the Russian Federation can calculate the requirements of the local adult population in the rehabilitative treatment based at the outpatient facilities for different age groups and regardless of the territory of the region.

medical rehabilitation, requirements for the rehabilitative treatment, age-related requirements for medical rehabilitation, rehabilitation of the adult population, the number of outpatient visits for medical rehabilitation, normatives of requirements for medical rehabilitation, population age structure