Problems of Social Hygiene, Public Health and History of MedicineProblems of Social Hygiene, Public Health and History of Medicine0869-866X2412-2106Joint-Stock Company Chicot41810.32687/0869-866X-2020-28-s2-1108-1112Научная статьяQuality of accounting of death causes for elderly peopleSabgaydaT. P.tamara@mednetl.ruEdelevaA. N.-TarasovN. A.-State Budgetary Institution “Research Institute for Healthcare Organization and Medical Management of Moscow Healthcare Department”Federal Research Institute for Health Organization and Informatics of Ministry of Health of the Russian Federation15122020281108111206042021Copyright © 2020,2020Programs to increase the life expectancy of old people are becoming increasingly relevant in an aging society. Their adequacy depends on the quality of accounting death causes. Objective: To evaluate the quality of accounting of death causes for population over the working age. For 98 061 deaths of people over working age registered in Moscow dead database, the structure of underline and multiple causes of death were compared. To determine whether information on morbidity of elderly can improve the diagnosis of death causes the structure of death causes was compared with officially registered prevalence and detected prevalence. The last was calculated on the basis of the household survey of health of elderly population in Nizhny Novgorod Region (22 558 people). We find fundamental difference between the structure of causes for officially registered prevalence, detected prevalence and mortality. In the structure of death causes the nervous diseases are in the second place and the proportion of uncertain death causes is 6.7%. The difference in the structure of underline and multiple causes of death is not so great. For people over working age, the coding errors were detected in 9.8% underline death causes. Thus, morbidity statistics cannot provide informational support for diagnosing causes of death in full. To improve the quality of accounting of death causes, it is advisable to introduce the institution of coders and to give them the possibility of verifying death diagnoses in medical organizations where the diagnosis has been established.death certificatecause of deathICD-10 codesprevalence of diseasesmultiple death causesсвидетельство о смертипричина смертикоды МКБ-10патологическая отягощенностьмножественные причины смерти1.Горбунова В. В., Иванов Н. П., Киселева И. Н. Повышение социально-экономической эффективности социального обслуживания граждан пожилого возраста в Российской Федерации. Фундаментальные исследования 2017; (9-2): 418-422.2.Карпова О. Б., Проклова Т. Н. Здоровье лиц старше трудоспособного возраста в 2011-2015 годах. Бюллетень Национального научно-исследовательского института общественного здоровья имени Н. А. Семашко 2017; (2): 25-28.3.Верткин А. Л., Румянцева М. А., Скотникова А. С. Коморбидность. Клиническая медицина 2012; (10): 4-11.4.Прощаев К. И., Ильницкий А. Н., Постникова Л. И., Мурсалов С. У., Киселевич М. М., Шварцман Г. И. Клиническая патология полиморбидности в гериатрической практике. Успехи геронтологии 2011: 24(2): 285-289.5.Violan C, Foguet-Boreu Q, Flores-Mateo G, Salisbury C, Blom J, Freitag M, Glynn L, Muth C, Valderas JM. Prevalence, determinants and patterns of multimorbidity in primary care: a systematic review of observational studies. PLoS One 2014; 9(7): e1021496.van Oostrom SH, Gijsen R, Stirbu I, Korevaar JC, Schellevis FG, Picavet HS, Hoeymans N. Time trends in prevalence of chronic diseases and multimorbidity not only due to aging: data from general practices and health surveys. PLoS One 2016; 11(8): e0160264 https://doi.org/10.1371/journal.pone.01602647.Afshar S, Roderick P, Kowal P, Dimitrov B, Hill A. Global Patterns of Multimorbidity: A Comparison of 28 Countries Using the World Health Surveys. In: Hoque MN, Pecotte B, McGehee MA, eds. Applied Demography and Public Health in the 21st Century. Switzerland, Champringer International Publishing. 2017: 381- 402.8.Анисимов В. Н., Серпов В. Ю., Финагентов А. В., Хавинсон В. Х. Новый этап развития геронтологии и гериатрии в России: проблемы создания системы гериатрической помощи. Часть 2. Структура системы, научный подход. Успехи геронтологии 2017; 30(4): 486-497.9.Ткачева О. Н., Рунихина Н. К., Остапенко В. С., Шарашкина Н. В. Семь вопросов для пожилых в практике врача первичного звена. Успехи геронтологии 2017; 30(2): 231-235.10.Добрых С. В., Алексеева С. В., Кореннова О. Ю., Хайсаров Т. Ф. Система мониторинга популяционного здоровья и клинико-экономической эффективности деятельности территориальной системы здравоохранения. Кардиоваскулярная терапия и профилактика. 2009;8(6):67-70.11.International statistical classification of diseases and related health problems 10th revision. Volume 2. Instruction manual. Fifth edition. World Health Organization. 2016: 69-97.12.Сабгайда Т. П., Рощин Д. О., Секриеру Э. М., Никитина С. Ю. Качество кодирования причин смерти от сахарного диабета в России. Здравоохранение Российской Федерации 2013; (1): 11-15.