Analysis of the provision of specialized medical care to patients with coloproctological diseases at the regional level
Objective: analysis of the regional incidence of diseases and needs of medical care on the profile of coloproctology. Material and Methods. A study of the dynamics of regional coloproctological morbidity was monitored over a 15-year period from 2004 to 2018. Results. Diseases related to the coloproctology profile were recorded in 47171 cases in 2018, however, only 30900 outpatient coloproctological procedures were performed in the region, in which 10324 rigid rectoscopes were performed, and 4582 fibrocolonoscopy. The average value of the regional primary coloproctological incidence rate was 21.57±0.54 per thousand people. The total decrease in the incidence rate for the entire study period was 21.0%. The share of cancer in the total coloproctological morbidity is 9.3-21.0%. The total increase in the incidence of colon cancer over the entire study period was 89.0%. The proportion of benign neoplasms in the total coloproctological morbidity slightly varied from 4.4% to 6.1%. The incidence rate of benign diseases of the colon practically did not change + 5.45%. Conclusion. The volume of specialized medical care provided by the regional coloproctological service to patients with diseases of the colon does not correspond to the needs for it. To improve the quality and availability of medical care, it is necessary to reliably predict the need for it and optimize the structure of the specialized service itself.