Analysis of resource support indicators in the profile of cardiology in the Republic of Bashkortostan and in the subjects of the Russian Federation.

Purpose: conduct an analysis of the availability of cardiology beds and cardiologists in the Republic of Bashkortostan, in the Russian Federation and its constituent entities in order to reduce morbidity and mortality from diseases of the circulatory system. Materials and methods: statistical, analytical. Statistical materials of the Federal State Statistics Service and the Federal State Budgetary Institution «TsNIIOIZ» of the Ministry of Health of Russia for 2023 were used. Results. Mortality rate of the population from diseases of the circulatory system was 459.5‰îî in the Republic of Bashkortostan, in the Russian Federation the indicator is higher (560.8‰îî). Primary incidence of CVD in the adult population in the Republic of Bashkortostan was (2022) 4948.6‰îî. The primary incidence rate of the adult population of the Republic of Bashkortostan with acute myocardial infarction was 97.7‰îî, unstable angina – 113.8‰îî. The difference in the incidence rates of the adult population in the constituent entities of the Russian Federation with myocardial infarction is 9.3 times, unstable angina, the difference is huge – 54 times, which to a certain extent indicates the ambiguity of the coding of unstable angina. The provision of cardiology beds for the adult population in the Republic of Bashkortostan (2022) was 3.7 per 10,000 adult population, in the Russian Federation – 3.8‰î. The difference in indicators in the constituent entities of the Russian Federation is 3.9 times. In the Republic of Bashkortostan, the indicator of provision with cardiologists was 0.83 per 10 thousand population, in the Russian Federation – 0.89‰î. The difference in indicators in the constituent entities of the Russian Federation is almost 9 times. The analysis of the provision and staffing of cardiologists in the Republican vascular centers and in the PSO (2022) conducted in the Republic of Bashkortostan identified medical organizations with low staffing with cardiologists, which requires consideration of the reasons for low staffing and resolving issues of routing patients with acute vascular events. The results of the study can be used to develop management decisions at the regional and municipal levels.