Medical, social and organizational aspects of adult''S incidence of outpatient visits

The research aims at studying medical and social aspects of population health to develop recommendations for service improvement. The study enrolled patients who applied for urgent outpatient care in medical organizations in Naberezhnye Chelny from 2011 to 2013. Materials and Methods. The study was conducted in City Clinic No. 4 (Naberezhnye Chelny), with the assigned adult population 60,580 people. Medical records of ambulatory patients were examined during the research. Statistical processing was carried out on 2,100 cases of primary visits concerning acute and chronic diseases. For statistical processing of the data obtained we used methods for calculating the indicators of a time series, as well as for analyzing conjugacy tables with statistical significance assessment, using Pearson fitting criterion or %2 criterion. The critical significance level was assumed to be p=0.05. Results. Spring and autumn periods demonstrated the highest incidence of adult's visits to clinics providing acute care on an outpatient basis. There is a certain pattern in the distribution of outpatient visits due to acute and chronic diseases according to the days of the week. Thus, a significant number of patients visited clinics on Monday (29 %). Then their number gradually decreased and the minimal number of visits was recorded at the week-end. Conclusion. According to the examination conducted the increase of outpatient visits is observed in spring and autumn due to the peak of respiratory diseases during this period.