EVALUATION OF THE EFFECTIVENESS OF MEDICAL CARE MANAGEMENT TECHNOLOGIES WITHIN THE FRAMEWORK OF THE REGIONAL TARGET PROGRAM “COMBATING DISEASES OF THE CIRCULATORY SYSTEM”

Highlights The theoretical novelty of the work consists in using the regional target indicator of the mortality rate from diseases of the circulatory system as an indicator for assessing the effectiveness of management decisions at the level of municipalities in the constituent entity of the Russian Federation. To counteract the growing burden of cardiovascular diseases (CVD), the project solution “Long and active life” is being implemented in all constituent entities of the Russian Federation, indicating regional target indicators (RTI). A regional program is also in effect in the Kemerovo Region. In the absence of unified approaches to assessing the effectiveness of health care management technologies within the framework of the regional program, extrapolation of the RTI in municipalities seems promising for solving such a problem.   Aim. To assess the characteristics of the population’s appeal to medical organizations and the prevalence of individual risk factors for CVD in connection with the effectiveness of health care management in the municipalities of the Kemerovo Region-Kuzbass for 2019–2023. Methods. Data from the Federal State Statistics Service for the period 2019–2023 were used. regarding mortality due to CVD, disease codes: I00–I99, and federal statistical observation forms No. 30 and No. 131/o. Statistical processing was performed using descriptive statistics methods. Results. The average effectiveness of the regional program in the municipalities was in the range from 111.8 to 176.4%. In four municipalities, it is observed that the number of visits due to diseases exceeds the regional values. In these municipalities, the following dominate in the structure of the studied factors: poor nutrition in a share from 32 to 40.3%; hypercholesterolemia – from 3.8 to 16%; smoking – from 5.3 and 8.9%. Low physical activity and alcohol consumption do not act as a leading risk factor in the region. Conclusion. A relationship was established between the effectiveness of health care management technologies and the number of requests for help. In particular, low efficiency is associated with a higher proportion of visits for treatment purposes compared to preventive and outpatient observation; a higher prevalence of controllable risk factors for CVD (poor nutrition, hypercholesterolemia, and tobacco smoking).