Non-communicable diseases and their risk factors in Ukraine: analysis of the global burden of disease 2019 study.

OBJECTIVE: Aim: To analyse the burden and risk factors of Non-Communicable diseases (NCDs) in Ukraine to determine the ways to prevent them. PATIENTS AND METHODS: Materials and Methods: Using a statistical method, NCDs DALYs (Disability-Adjusted Life Years) in Ukraine were analyzed in dynamics for 1990-2019 and in comparison, with European and EU countries based on the data from "Global Burden of Disease, 2019" research. RESULTS: Results: The burden of NCDs in Ukraine is 1.5 time higher than in European and EU countries. The most negative dynamic trends and significant differences between indicators in Ukraine and EU countries (with an excess of 2 or more times) were identified for DALYs due to cardiovascular diseases, digestive diseases and substance use disorders. In Ukraine the burden of NCDs can be reduced on 25.9% by normalization of systolic blood pressure, on 21.2% by optimizing diet, on18.5% by quitting smoking, on 17.6% by lowering LDL cholesterol, on 16.5% by normalizing body weight and on 9.2% by quitting alcohol abuse. CONCLUSION: Conclusions: Ukraine should develop and implement a modern system for monitoring and assessing the NCDs burden and their risk factors; strengthen the capacity of public health institutions and their ability to attract communities to implement interventions to control NCDs modified risk factors, increase awarnes and the population's responsible attitude towards their health; strengthen the ability and motivate primary health care to provide quality primary prevention, screening and timely diagnosis and treatment of chronic NCDs.

ANALYSIS OF THE BURDEN OF CARDIOVASCULAR DISEASES IN UKRAINE IN 1990-2019.

OBJECTIVE: The aim: To analyze the burden of cardiovascular diseases (CVD) and their modified risk factors in Ukraine to substantiate ways of prevention. PATIENTS AND METHODS: Materials and methods: The burden of CVD was estimated by DALYs (Disability-Adjusted Life Years). The statistical method was used to analyze the data obtained from the statistical database of the international epidemiological study «Global Burden of Disease¼, updated for 2019. The analysis was carried out in the dynamics for 1990-2019 in Ukraine in comparison with European and EU countries. RESULTS: Results: Age-standardized DALYs per 100,000 population in Ukraine are 2.6 times higher than the average in European countries and 4 times higher than in the EU. Over the 1991-2019 the gap in DALYs increased due to a significant decrease in the burden of CVD in Europe, against the consistently high level in Ukraine. The burden of CVD in Ukraine can be reduced on 54.2% by normalizing blood pressure, on 42.1% by improving diet, on 37.3% by lowering low-density lipoprotein cholesterol, on 28.1% by lowering body mass index, and on 22.9% by quitting smoking. CONCLUSION: Conclusions: The Ukrainian strategy of reducing the burden of CVD should be intersectoral, comprehensive, combine population and individual (for high-risk groups) approaches to the control of modified CVD risk factors with modern methods of secondary and tertiary prevention of CVD, which have proven their efficiency in European countries.

Analysis of regular dental checkups of kyivites in stomatological establishments of various property forms.

OBJECTIVE: The aim: carry out analysis of regular dental checkups in Kyiv in state and private dental establishments. PATIENTS AND METHODS: Materials and methods: The analysis was conducted using the statistical reports (approved standard №20) which have been obtained in Kyiv and Ukraine from 2008 till 2017. The method of copying data with using statistical estimation methods was applied. RESULTS: Results: The authors have established significant dental preventive measures decline in Kyiv state dental establishments from 2008 till 2017. A tendency toward increased private dental sector within the dental prevention has been noted. CONCLUSION: Conclusions: The obtained results will be used to substantiate concepts of municipal stomatological dental care improvement as well as to introduce the university clinic model.

[The main directions of reforming the service of medical statistics in Ukraine].

OBJECTIVE: Introduction: Implementation of new methods of information support of managerial decision-making should ensure of the effective health system reform and create conditions for improving the quality of operational management, reasonable planning of medical care and increasing the efficiency of the use of system resources. Reforming of Medical Statistics Service of Ukraine should be considered only in the context of the reform of the entire health system. The aim: This work is an analysis of the current situation and justification of the main directions of reforming of Medical Statistics Service of Ukraine. PATIENTS AND METHODS: Material and methods: In the work is used a range of methods: content analysis, bibliosemantic, systematic approach. The information base of the research became: WHO strategic and program documents, data of the Medical Statistics Center of the Ministry of Health of Ukraine. RESULTS: Review: The Medical Statistics Service of Ukraine has a completed and effective structure, headed by the State Institution "Medical Statistics Center of the Ministry of Health of Ukraine." This institution reports on behalf of the Ministry of Health of Ukraine to the State Statistical Service of Ukraine, the WHO European Office and other international organizations. An analysis of the current situation showed that to achieve this goal it is necessary: to improve the system of statistical indicators for an adequate assessment of the performance of health institutions, including in the economic aspect; creation of a developed medical and statistical base of administrative territories; change of existing technologies for the formation of information resources; strengthening the material-technical base of the structural units of Medical Statistics Service; improvement of the system of training and retraining of personnel for the service of medical statistics; development of international cooperation in the field of methodology and practice of medical statistics, implementation of internationally accepted methods for collecting, processing, analyzing and disseminating medical and statistical information; the creation of a medical and statistical service that adapted to the specifics of market relations in health care, flexible and sensitive to changes in international methodologies and standards. CONCLUSION: Conclusions: The data of medical statistics are the basis for taking managerial decisions by managers at all levels of health care. Reform of Medical Statistics Service of Ukraine should be considered only in the context of the reform of the entire health system. The main directions of the reform of the medical statistics service in Ukraine are: the introduction of information technologies, the improvement of the training of personnel for the service, the improvement of material and technical equipment, the maximum reuse of the data obtained, which provides for the unification of primary data and a system of indicators. The most difficult area is the formation of information funds and the introduction of modern information technologies.