Regional features of primary disablement of the Nizhniy Novgorod Region adult population taking into account groups of disablement

Regional features of primary disablement structure of the Nizhniy Novgorod Region adult population according to groups of disablement for the 18-year period were studied. Mean annual values were calculated and dynamics of invalids rate of I, II, II groups in structure of contingent of primarily determined invalids due to certain classes of diseases (general number of follow-up units - 674 137 primarily determined invalids at Medico-Social Expertise Units for the period 1992-2009). Classes of diseases with the most severe incapacitating consequences (circulatory system diseases, malignant neoplasms, psychic and behavioral disorders, tuberculosis) were determined. Knowledge of regional features of the disablement formation process is necessary for optimal management decision-making in forming an efficient, regionally orientated policy in spheres of healthcare and social protection of population.