ANALYSIS OF HOSPITALIZED MORBIDITY IN PERSONS BEYOND RETIREMENT AGE

Significance. Russia, like worldwide, currently witnesses a tendency in society development, associated with a significant ageing of the population - an increase in the share of persons beyond retirement age against the background of increasing life expectancy. The peculiarities of care delivery and the increasing need for medical care among patients beyond retirement age with age-associated conditions lead to increased care-seeking and higher number of hospitalizations. The article presents a comparative analysis of the distribution of adult patients and persons beyond retirement age, discharged from medical organizations providing inpatient medical care, the level and structure of hospitalized morbidity by classes of diseases in these age groups, exemplified by a typical multidisciplinary medical organization providing specialized inpatient medical care to the adult population of the region, constituent entity of the Russian Federation and Russia in 2019-2023. Purpose. To analyze hospitalization of adults and persons beyond retirement age, the level of hospitalized morbidity among patients of these age groups, which will make it possible to obtained data for determining the leading causes of hospitalizations and planning the necessary volumes of medical care in inpatient settings within the framework of the program of state guarantees of free medical care for the population. Material and methods. The study used statistical and analytical methods. The source of information was the federal statistical observation form No. 14 “Information on performance of units of medical organizations providing medical care in inpatient settings” for 2019-2023. The base of the study was Tula Regional Clinical Hospital, which is a typical multidisciplinary medical organization providing specialized inpatient care to the adult population of the Tula Region. A comparative analysis of indicators of hospitalized morbidity among adults and persons beyond retirement age in the Tula Oblast and the Russian Federation was undertaken. Results. The level of hospitalization and hospitalized morbidity among adults and persons beyond retirement age was assessed. The frequency of hospitalization and the level of hospitalized morbidity in the group of persons beyond retirement age exceeds the similar indicators among adults. Discussion. According to the study findings, there is a trend characterized by an increase in the level of hospitalization of patients beyond retirement age compared to adult patients. The level of hospitalized morbidity among persons beyond retirement age is also higher compared to adults, both in general and across all classes of diseases. The results obtained makes it possible to project the future demand for medical care in inpatient settings. Conclusion. The level of hospitalized morbidity among persons beyond retirement age during the period under study tends to increase, suggesting a higher need for inpatient care among patients beyond retirement age. The specified trend should be taken into account when making managerial decisions on the organization of care delivery, namely, planning the necessary volumes of medical care in inpatient settings within the framework of the program of state guarantees of free medical care for the population, both in general in the constituent entity of the Russian Federation and in individual medical organization. Keywords: hospitalization rate; hospitalized morbidity; persons beyond retirement age, classes of diseases.