Availability of medical care for the rural population with diseases of the skin and subcutaneous tissue in the Republic of Bashkortostan

Abstract

The morbidity rate of the rural population is lower than that of the urban population for all classes of diseases, which is due to the low availability of medical care (MC) for rural residents, including those with diseases of the skin and subcutaneous tissue (DSST). The purpose of our study was to study the accessibility of MP to the rural population of the Republic of Bashkortostan with DSST and determine ways to improve it.Materials and methods. An analysis was made of the incidence of the rural population of DSST, resource provision of dermatovenereological care and the volume of primary health care and specialized, including high-tech MC, based on reporting data for the Republic of Bashkortostan (RB) in comparison with the indicators of the Russian Federation (RF) and the Volga Federal District (VFD).Results. For the period 2013–2020 in the RB, there are high average annual incidence rates of the rural population with DSST, exceeding similar data for the RF and VFD. The provision of dermatovenerologists has decreased (the rate of decrease is 16.2 %), the number of dermatovenereological rooms has decreased (the rate of decrease is 9.3 %). In terms of the number of dermatological beds, the republic ranks frst among other regions of the VFD, and second in terms of the level of provision. The share of rural residents who received high-tech MC in 2020 amounted to 38.5 % of the total quota.Conclusion. As a result of the study, the need to increase the role of nursing staff of central district hospitals in conducting dispensary observation of patients with chronic dermatoses, creating algorithms for constant interaction between dermatovenereologists of the consultative and diagnostic department of the Republican dermatovenerologic dispensary and doctors and / or nurses of districts, creating a republican register of patients with chronic dermatosis, increase in the volume of high-tech medical care with the use of genetic engineering biological therapy. The priority in increasing the availability of medical care for the rural population with DSST is systematic work consisting in the development and implementation of a set of organizational solutions.