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THEME 4. METHODS OF STUDY AND THE EVALUATION INDICATORS OF GENERAL MORBIDITY.

1. Methods of studying of incidence are based on following data (sources) :

2. Complete the boxes using the prompts. What are types of physical examinations?

I.

1. Primary (incidence)
- pre-employment medical examination,
- is carried out for enroll to university for determination
of health condition,
- is carried out for detection of diseases that may be
aggravated and progress in working conditions with
occupational hazards or in the process of learning.
- is carried out for the purpose of health surveillance of
employees.

- is carried out for the purpose of early detection of

different diseases (tuberculosis,

According with visits to doctors:

hematological
malignancies, respiratory diseases, gynecological
disorders etc.)

3. Write the main morbidity types. Fill the table.

It is a level of newly diagnosed diseases for calendar year in this

territory.
Count per 1000 population.
2. Prevalence of diseases It is level of all registered diseases for calendar year recording all
(overall morbidity rate)

3. Structure of primary
acute diseases and all visits to a doctor for chronic diseases are
diagnosed as in the current year, and in the previous years.
Calculated per 1000 population.

and overall incidence of Calculated to number of all registered (or newly) diseases
the population
Information sources about overall morbidity:
1. The statistical coupon for registration of the final diagnoses (f. № 025-2) with mark “+” and “–”;
2. The outpatient coupon (f. № 025-6);( with number “1” or “2”, “3”)

II.
THEME 4. METHODS OF STUDY AND THE EVALUATION INDICATORS OF GENERAL MORBIDITY.

III.

IV.

V.

According to physical examinations:

1. It is used to determine the frequency of pathology among the population (or

its separate groups) which is revealed by medical examinations including
not only diseases, but also premorbid forms, morphological or functional
deviations (late its can cause disease).
Calculated per 1000 examinees.

3. International Statistical Classification of Diseases (ICD), 10th Revision, WHO.

Basic classification points:
1. In Europe, as the Bertillon Classification or International List of Causes of Death, in 1893.
ICD-1 was introduced in the USA in 1900.
2. New revisions have been released generally every ___________years since then.
3. "The purpose of the ICD ... is to promote international comparability in the collection,
classification, processing, and presentation of mortality statistics".
4. "In practice, the ICD has become the international standard diagnostic classification for all
general epidemiological and many health management purposes."
5. The Tenth Revision was proposed in 1989 and released in 1994. Currently Ukraine
recognized ICD 10th review.
THE main principles of construction ICD №10 are:

I. ICD includes__________chapters of diseases (19) and related health problems (2)

_____Volumes.

II.  the generality of the etiology and pathogenesis of diseases

 combination locally-etiologic or locally-pathological principles

The main innovation ICD №10 is

III. Alphanumeric encryption system.

This is where each letter of the Latin alphabet followed by two numerals,
and for diagnosis specification is added also the third numeral.
 E.g. A15-A19 Tuberculosis
.

The 11th Revision of the International Classification of Diseases

(ICD-11) is due by 2018!

Recording medical documentation:

1. The outpatient coupon (f. № 025-6);
THEME 4. METHODS OF STUDY AND THE EVALUATION INDICATORS OF GENERAL MORBIDITY.
2. The statistical coupon for registration of the
final diagnoses (f. № 025-2);
3. The outpatient coupon (the reduced variant)
(f. № 025-7);
4. The statistical record of the discharged
patient from hospital (form is № 066);
______________________________________
The task. To calculate of indicators of
morbidity, using the following initial data:
The city N has average annual population –
670 000 people,
- Of them, children till 14 years - 140 000,
- 420 000 cases of diseases registered
among the population, which include:
• newly diagnosed in 2015 year –
50 000 cases,
- 120 000 cases of diseases reported among
the children till 14 years, which include:
• newly diagnosed in 2015 year –
50 000 cases,
- respiratory diseases were registered
100 000 cases, among them:
• newly diagnosed in 2015 year –
30 000 cases,
- digestive diseases were registered
100 000 cases, among them:
• newly diagnosed in 2015 year –
25 000 cases,
- average number of employees is 200 000
people
- The number of temporary disability –
15 000 cases, due to ARVI – 10 000,
- The number of days of temporary disability
– 150 000, , due to ARVI – 90 000 days
THE BASIC INDICATORS OF THE
POPULATION morbidity.
1. Prevalence of diseases (morbidity,
incidence rate):
Number of all registered acute and chronic
diseases, as newly diagnosed in the this year (in
stat. coupon are noted by a sign «+»), and last
years
____________________________________________
× 1000 = ___ ‰
Population
2. Prevalence of diseases among children
(0-14 years):
Number of all registered acute and chronic
diseases, as newly diagnosed in this year, and last
year among children of 0-14 years
____________________________________________
× 1000 = ___ ‰
Number of children (0-14 years)
3. Prevalence of diseases of respiratory
organs:
Number of all diseases of respiratory organs (newly
diagnosed in this year and last years)
__________________________________________
× 1000 = ____ ‰
Population
4. Prevalence of diseases of digestive
organs:
Number of all diseases of digestive organs (newly
diagnosed in this year and last years)
___________________________________________
× 1000 = ____ ‰
Population
5. Primary incidence (actually disease,
frequency of again revealed illnesses:
Number of newly diagnosed diseases in this year
___________________________________________
× 1000 = ____ ‰
Population
6. Primary incidence among children (0-14
years):
Number of newly diagnosed diseases
in children of 0-14 years in this year
______________________________________________
× 1000 = ____ ‰
Number of children (0-14 years)
7. Primary incidence of respiratory
organs:
Number of newly diagnosed diseases of
respiratory organs in this year
______________________________________
× 1000 = _____ ‰
Population
8. Primary incidence of digestive organs:
Number of newly diagnosed diseases of
digestive organs in this year
________________________________________
× 1000 = ____ ‰
Population
9. Structure of the overall morbidity:
Number of the registered diseases
of respiratory organs
____________________________________________
× 100 = ___ %
Number of all registered diseases
in this year
THEME 4. METHODS OF STUDY AND THE EVALUATION INDICATORS OF GENERAL MORBIDITY.

10. Structure of primary disease:

Number of newly diagnosed diseases of
digestive organs in this year (2015)
_________________________________________________
× 100 = ___ %
Number of all newly diagnosed diseases in 2015
—
CHRONIC
11. Pathological prevalence:
Statistical coupon for
Collection of all diseases and registration of the final
pathological conditions
INDICATORS OF INCIDENCE WITH diagnoses +
established
TEMPORARY during medical
DISABILITY examination ACUTE or
_________________________________________
× 1000 = ___ ‰ (f. № 025-2) CHRONIC
Number of examinees (NEWLY)

INDICATORS OF INCIDENCE WITH Outpatient

TEMPORARY DISABILITY coupon
(f. № 025-6)
1. Frequency of cases of temporary disability:
3
Number of cases of temporary disability CHRONIC
_____________________________________
× 100 = ___ cases 1
Average number of employees ACUTE
2
(NEWLY)
CHRONIC
2. Frequency of days of temporary disability:

Number of days of disability

_____________________________________
× 100 = ____ days
Average number of employees

3. Average duration of 1 case of disability:

Number of days of disability

_______________________________________
= _______ days
Number of cases of disability

4. Structure of cases of temporary disability:

Number of cases of disability by ARVI

__________________________________________
× 100 = ____ %
Total number of cases of disability

5. Structure of days of temporary disability:

Number of days of disability by ARVI

_______________________________________
× 100 = ___ %
Total number of days of disability