ANALYSIS OF THE ACTIVITY OF THE HEALTH CENTER AND ITS FUNCTION IN THE PREVENTION OF CARDIOVASCULAR DISEASES
Relevance.The health of the average resident of Russia is affected by various negative factors that increase the risk of developing many diseases, primarily cardiovascular. In this regard, in 2009-2010, Health Centers were established throughout Russia on the basis of health institutions, the main tasks of which are to promote a healthy lifestyle and prevent the incidence of diseases of the population. Objective: To study the activities of the Health Center and to show its significant role in identifying risk factors for cardiovascular diseases. Methods: The work was carried out on the basis of the Health Center of the "Voronezh polyclinic №10". To analyze the activities of the Health Center, a retrospective analysis of information from the reporting forms No. 68 ("Information about the activities of the Health Center") for 2017-2019 and the reporting forms "Medical Card of the Health Center" was performed on the basis of the computer program for 2019 for 100 randomly selected patients. Additionally, the SCORE 2019 scale was used to assess the risk of cardiovascular complications. Microsoft Office Excel was used to analyze the results of the study. Results: The greatest number of risk factors was revealed during ophthalmological examination, bioimpedance measurement, and screening assessment of the level of psychophysiological and somatic health. In addition, compared to previous years, the number of detected cases with hypercholesterolemia, hyperglycemia, cardiac rhythm and conduction disorders, and ST segment abnormalities on ECG increased. Among the first applied in the health Center in 2019 prevail persons to hospitals at the place of attachment, on the 2nd place - the person who applied on their own, at the 3rd - person submitted after further examination. At the same time, 100% of persons referred from the employer, from the hospital and after medical examination were found to have risk factors. In the study group, the highest proportion of risk factors is observed in the age group of 50-79 years. The proportion of high and very high risk on the SCORE 2019 scale was found mainly in men. The predominant proportion of the Health Center population in 2019 (67%) is at low and moderate risk. Conclusion: The results of the study allow us to clearly identify the problem of the morbidity of the younger generation and also the low incidence of medical treatment in male patients - the main contingent of the risk group for cardiovascular pathology. For a possible solution to these problems, it is recommended to increase the coverage of men of all ages, increase the motivation of young people for preventive examinations, as well as raise the interest of citizens in the topic of healthy lifestyle and teach them to take care of their health.