Horlach T. M.
FEATURES AND TRENDS IN THE HEALTH STATUS OF OLDER AGE GROUPS
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About the author:
Horlach T. M.
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SOCIAL MEDICINE, ECONOMY AND HEALTH CARE ORGANIZATION
Type of article:
Scientific article
Annotation:
The main medical and social burden in older age groups is formed primarily by chronic non-communicable diseases, which are the key determinants of the burden on the healthcare system, especially at the level of primary healthcare. At the same time, demographic aging and crisis-related social and epidemiological events of recent years have significantly transformed morbidity indicators among older individuals. The aim of the study was to analyze the dynamics of morbidity, disease prevalence, coverage by dynamic follow-up, and mortality among older age groups during 2015–2024, and to identify the nosological classes that determine the most pronounced fluctuations in health indicators of the older population. The study was conducted based on aggregated medical and statistical data from the clinic of the State Institution of Science “Center for Innovative Healthcare Technologies” State Administrative Department for 2015–2024. An analysis was performed of registered morbidity, newly diagnosed pathology, coverage by dynamic follow-up, and mortality among individuals aged 60 years and older. Methods of time-series analysis were applied, including calculation of intensive indicators per 10,000 population in this age group, absolute and relative increase, growth rates, and amplitude of fluctuations. Overall disease prevalence showed a wave-like pattern: during 2015–2017, morbidity increased, followed by a decline, reaching a minimum in 2023, and a slight rise in 2024. Primary morbidity increased during the study period from 2,644.0 to 3,618.0 per 10,000 older population, indicating the impact of delayed early diagnosis. Due to limitations in the provision of medical care, multidirectional changes in morbidity indicators among older age groups were identified. The obtained results substantiate the need to improve the system of outpatient medical care, strengthen preventive measures and screening programs in order to ensure early detection of chronic non-communicable diseases among the older population.
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Bibliography:
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Publication of the article:
«Bulletin of problems biology and medicine», 2025 Issue 4, 179, 381-391 pages, index UDC 616-056.2-053.88/.9
