ANALYSIS OF THE HEALTH CONDITION AND HEALTH PROTECTION OF THE POPULATION OF SKOPJE REGION FOR 2020
Keywords:
health care, public health, social welfare, outpatient-polyclinic and hospital morbidityAbstract
The aim of the research of this scientific paper is to show the health status of the population of the Skopje
region for 2020 and to propose measures to improve health and the quality of health services.
Methodology of the research: For the realization of the research, the following materials were used: individual
statistical reports for a person treated inpatient by hospital health care, that is, form no. 3-21-61A and summary
statistical reports from primary health care that refer to the identified diseases and conditions in the ambulatory
polyclinic activity. The method of work is statistical - informative with descriptive analysis of health data.
Research results: According to the processed data, the first place in hospital health care is occupied by the "group of
Neoplasms (C00-D48)" and has a total number of 9,338 registered diseases with a specific morbidity rate of 14.7
patients per 1,000 inhabitants. In the activity of general medicine from primary health care, the most sick people are
from the group "Diseases of the circulatory system (I00-I99)", that is, 131,687 registered with a specific morbidity
rate of 278.4 sick people per 1,000 inhabitants. In the activity of health care of school children and youth and health
care of children from primary health care, the first place is occupied by the group "Diseases of the respiratory
system (J00-J99). From these diseases suffered 43,592 children aged 0-6 with a specific morbidity rate of 793.3 per
1,000 inhabitants. While school children and youth have 48,483 patients with a specific morbidity rate of 232.8 per
1,000 inhabitants.
Conclusions: In the outpatient-polyclinic activity for Skopje region during 2020, "Respiratory diseases and
circulatory system diseases" are in first place, while "Neoplasms and circulatory system diseases" dominate in
hospital health care. The high ranking of these diseases in the morbidity of the population of Skopje region indicates
the seriousness of this health problem, which we expect to remain one of the priority public health problems.
Recommendations: The recommendations resulting from this scientific paper are aimed at continuous and detailed
monitoring of risk factors and preparation of programs for their elimination, as well as development and
implementation of screening programs for chronic non-communicable diseases. Prevention of diseases with greater
awareness of the population about its benefits is necessary for the promotion of public health.
References
Duff, H. J., Liu, A., Saavedra, J., Batycki, N.J., Morancy, K., Stocking, B., Gostin, O.L., Galea, S., Bertozzi, S., Zuniga, M.J., Alberto-Banatin, C., Dansua, A.S., Del Rio, C., Kulzhanov, M., Lee, K., Scaglia, G., Shahpar, C., Ullmann, J.A., Hoffman, S.J., Weinstein, M., & Szapocznik, J. (2021). A global public health convention for the 21st century. THE LANCET, Public Health. E428-E433. https://www.thelancet.com/journals/lanpub/article/PIIS2468-2667(21)00070-0/fulltext
Edemekong, P.F., & Tenny, S. (2021). Public Health. StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK470250/
Hansmann, К. Ј., & Chang, Т. (2021). Defining the “New Normal” in Primary Care. Annals of family medicine. 19(5): 457–459. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8437564/
Health promotion and disease prevention through population-based interventions, including action to address social determinants and health inequity. http://www.emro.who.int/about-who/public-health-functions/health-promotion-disease-prevention.html
Lago – Penas, S., Rivera, B., Cantarero, D., Casal, B., Pascual, M., Blazquez – Fernandez, C., & Reyes, F. (2020). The impact of socioeconomic position on non-communicable diseases: what do we know about it?. SAGE journals. 141(3):158-176. https://pubmed.ncbi.nlm.nih.gov/32449467/
Public Health in Action. https://www.cdcfoundation.org/what-public-health
Santoro-Lamelas, V. (2016). Public health in the health-disease continuum: an analysis from a professional perspective. Revista de salud publica (Bogota, Colombia). 18(4):530-542. https://pubmed.ncbi.nlm.nih.gov/28453059/
Schmitt, N., & Schmitt, J. (2008) Definition of Public Health. In: Kirch W. (eds) Encyclopedia of Public Health. Springer. https://link.springer.com/referenceworkentry/10.1007/978-1-4020-5614-7_723
Sohn, M. (2012). Globalization of public health law and ethics. "Asia Pacific Journal of Public Health"[jour]. 24(5):851-5. https://pubmed.ncbi.nlm.nih.gov/23093515/
Svalastog, А. L., Donev, D., Jahren Kristoffersen, N., & Gajović, S. (2017). Concepts and definitions of health and health-related values in the knowledge landscapes of the digital society. Croatian medical journal. 58(6): 431–435. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5778676/
Zhelezova, P.V., & Mingazova, E.N. (2021). Public health and medical prevention centers in modern conditions of non-infectious and infectious risks. "Problemy Sotsialnoi Gig Zdravookhranenniiai Istorii Meditsiny "[jour]. 582-587. https://pubmed.ncbi.nlm.nih.gov/34327926/