THE IMPACT OF PUBLIC HEALTH SYSTEM ON MORTALITY OF MALIGNANT NEOPLASMS IN VORONEZH OBLAST
The total mortality and population mortality of main classes of diseases and single causes of death are to be considered in operative and strategic planning of development of national economy and industry. In the Russian Federation, the decrease of mortality of neoplasms including malignant ones up to 190 per 100 000 of population in 2020 will be one of indicators of effectiveness of implementation of the State program of development of public health in the Russian Federation. The study was organized to determine the possibility to impact the level and dynamics of mortality of malignant neoplasms by means of variation of managed factors on the basis of indicators of activity of public health system. The main indicators of population health and activity of health institutions of Voronezh oblast were analyzed. The methods of mathematical statistics, management theory, system analysis and mathematical modeling were applied. To study the impact of managed factors on mortality of malignant neoplasms on the territory of Voronezh oblast the analysis of correlation interdependency was applied concerning 162 factors characterizing condition and activity of public health system according oblast districts and level of mortality of malignant neoplasms among adult population. The combinations of factors were calculated using the model to determine the level of prospective mortality to come in certain time after implementation of activities changing the given levels of factors. The data concerning qualitative interrelationship of indicators of condition and functioning of network of health institutions with indicators of level and dynamics of mortality of malignant neoplasms can be applied to model and forecast and to evaluate the current and forthcoming situation according indicators of mentioned mortality on the territory of Voronezh oblast in development of comprehensive plan of activities targeted to decreasing of this indicator.