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The dynamics of the primary recognized invalids due to diseases of the genitourinary system in general in Ukraine in two periods: 2008–2012 and 2013–2017 years are presented. The results were analyzed and compared with the indicators in five regions of the country, taking into account the areas of their composition. Official reporting data was used. A decrease in the number of primarily recognized disabled persons, whose structure is prevalent in persons of working age, is set to be 28,9% and 26,4%, respectively, among the total adult and able-bodied population, over the last five years. In 2017, they numbered 1,770 and 1,526 persons, respectively. Positive changes have appeared in a similar tendency among the contingent up to 40 years (by 15,3%). At the same time, the percentage of invalids with the newly established I group (from 14,2±0,9% to 20,7±1,7% in the first and second periods, respectively) is authentically growing. The main tendencies of this process in the regions and oblasts are determined, which will be the basis for the development of regional programs for the prevention of development and complicated course of urological diseases, as well as rehabilitation of the disabled.

The paper presents the results of the study of basic indicators of urological service for the adult population of Ukraine and the results of activities of the service during 2017 compared with the past. It is proved that the developed network, which has a high personnel potential, is stored in the country and works efficiently enough. However, there is a deterioration of health of population due to the accumulation of patients with the most common diseases ("kidney infection" chronic pyelonephritis, cystitis, urolithiasis, benign prostatic hyperplasia), increases cancer incidence (RC, prostate cancer) and prevalence of RC, RSM. Also increases the mortality level at all cancer diseases, and the reduction of indices in urolithiasis and benign prostatic hyperplasia is accompanied by high growth rates among men in the first and among the rural population with urolithiasis, benign prostatic hyperplasia, prostate cancer, malignancies of other organs and systems. Traceability of the regional variability of indicators related to the organization and the quality of provision of specialized assistance is of high socio-economic importance.

The work represents the results of the comparative analysis of criterions on the prevalence, morbidity in chronic pyelonephritis (CPN) among various age groups of adult population in Kyiv and Ukraine as a whole and also the main findings on rendering the specialized service to the patients in the given context. The study period was 6 years and it was divided in two periods (2011–2013 and 2014– 2016) dictated by the well known events in the country which could not but be reflected on the corresponding indicators of the last three years; clearing up of the character of changes in the whole Ukrainian scale and in Kyiv, as the Capital, is of interest from the point of view of state of health in the population and the organization on rendering medical help to the patients in one of the widespread pathologies of the urologic profile. It was found out that practically during all follow-up time the indices of prevalence and morbidity in Kyiv were lower than in the country as a whole. The specificity of changes was displayed in the growth of wide-spreadness during the first three years, which was more intensive in the Capital due to the persons of employable age but throughout the country — above the employable age. Three next years were characterized by its decreased level in Kyiv mainly among the last, preservation of dynamics in Ukraine with decrease of process intensity. As a result, in the Capital during 6 years the increase of patients of the employable age was 5.3%. In 2016 the actual data in Kyiv were the following: among the adult population – 1181,9, employable – 737,5, non-employable – 2269,7, throughout Ukraine – 1567,8; 1186,5; 2398,2 respectively ( 100 tis.). At the same time, in Kyiv morbidity grew, the growth was more intensive during 2014 – 2016, in particular among the persons of retiring age, while through the Ukraine, on the contrary, the general level decrease became slower with years. In 2016 the indicators in Kyiv were as follows: among the adult population – 91,7, employable – 60,7, non-employable – 166,5, throughout Ukraine – 127,6; 118,1; 151,5 respectively (100 tis). There was followed up negative dynamics of rendering the specialized aid to the CPN patients in Kyiv in the form of low indices of regular medical check-up, high lethality which grows with time up to 6.0% in 2016. The above-mentioned needs not only the aiming further monitoring of processes which take place in Kyiv but also performing of studies with the expert assessing of quality of diagnostics and treatment of the indicated category of patients.

The work represents the data of the official statistics (f. N12, 20) for 2011–2016. There has been analyzed the dynamics of the incidence of urolithiasis in the adults population with regard to the age in Kyiv in the comparative aspect with all-Ukrainian one, and also identically those of basic indices of rendering them the specialized service. Two three-year periods (2011–2013 and 2014–2016) were singled out with the aim to follow the specificities of the last years, connected with the known territorial changes in Ukraine. There have been detected the peculiarities of distribution, sickness rate of urolithiasis among the Capital’s population. The tendency in the change of resulted data in the rendered specialized service confirms the actuality of such a work, and motivates the necessity to perform the expert assessment of the quality of diagnostics and treatment, and justifies that the problematic questions must be resolved not only in the medical plane but also in social one as well.