GENERALIZED EVALUATION OF HEALTH INDICATORS WITH THE USE OF ADAPTIVE VARIANTS OF CRITERIA FOR STRUCTURAL DIFFERENCES
A generalized assessment of health indicators is used to assess the final results of the activities of institutions and health authorities. The algorithm for calculating the generalized estimate to some extent resembles an estimate of the differences between the two structures: the Ryabtsev criterion, the Salai index, the integral coefficient of structural differences (K. Gateva). This makes it possible to use the criteria adapted to public health tasks to expand the possibilities of a generalized assessment of health indicators. The research purpose is to assess the possibility of using structural analysis methods in the generalized health indicators assessment using the example. The article proposes an algorithm for calculating a generalized assessment of health indicators using adaptive variants of the criteria of structural differences with the estimation of the share values of the analyzed indicators. As an example, an analytical calculation was carried out using an analysis of the average life expectancy of the Plavsk region, polluted as a result of the Chernobyl accident, in comparison with the Tula region for the last 5 years for seven three-digit rubrics of the "Neoplasms" class developed by the special program. The result of the calculation shows that malignant neoplasms manifest themselves more in average lifespan to a small extent in the contaminated radio-nuclides in the Plavsk region. The most vulnerable to the Plavsk area are malignant neoplasms of the digestive system. Based on the results of the work, conclusions are drawn: the given example of the analytical study on the proposed algorithm for calculating the generalized health indicators shows its efficiency; the use of three different adaptive variants of the criteria for assessing the differences between the two structures enhances the possibilities for a generalized assessment of health indicators and raises the reliability of the estimate through the use of different calculation methods.