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THE INFLUENCE OF CHANGES IN THE ORGANIZATION OF MEDICAL CARE ON THE INDICATORS OF MENTAL DISORDERS IN CHILDREN (ON THE EXAMPLE OF THE ARKHANGELSK REGION)

Significance 
In this regard, it is relevant to study the impact of the introduction of new regulations aimed at changing the order of medical examinations and clinical examination on the dynamics of the incidence of mental disorders and behavioral disorders in children aged 0-14 years. 
Aim: to assess the relationship between regulatory innovations aimed at changing the organization of medical care for children and adolescents, and the dynamics of the incidence of mental and behavioral disorders in children aged 0-14 years. 
Methods 
The rate of chronicity was calculated as the ratio of the primary morbidity to the overall morbidity of mental and behavioral disorders. 
Determination of the presence of outliers (anomalous observations) in the series was established by Irwin's method, with n = 11, cr = 1.3. Mathematical apparatus: for the three analyzed series (primary, general morbidity, chronicity coefficient), three mathematical models were built (one one-dimensional and two - with the introduction of dummy variables - for orders № 1346, 72n, 216n and order №1687n). The statistics of fit were compared for one-dimensional and each of the four models with dummy variables for the corresponding series. To reduce the variance of the series, their logarithmic values were used. Significance was assessed at p0.05. 
Results 
Evaluation of the analyzed series for the presence of anomalous observations revealed a similar trend in the Arkhangelsk Region and the North-West Federal District. In all regions, except for the Russian Federation, emissions were concentrated in the period 2015 - 2017. National analysis revealed only one anomalous observation - in 2010. 
Graphical analysis and analysis by Irwin's method revealed similar trends in terms of abnormal observations of the dynamics of the coefficient of chronicity in the Arkhangelsk region and the Northwestern Federal District, which confirmed the previously established dynamic trends in the general and primary morbidity in children aged 0-14 years [1]. At the same time, the dynamic changes themselves after 2015 were most pronounced in the Arkhangelsk region. 
Conclusions 
No connection was found between normative innovations aimed at changing the organization of medical care for children and adolescents, changes in medical birth criteria and the dynamics of the incidence of mental disorders and behavioral disorders and indicators of the chronicity of this pathology in children aged 0-14 years, mental disorders and behavioral disorders in the Arkhangelsk region , Northwestern Federal District and the Russian Federation in the period 2009-2019.