HEALTH STATUS OF THE CHUVASH REPUBLIC POPULATION IN 2018
Assessment of medico-demographic indicators, provision with resources and modern medical-organizational transformational changes in the Chuvash Republic in 2018 is carried out. A downward trend in mortality is revealed to be maintained in the Chuvash Republic: beginning with 2012 mortality rate decreased by 5.3%, that for working age population over the same period - by 16.7%; mortality rate due to the main causes declined over the past 7 years: due to circulatory system diseases - by 19%, due to road traffic accidents - by 27.7%. Over the past year of 2018 considerable transformational changes took place in the system of treatment delivery: the structure of health care financing changed, a new, differentiated work payment system as well as performance-based contract of employment were introduced, the intensity of rendering services increased and timing of rendering services decreased, the number of hospitalizations, emergency calls decreased, hospital-replacing and resource-saving technologies gained momentum, availability and quality of medical care increased. As a result the indices of primary disability retirement, mortality and morbidity of the population decreased, which indicates a high efficiency of the Republic's health care industry.