Professional Documents
Culture Documents
I. ACTUALITY OF THE TOPIC. One of the peculiarities of social phenomena is their con-
tinuous development in dynamics. The individual phenomena or parameters are no exception, which
are studied by the various branches of medical science and practice, which over time (for an hour,
day, month, year) often change their intensity. The study of dynamic processes and bases of prognosis
(including acute respiratory disease COVID-19, caused by coronavirus SARS-CoV-2) in the medical
care and health care system has a practical interest in identifying trends in the development of the
studied phenomena, which allows correct analysis of social and hygienic phenomena and predict
changes in the future and, accordingly, to identify and implement the necessary practical measures.
All this is important in the practical activity of the doctor or scientist and makes this topic of
practical lesson relevant in terms of acquiring the necessary theoretical knowledge and practical skills
and abilities in the context of dynamic series and bases of forecasting by the future doctors.
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Topic of the practical lesson: Dynamic series and basics of prognosis
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Topic of the practical lesson: Dynamic series and basics of prognosis
The length of the dynamic series is chosen based on the tasks and purpose of research or
analysis of the development of the social phenomenon.
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Topic of the practical lesson: Dynamic series and basics of prognosis
The inability to make comparisons due to different units of measurement occurs due to the
fact that the series of phenomena:
➔ accounted for in parallel in two units of measurement (for example: the length of stay of
patients in the inpatient department is accounted for in bed-days, the level of sugar in the blood of a
person / patient is usually measured in mmol/L, etc.);
➔ arise due to the inability to compare the cost of medical services due to monetary valuation
(for example: inflation, exchange rate changes, introduction of highly informative medical technolo-
gies or expensive reagents for laboratory diagnostics into the treatment and diagnostic process, etc.).
To bring to the comparative form of such dynamic series, all previous levels of the studied features
are listed according to the current monetary value.
➔ also caused by the different structure of aggregate for several years. To bring the data of
such series to the comparative form using the so-called standardization of the structure (for example:
standardized coefficients of births, mortality, natural increase, etc.).
The comparison of certain levels of the dynamic series
The important condition for the correct construction of the dynamic series and its subsequent
characteristics is the ability to compare its certain levels. It is necessary to remember about territorial
and qualitative comparison of results, comparing data in dynamics.
The basic requirements for confronting and comparison of certain levels of the dynamic series:
• the equality of periods to which statistical indicators belong, for example, the volume of pub-
lished books for different years is compared only January with January;
• the same completeness of coverage of the studied parts of the phenomenon / consistency in
the structure of the aggregate;
• the coincidence of territorial boundaries of the phenomenon;
• the proportionality of series levels (same scale and same units of measurement);
• the single interpretation of the unit of object of observation, the single methodology and ac-
counting for the calculation of indicators during the period under analysis, which is especially im-
portant in international comparisons.
The main reasons, which make it difficult or impossible to compare the levels of the dynamic
series:
• the changes in the methodology of accounting and calculation of the indicator, in particular
the use of different units for measurement or calculation (for example: assessment of the economic
efficiency of work of treatment and prevention facilities in different monetary equivalents for certain
periods – rubles, coupons, hryvnias, USD);
• the uneven periodization of dynamics (for example: quantitative – by years, qualitative – by
the social and economic periods, changing the priority of different types of institutions in the structure
of treatment and prevention care);
• the change of the list of objects of analysis ((for example: transition of the number of treatment
and prevention facilities from one subordination to another);
• the changes in the structure of the aggregate, as well as territorial changes (for example:
change in the territorial boundaries of regions, districts and others);
• the various critical moments of data registration or the length of the periods to which the levels
belong.
In the presence of the above conditions, the problem is usually solved in the process of data
collection and processing or by recalculating them.
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Topic of the practical lesson: Dynamic series and basics of prognosis
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Topic of the practical lesson: Dynamic series and basics of prognosis
The characteristic peculiarity of interval dynamic series is that their levels are always obtained
when summarizing statistical data for certain periods of time. The magnitude of the levels of the
interval series depends on the length of time interval over which the indicators are calculated. The
longer the time interval, the higher the level.
The interval dynamic series is used when it is necessary to analyze the studied phenomenon in
different fractional periods or for a longer period of time.
The interval dynamic series are more common than instantaneous. In such series, data is accu-
mulated over a period of time. The process of data accumulation for day, week, month, year gives the
final total value for this period of time. This means that the researcher is able to compile and share
such statistical data, and eventually find out. For example: how many patients are hospitalized in the
inpatient department of the hospital or its profile departments during the month, quarter, half a year;
what amount of money is earned by the doctors for medical services provided to patients for months
during the year; calculate how much time the general practitioner / family medicine spends examin-
ing one patient in the ambulatory of family medicine and at home in relation to his daily working
hours (7 hours and 20 minutes).
The statistical data of the State Statistics Service of Ukraine on the number of permanent
population of Ukraine as of January 1 from D-year to Z-year (thous. persons)
Date January 1 D-year January 1 T-year January 1 Z-year
Number of permanent population
42759.7 42590.9 42414.9
(thous.)
The interpretation of the given statistical data of the instantaneous dynamic series:
а) characteristic of the dynamic series: the given dynamic series ‒ complete (periods are con-
secutive, one after another with equal intervals); one-dimensional (one indicator changes over time);
equidistant (uniform intervals between dates); non-stationary (contains in its own sense a certain
trend of development of number of population over time); simple (series levels are reproduced in
absolute values); instantaneous (characterizes the number of permanent residents on a specific date
January 1 of the studied years).
b) Conclusion: there is a tendency to decrease the number of permanent population of Ukraine
as of January 1 of the analyzed years, shows its negative dynamics, which has the direct impact on
the development of the country's economy and its social sphere.
The peculiarity of the momentary series of dynamics is that its levels cannot be summed up,
because separate values of the indicator may be present in several periods and thus may be double
counting (for example: the main number of population, in this example, is present at all levels of the
series, and some persons ‒ at different levels of the series).
The simple summation in momentary series also does not apply because the obtained general
sum cannot have a real meaning (for example: the summation of data on the number of population
registered on a certain date cannot be summed up, because the separate person can be included in
this indicator for several years).
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Topic of the practical lesson: Dynamic series and basics of prognosis
The real meaning in the given example of the momentary series is only the difference between
the levels of the series, which characterizes the change of the phenomenon in time, and the levels of
the momentary series do not depend on the accounting periods, but only on the moment at which they
are calculated and given.
The distinctive peculiarity of the momentary and interval dynamic series is the concept of
interval. For the momentary series of dynamics, the interval is the time interval between dates,
whereas for the interval dynamic series – the sizes of the studied phenomenon for certain periods of
time.
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Topic of the practical lesson: Dynamic series and basics of prognosis
It is necessary to sum up the adjacent levels of neighboring periods, and then divide the sum by the
number of addend. This achieves great clarity of change over time. The dynamic series is significantly
reduced when enlarging.
The example of enlargement of the interval of the interval series of dynamics
The statistical data on the realization of the drug S. (kg) in the retail pharmacy network of
the city of O. in K-year
Months of K-year I II III IV V VI VII VIII IX X XI XII
The volume of realiza-
790 780 770 610 606 604 470 460 450 660 670 694
tion of the drug S. (kg)
Task:
а) to carry out quarterly equalization of the given series of dynamics of realization of the drug
S. (kg) in the retail pharmacy network of the city of O. in K-year by the enlargement of the interval;
b) to interpret the obtained statistical data.
Method of calculation:
We determine the size of the quarterly and monthly average in K-year, to bring the analyzed
series to a comparative form. It is necessary to determine the volume of realization of the drug S. (kg)
in the retail pharmacy network of the city of O. quarterly, namely:
1) in the І quarter of the K-year the volume of realization of the drug S. (kg) in the retail phar-
macy network of the city of O. is: 790 kg (January) + 780 kg (February) + 770 kg (March) = 2340
kg:
2) in the ІІ quarter - 1820 kg of realization of the drug S.;
3) in the ІІІ quarter - 1380 kg of realization of the drug S.;
4) in the ІV quarter - 2024 kg of realization of the drug S.
In addition, we calculate the group average value of each enlarged period, in this case the
average monthly realization of the drug S. (kg) in each quarter.
2340 kg of realization of the drug S.: 3 months and we get 780 kg of the drug S, which is the
average monthly volume of realization of the drug S. (kg) in the І quarter of K-year, etc.
Mechanical smoothing is performed by enlarging the intervals, but by sequentially shifting the
phenomenon under study by one day (month, year, etc.) while maintaining the stable interval of pe-
riod.
In this case, the METHOD OF CALCULATING THE VARIABLE / MOVING AVER-
AGE is used for the levels of phenomena of any series of dynamics, expressed in absolute, average
or relative values. This method is used in the presence of odd numbers of temporary periods (3, 5, 7,
9, 11, etc.) for the sufficiently long dynamic series. When calculating the moving average, each level
of the series is replaced by the average value of this level and two adjacent to it.
By calculating the average values of the three periods, two adjacent periods with it pass to a
certain level, which reproduces the moment of "moving" by the periods. Each subsequent interval is
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Topic of the practical lesson: Dynamic series and basics of prognosis
formed on the basis of the previous one with the replacement of one level, namely, the level is re-
placed by the average value (from this level and two adjacent to it).
In this case, the researcher can use the following formulas to calculate the average values for
the three periods, namely:
𝐲𝟏 +𝐲𝟐 +𝐲𝟑
𝐲𝟏 = (1)
𝟑
𝐲𝟐 +𝐲𝟑 +𝐲𝟒
𝐲𝟐 = (2)
𝟑
𝐲𝟑 +𝐲𝟒 +𝐲𝟓
𝐲𝟑 = (3)
𝟑
This method is often used to characterize the seasonal fluctuations of medical and sociological
phenomena in the health care system and medical service of population. The peculiarity of this is that
the replacement of individual levels of series by the average values calculated from this and neigh-
boring levels.
Calculate the average level for a certain number (often three) of the first in order levels of the
series, then calculate the average level for the similar number of levels, but starting with the second,
then the third, etc.
As a result of smoothing, the dynamic series is formed, where the number of levels is less than
"two" with the three-term arithmetic mean, while with the flow interval (smoothing period) in "five"
(five-term arithmetic mean) the series decreases by four levels.
Thus, the method of variable / moving average allows to identify the trend of development of
the analyzed phenomenon / trend, which is masked by the random fluctuations of indicators.
This method is used when no special accuracy is required, when there is the sufficiently long
series and the loss of two values of the series can be neglected, as well as in cases where the devel-
opment of the phenomenon under the influence of one or two factors is studied.
Example of alignment of the interval dynamic series method of calculating the variable / mov-
ing average.
The statistical data on cases of temporary disability due to ARVI and influenza (per 100 em-
ployees) in OJSC “Polonyna” in the city of Z. for the last seven years
Years
Indicators of temporary disability Current
n-6 n-5 n-4 n-3 n-2 n-1
year
Cases of temporary disability due to
ARVI and influenza (per 100 employ- 81.2 77.0 82.4 78.0 76.0 77.3 76.3
ees)
Task:
а) to align the given dynamic series on cases of the temporary disability due to ARVI and influ-
enza (per 100 employees) in OJSC “Polonyna” in the city of Z. for the last seven years, the method
of calculating the variable / moving average;
b) to interpret the obtained statistical data.
Method of calculation:
А) To sum up the levels of three adjacent years (n - 6, n - 5, n - 4) and the obtained sum is
divided by the number of addends, thus, obtaining the simple arithmetic mean for three levels of the
studied phenomenon:
y 1=
81.2+77.0+82.4
= 80.2 cases of the temporary disability
3
due to ARVI and influenza (per 100 employees) in the city of Z.
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Topic of the practical lesson: Dynamic series and basics of prognosis
The statistical data on cases of temporary disability due to ARVI and influenza (per 100 em-
ployees) in OJSC “Polonyna” in the city of Z. for the last seven years
Years
No Indicators Current
n-6 n-5 n-4 n-3 n-2 n-1
year
Cases of temporary disability due to
1. ARVI and influenza (per 100 em- 81.2 77.0 82.4 78.0 76.0 77.3 76.3
ployees)
2. Variable / moving average - 80.2 79.1 78.8 77.1 76.5 -
Interpretation of the obtained statistical data: there is a clear trend of decreasing temporary
disability due to ARVI and influenza morbidity in the dynamics for the last seven years from 80.2
cases to 76.5 cases per 100 employees in OJSC “Polonyna” in the city of Z., as evidenced by the
obtained results of mechanical smoothing of the analyzed dynamic series by calculating the variable
moving average for the levels of the analyzed phenomenon.
y` = a0 + a1t (4)
The calculation of parameters a0; a1 in the straight line by the method of least squares in the
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Topic of the practical lesson: Dynamic series and basics of prognosis
equations can be simplified by appropriate selection of the method of calculating time "t", if the tim-
ing t=0 is carried out from the middle of the dynamic series (is interpreted as the conditional beginning
of the timing t=0).
In this case, "t", placed above (or left) the middle of the series will be denoted by the sign "-" (-
1, -2, -3, …), and below or to the right of the dynamic series with the sign "+" (+1, +2, +3, …) with
an odd number of levels. ∑ t always equal to zero.
Under such conditions, the calculation of the parameters "a0" (initial level) and "a1" (initial speed
of the series) is carried out according to the formulas of the first (5) and second constant (6), namely:
∑𝒚
а𝟎 = , (the first constant) (5)
𝒏
∑ 𝒕𝒚
а𝟏 = ∑ 𝒕𝟐
(the second constant) (6)
where, a0 and a1 – the constant parameters for substituting them into the equation;
n – the number of members of the series;
t – the denotation of units of time.
Example of alignment of the interval dynamic series by the method of least squares.
The statistical data on levels of birth (per 1 000 population) in А. region for nine years
Studied parameters of the phenomenon
Researched
No Level of the Level of the
years t tу t2
series "y" aligned series "у’"
1 Current year -4 10.5 - 42 16 9.7
2 N-1-year -3 11.1 - 33.3 9 10.2
3 N-2-year -2 10.8 - 21.6 4 10.7
4 N-3-year -1 11.4 -11.4 1 11.2
5 N-4-year 0 9.6 0 0 11.7
6 N-5-year 1 11.0 11 1 12.2
7 N-6-year 2 12.6 25.2 4 12.7
8 N-7-year 3 14.0 42 9 13.2
9 N-8-year 4 15.0 60 16 13.7
10 n = 9 - year t=0 y =106 tу= 29.9 ∑t = 60
2
Task:
a) to align the series by the method of least squares;
b) to depict graphically the levels of the aligned series;
c) to interpret the obtained statistical data on the dynamics of the phenomenon according to
the aligned levels of the dynamic series.
Method of calculation:
А) Determine the first constant "а0", namely, ∑ levels of the series =106 is divided into 9 years
and is 11.7 cases of children born per 1000 population of А. region on average for one year;
B) Take for the middle of the analyzed dynamic series "N-4-year", equal to "0" and begin count-
ing the conditional time both up (sign "-") and down (sign "+");
C) Square the timing "t" and find its sum ∑ t2 = 60.
D) Calculate the second constant "а1", namely, ∑ products of the levels of the series "у" for the
conditional time (t) and the obtained value 29.9, which is divided by t2 - 60 and get the magnitude
according to the formula, which = 0.5;
E) Substitute the obtained results into the formula and obtain the following results of the aligned
dynamic series by the method of least squares, as indicated in the column "y”";
For example: the birth level (per 1 000 population) in А. region:
▪ у” =11.7+0.5 (-4) = 9.7 cases of births per 1000 population in А. region in the current year;
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Topic of the practical lesson: Dynamic series and basics of prognosis
▪ у”=11.7+0.5 × (-3) = 10.2 cases of births per 1000 population in А. region for N-1 year, etc.
F) In addition, the results of the aligned dynamic series by the least squares method are repre-
sented graphically (Fig. 1).
14 12,6
11,4 11,7 12,2
11,1 10,8 13,7
12 10,5
насел.) в обл. А.
12,7 13,2
10 11,2 11
10,2 10,7
8 9,7 9,6
6
4
2
0
Поточний N-1-рік N-2-рік N-3-рік N-4-рік N-5-рік N-6-рік N-7-рік N-8-рік
рік
Роки
Figure 1 – The dynamics of birth (per 1000 population) for nine years
among the population of А. region
G) Interpretation of the obtained statistical data: the obtained statistical data of equalization
of the interval dynamic series by the method of least squares, convincingly testify the tendency to
decrease from 13.7 cases to 9.7 cases of birth per 1000 population in А. region during the last nine
years.
In addition, the researcher should take into account that for an even number of levels of the
series of dynamics for the conditional beginning it is necessary to take the average dates between the
two years of the series.
In this case, above or to the left of the average value, the levels of the series will be denoted by
the sign "-" (-1, -2, -3, …), and below or to the right of the dynamic series by the sign "+" (+1, +2,
+3, …) without zero value, however, ∑t will be equal to "0", namely:
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Topic of the practical lesson: Dynamic series and basics of prognosis
assumption that the identified trend will continue beyond the studied dynamic series.
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Topic of the practical lesson: Dynamic series and basics of prognosis
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Topic of the practical lesson: Dynamic series and basics of prognosis
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Topic of the practical lesson: Dynamic series and basics of prognosis
The statistical indicators of the dynamics of days of temporary disability (per 100 employees)
due to diseases of the nervous system of employees of PJSC No 1 in the city of K.
Indicators А-year B-year C-year D-year
Number of days of TD due to diseases of the nervous sys-
tem of employees of PJSC No 1 in the city of K. (per 100 39.8 44.6 55.5 59.75
working people)
Аincrcb of days of TD due to diseases of the nervous system
of employees of PJSC No 1 in the city of K. (per 100 work- - +4.8 +10.9 +4.25
ing people)
*Take statistical data of the previous year as the base.
E) The interpretation of the obtained statistical data: the chain indicator of absolute increase
of days of TD (per 100 working people) in B-year shows the increase in the days of TD due to diseases
of the nervous system of employees of PJSC No 1 in the city of K. in B-year in comparison with А-
year by +4.8 days per 100 employees; in C-year – by +10.9 days per 100 working people in compar-
ison with B-year; in D-year - by +4.25 days per 100 employees in comparison with C-year, which
requires processing of the number of preventive measures to reduce the morbidity of the nervous
system of employees of PJSC No 1 in the city of K.
There is a connection between the basic and chain absolute increase, the essence of which is
that the sum of the chain absolute increments is equal to the basic absolute increment of the last period
of the dynamic series. The indicator of absolute increase cannot give the exhaustive characteristic of
change of the phenomena, but it indicates the general tendency of change of the phenomena for the
analyzed term of time. A more comprehensive and exhaustive characteristic of the development of
the phenomenon can be obtained only when the given absolute indicator (absolute increase), supple-
mented by the relative indicators: growth rate and increase rate.
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Topic of the practical lesson: Dynamic series and basics of prognosis
previous or initial level and shows how many percent of the compared level is greater or less than the
level taken as the basis of comparison.
The calculation of indicator of the rate of increase/decline (Rincr) is carried out according to
the formula (7):
Аincrу1
Rincr = Х 100% (7)
уі –1
The rate of increase/decrease characterizes the magnitude of the increase (decrease) in relative
indicators and in % and is defined as the percentage of relation of absolute increase (decrease) to the
previous level of the series level and is denoted by a sign "+" (increase) or a sign "-" (decrease).
There are basic rate of increase/decrease and chain rate.
The basic rate of increase/decrease is calculated as the ratio of the reported increase rate to
the basic period (for example, September-January). The calculation of the basic indicator of the in-
crease rate (Rincb) is carried out according to the following formula (8):
Апру1
Rincrb = х 100% (8)
уі
The chain rate of increase/decrease is calculated as the ratio of the increase rate т of the
reporting period to the previous one (for example, September-August). The calculation of the chain
indicator of increase rate (Rincrch) is carried out according to the following formula (9):
Аincrу1
Rincrch = х 100% (9)
уі –1
The rate of increase/decrease shows how much this indicator in the current period differs from
the indicator in the previous period. The value in the previous period (or basis for comparison) is
taken as 100%.
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Topic of the practical lesson: Dynamic series and basics of prognosis
а) to calculate the basic indicator of the rate of increase/decline (Rincrb) of days of TD (per
100 employees) due to diseases of the nervous system of employees of PJSC No 1 of the city of K. for
4 years;
b) interpret the obtained statistical data.
Method of calculation:
А) calculation of the basic indicator of the rate of increase/decline (Rincrb) of days of TD of
employees of PJSC No 1 of the city of K. due to diseases of the nervous system (per 100 employees)
in B - year in comparison with A - year:
+4.8 days of TD in + 12.1 % increased tempo-
Rincrb B - year (per 100 rary disability due to diseases
of days of TD in employees) of the nervous system of em-
= х 100 % =
B - year (per 39.8 days of TD in ployees of PJSC No 1 of the
100 employees) А – year (per 100 city of K. in B – year com-
employees) pared with A-year
B) Similarly, we calculate the basic indicator of the rate of increase/decline (Rincb) of days of
TD of employees of PJSC No 1 of the city of K. due to diseases of the nervous system (per 100 em-
ployees) in C - year compared to A - year and in D-year compared to А – year.
C) The obtained basic indicators of the rate of increase of days of TD due to diseases of the
nervous system of employees of PJSC No 1 of the city of K. for 4 years (per 100 employees) for the
purpose of illustration are drawn up in the table.
The data on the number of days of temporary disability (TD) (per 100 employees)
due to diseases of the nervous system of employees of PJSC No 1 of the city of K. for 4 years
Indicators А- year B-year C-year D-year
Number of days of TD due to diseases of the nervous sys-
tem of employees of PJSC No 1 of the city of K. (per 100 39.8 44.6 55.5 59.7
employees)
Absolute increase - +4.8 +10.9 +4.2
Rincb of days of TD due to diseases of the nervous system
of employees of PJSC No 1 of the city of K. (per 100 em- - +12.1% +27.4% +10.6%
ployees)
D) Interpretation of the obtained statistical data: the indicator of the basic rate of increase of
days of TD (per 100 employees) in B - year shows the increase of days of TD due to diseases of the
nervous system of employees of PJSC No 1 of the city of K. in comparison with A-year by +12.1%;
the indicator of the basic rate of increase of days of TD (per 100 employees) in C - year – shows the
increase of days of TD due to diseases of the nervous system of employees of PJSC No 1 of the city
of K. in comparison with А - year by +27.4%; the indicator of the basic rate of increase of days of
TD (per 100 employees) in D - year shows the increase of days of TD due to diseases of the nervous
system of employees of PJSC No 1 of the city of K. in comparison with A-year - by +10.6%, which
requires the processing of the number of preventive measures to reduce morbidity of the nervous
system of employees of PJSC No 1 of the city of K.
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Topic of the practical lesson: Dynamic series and basics of prognosis
а) to calculate the chain indicator of the rate of increase/decrease (Rincrch) of days of TD (per
100 employees) due to diseases of the nervous system of employees of PJSC No 1 of the city of K. for
4 years;
b) to interpret the obtained statistical data.
Method of calculation:
А) Calculation of the chain indicator of the rate of increase/decrease (Rincrch) of days of TD of
employees of PJSC No 1 of the city of K. due to diseases of the nervous system (per 100 employees)
in B - year:
+4.8 days of TD in
+ 12.1 % increased temporary dis-
Rincrch of days of B – year (per 100
ability due to diseases of the nerv-
TD in B – year employees)
= х 100 % = ous system of employees of PJSC
(per 100 employ- 39.8 days of TD in А
No 1 of the city of K. in B - year in
ees) – year (per 100 em-
comparison with A - year
ployees)
B) Similarly, we calculate the chain indicator of the rate of increase/decline (Rincrch) of days
of TD of employees of PJSC No 1 of the city of K. due to diseases of the nervous system (per 100
employees) in C - year compared to B – year and in D - year compared to C – year.
C) The obtained chain indicators of the increase rate of days of TD due to diseases of the
nervous system of employees of PJSC No 1 of the city of K. for 4 years (per 100 employees) for the
purpose of illustration are drawn up in the table.
The statistical data on the number of days of temporary disability (TD) (per 100 employees)
due to diseases of the nervous system of employees of PJSC No 1 of the city of K. for 4 years
Indicators А-year B-year C-year D-year
Number of days of TD due to diseases of the nervous sys-
tem of employees of PJSC No 1 of the city of K. (per 100 39.8 44.6 55.5 59.7
employees)
Absolute increase - +4.8 +10.9 +4.2
Rincrc days of TD due to diseases of the nervous system of
employees of PJSC No 1 of the city of K. (per 100 employ- - +12.1% +24.4% +7.5%
ees)
D) Interpretation of the obtained statistical data: the chain indicator of the increase rate of
days of TD (per 100 employees) in B - year shows the increase of days of TD due to diseases of the
nervous system of employees of PJSC No 1 of the city of K. in comparison with A - year by +12.1%;
the indicator of the chain rate of increase of days of TD (per 100 employees) in C - year – shows the
increase of days of TD due to diseases of the nervous system of employees of PJSC No 1 of the city
of K. in comparison with B - year by +24.4%; the indicator of chain rate of increase of days of TD
(per 100 employees) in D - year shows the increase of days of TD due to diseases of the nervous
system of employees of PJSC No 1 of the city of K. compared to C - year - by +7.5%, which requires
processing of the number of preventive measures to reduce the morbidity of the nervous system of
employees of PJSC No 1 of the city of K.
RATE OF GROWTH/DECREASE
To characterize the change in the process of one period in relation to the previous period, the
indicator such as growth/decrease rate is used.
Rate of growth/decrease (Rgr) - the ratio of two levels, one of which is taken as the basis for
comparison, which always shows how many times the current level of the series of dynamics is
greater than or less than the level that is taken as the basis for comparison.
The growth/decrease rate characterizes the intensity of change of the studied phenomenon over
time and determines how many times (from one or 100%) the current/comparable level of the series
of dynamics is greater or less (from one or 100%) than the level taken as the basis for comparison.
The indicator of growth/decrease rate can be expressed as coefficients or percentages. The
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Topic of the practical lesson: Dynamic series and basics of prognosis
growth rate, expressed in percent, is called the percentage of growth (Rgr), when this indicator, ex-
pressed in units, it will be the coefficient of growth (Cgr).
The calculation of the indicator of rate/coefficient of growth (Rgr) is carried out according to
the formulas (10, 11):
уі
Basic Rgrb = х 100% (10)
у1
уі
Chain Rgrc = х 100% (11)
уі–1
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Topic of the practical lesson: Dynamic series and basics of prognosis
21
Topic of the practical lesson: Dynamic series and basics of prognosis
There is a relationship between basic and chain growth coefficients: the multiplication of chain
growth coefficients is equal to the basic growth coefficient of the last period of the series of dynamics,
and the ratio of the next basic growth coefficient to the previous one is equal to the corresponding
chain growth coefficient.
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Topic of the practical lesson: Dynamic series and basics of prognosis
The indicator of the absolute value of one percent increase/decline (А1%incr) is calculated as
the division of the absolute increase (Аincrc) to the increase rate (Rincr) for the same period of time
according to the formula (12):
А1%in- Аincr
= (12)
crch Rincr
The method of calculating the chain indicator of the absolute value of 1% increase
Output data:
The statistical data on days of temporary disability (TD) (per 100 employees) due to diseases
of the nervous system of employees of PJSC No 1 of the city of K. for 4 years
B- D-
Indicators А-year C-year
year year
Аincrch of days of TD due to diseases of the nervous system of
- +4.8 +10.9 +4.2
employees of PJSC No 1 of the city of K. (per 100 employees)
Rincrch of days of TD due to diseases of the nervous system of +12.1 +24.4
- +7.5%
employees of PJSC No 1 of the city of K. (per 100 employees) % %
*Take the statistical data of the previous levels of the series as the basis.
Task:
а) to calculate the chain indicator of the absolute value of 1% increase (А1%incrc) of days of
TD (per 100 employees) due to diseases of the nervous system of employees of PJSC No 1 of the city
of K. for 4 years;
b) to interpret the obtained statistical data.
Method of calculation:
А) Calculation of the chain indicator of the absolute value of 1% increase (А1%incrch) of days
of TD of employees of PJSC No 1 of the city of K. due to diseases of the nervous system (per 100
employees) in B–year:
А1%incr of days +4.8 days of TD in B – year 0.4 days increased temporary disability
of TD in B – year (per 100 employees) due to diseases of the nervous system of
= =
(per 100 employ- +12.1% days of TD in B- employees of PJSC No 1 of the city of K.
ees) year (per 100 employees) in B - year in comparison with A - year
B) Similarly, we calculate the chain indicator of the absolute value of 1% increase (А1%incrch)
of days of TD among employees of PJSC No 1 of the city of K. due to diseases of the nervous system
(per 100 employees) in C – year and in D – year.
C) The obtained data of the chain indicators of the absolute value of 1% increase (А1%incrch)
of days of TD due to diseases of the nervous system of employees of PJSC No 1 of the city of K. for 4
years (per 100 employees) for the purpose of illustration are drawn up in the table:
The statistical data on the number of days of temporary disability (per 100 employees) due to
diseases of the nervous system of employees of PJSC No 1 of the city of K. for 4 years
Indicators А-year B-year C-year D-year
Аincrch of days of TD due to diseases of the nervous sys-
- +4.8 +10.9 +4.2
tem of employees of PJSC No 1 of the city of K. (per 100
23
Topic of the practical lesson: Dynamic series and basics of prognosis
employees)
Rincrch of days of TD due to diseases of the nervous sys-
tem of employees of PJSC No 1 of the city of K. (per 100 - +12.1% +24.4% +7.5%
employees)
А1%incrch of days of TD due to diseases of the nervous
system of employees of PJSC No 1 of the city of K. (per - 0.4 0.45 0.56
100 employees)
D) Interpretation of the obtained statistical data: the chain indicator of the absolute value of
1% increase (А1%incrc) of days of TD (per 100 employees) due to diseases of the nervous system of
employees of PJSC No 1 of the city of K. shows the increase in the value of 1% of the indicator of
А1%incrc, namely: in B-year ‒ the increase of TD by 0.4 days of TD compared to A-year; in Cyear –
by 0.45 days of TD in comparison with B-year; in D-year - by 0.56 days of TD in comparison with C
- year. The analysis of the state of morbidity of employees of No 1 of the city of K. due to diseases of
the nervous system is carried out over a long period of time and tends to a steady increase of indicator
of the absolute value of 1% increase. All this together requires the establishment of risk factors, which
negatively affect the health of employees of PJSC No 1 of the city of K. and extensive sanitary, edu-
cational work on the healthy lifestyle and reducing the psycho-emotional load in the labor collective
of PJSC No 1 of the city of K.
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Topic of the practical lesson: Dynamic series and basics of prognosis
SITUATIONAL TASK No 1
The statistical data on the number of urban population at the beginning of the year
in the region No 1 during the last five years (abs. data in thousands)
Years А-year B-year C-year D-year E-year
Number of urban population (thousands) 660 700 740 806 866
*Take the statistical data of A-year as the basis.
In accordance with the data of the situational task you need:
1. To describe the given dynamic series;
2. To calculate the basic indicators of the dynamic series:
a) the indicator of absolute increase;
b) the indicator of increase rate;
c) the indicator of growth rate;
d) the absolute value of 1% increase.
3. To represent graphically the obtained basic indicators of increase rate and growth rate.
SITUATIONAL TASK No 2
The statistical data on general morbidity of respiratory diseases of the population
of the city of T. for the last seven years (per 1000 population)
Years А B C D E F G
Indicator 10.0 12.2 16.0 15.6 17.0 17.0 19.2
In accordance with the data of the situational task you need:
1. To describe the given dynamic series
2. To align the levels of dynamic series by the method of least squares
3. To represent graphically the given and obtained results of the aligned dynamic series.
25
Topic of the practical lesson: Dynamic series and basics of prognosis
SITUATIONAL TASK No 3
The statistical data on the specific weight of financial expenses in the structure of expenditures
of the city budget of the city of K. for health care during the last seven years (%)
Years
The city of K.
А B C D E F G
The specific weight of financial expenses in
the structure of expenditures of the city 17 13 16 10 8 9 6
budget of the city of K. for health care (%)
In accordance with the data of the situational task you need:
1. To describe the given dynamic series
2. To align the levels of the dynamic series by the method of variable/moving average
3. To represent graphically the given and obtained results of the aligned dynamic series.
SITUATIONAL TASK No 4
The statistical data on number of children born in the region No 5
during the last five years (per 1000 population)
Years
Region No 5
А-year B-year C-year D-year E-year
Indicator of born children (per 1000 population) 12.8 12.2 11.8 10.8 10.7
*Take the statistical data of A-year as the basis.
In accordance with the data of the situational task you need:
1. To describe the given dynamic series;
2. To calculate the basic indicators of the dynamic series:
a) the indicator of absolute increase;
b) the indicator of increase rate;
c) the indicator of growth rate;
d) the absolute value of 1% increase.
3. To represent graphically the obtained basic indicators of growth rate and absolute increase.
SITUATIONAL TASK No 5
The statistical data on the primary morbidity of viral hepatitis in children
of the district of M. during the last seven years (per 10 thous. children)
А B C D E F G
Indicators of the primary morbid-
ity of viral hepatitis (per 10 thous. 46.0 40.0 50.2 47.0 45.5 48.0 44.8
children)
In accordance with the data of the situational task you need:
1. To describe the given dynamic series
2. To align the levels of dynamic series by the method of least squares
3. To represent graphically the given and obtained results of the aligned dynamic series.
SITUATIONAL TASK No 6
The statistical data on the level of myopia among schoolchildren in the district of N.
during the last seven years, which was revealed according to
the data of medical examinations (per 100 examined)
А B C D E F G
Indicator of the level of myopia 32.0 36.0 40.3 38.5 42.8 41.0 46.5
In accordance with the data of the situational task you need:
1. To describe the given dynamic series
2. To align the levels of the dynamic series by the method of variable/moving average
3. To represent graphically the given and obtained results of the aligned dynamic series.
26
Topic of the practical lesson: Dynamic series and basics of prognosis
SITUATIONAL TASK No 7
The statistical data on provision of inpatient beds of the population of the region No 9
during the last five years (per 10 thous. population)
Years А B C D E
Indicators of provision of the population
114.3 122.0 110.4 108.3 94.0
of inpatient beds (per 10 thous. population)
*Take the statistical data of A-year as the basis.
In accordance with the data of the situational task you need:
1. To describe the given dynamic series.
2. To calculate the basic indicators of the dynamic series:
a) the indicator of absolute increase;
b) the indicator of increase rate;
c) the indicator of growth rate;
d) the absolute value of 1% increase.
3. To represent graphically the obtained basic indicators of absolute increase.
SITUATIONAL TASK No 8
The statistical data on the results of research of flushing that did not meet sanitary and hygienic re-
quirements, at food objects of T. area within 7 years (on 100 analyzes)
Years А B C D E F G
Indicators of non-compliance of flushing results at
food objects of sanitary and hygienic requirements 5.0 7.0 7.7 6.5 5.0 7.0 8.6
(per 100 performed analyzes)
In accordance with the data of the situational task you need:
1. To describe the given dynamic series
2. To align the levels of the dynamic series by the method of variable/moving average
3. To represent graphically the given and obtained results of the aligned dynamic series.
SITUATIONAL TASK No 9
The statistical data on the number of children with complicated forms of pneumonia (atelectasis,
destruction) who were treated in the pulmonology department of the hospital
of district No 1 during the last nine years (abs. data)
Years
District No 1
А B C D E F G H І
Number of children with compli-
cated forms of pneumonia (abs. 9 15 26 31 25 18 16 39 26
data)
In accordance with the data of the situational task you need:
1. To describe the given dynamic series
2. To align the levels of dynamic series by the method of least squares
3. To represent graphically the given and obtained results of the aligned dynamic series.
SITUATIONAL TASK No 10
The statistical data on the indicators of primary disability of the population
of the region No 13 during the last five years (per 10 thous. population)
Years А B C D E
Indicators of primary disability 72.0 70.3 68.4 66.0 64.3
*Take the statistical data of the previous levels of the series as the basis.
In accordance with the data of the situational task you need:
1. To describe the given dynamic series
2. To calculate the chain indicators of the dynamic series:
27
Topic of the practical lesson: Dynamic series and basics of prognosis
a) of absolute increase;
b) the indicator of increase rate;
c) the indicator of growth rate;
d) the absolute value of 1% increase.
3. To represent graphically the obtained chain indicator of the growth rate.
SITUATIONAL TASK No 11
The statistical data on the number of days of disability among
fish factory workers of the city of М. due to liver, gallbladder and pancreatic
diseases during the last seven years (per 100 employees)
Years А B C D E F G
Indicators of days of disability among work-
ers due to diseases of the liver, gallbladder 17.4 19.8 18.3 21.7 19.8 22.1 20.7
and pancreas (per 100 employees)
In accordance with the data of the situational task you need:
1. To describe the given dynamic series
2. To align the levels of the dynamic series by the method of variable/moving average
3. To represent graphically the given and obtained results of the aligned dynamic series
SITUATIONAL TASK No 12
The statistical data on the organization and functioning of daily inpatient departments in the system
of outpatient pediatric care for children in the region No 2 for 7 years (abs. data)
Years
Region No 2
А B C D E F G
Number of daily children's in-
165 206 264 224 300 401 489
patient departments (abs. data)
In accordance with the data of the situational task you need:
1. To describe the given dynamic series
2. To align the levels of dynamic series by the method of least squares
3. To represent graphically the given and obtained results of the aligned dynamic series.
SITUATIONAL TASK No 13
The statistical data on the level of morbidity of anemia among children of the city of Z. during
the last nine years (per 10 thous. children)
Years
The city of Z.
А B C D E F G H І
Indicators of the level of morbidity
69.7 55.6 63.9 67.5 58.4 54.8 52.5 56.8 50.2
of anemia (per 10 thous. children)
In accordance with the data of the situational task you need:
1. To describe the given dynamic series
2. To align the levels of the dynamic series by the method of variable/moving average
3. To represent graphically the given and obtained results of the aligned dynamic series
SITUATIONAL TASK No 14
The statistical data on the level of mortality due to breast cancer among the female population
of the Eastern region of Ukraine over the past seven years (per 10 thous. women)
Years
Eastern region of Ukraine
А B C D E F G
Indicators of the level of mortality
due to breast cancer among the female 14.5 13.9 14.8 16.5 14.1 15.9 16.7
population (per 10 thous. women)
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Topic of the practical lesson: Dynamic series and basics of prognosis
SITUATIONAL TASK No 15
The statistical data on the pathological infestation by helminthiasis of the population
of the city of P., living in the unsewered territory during the last five years
(per 10 thous. surveyed population)
Years А B C D E
Indicators of pathological infestation with helmin-
thiasis of the population, living in the unsewered 165.6 160.0 172.8 183.0 185.0
territory (per 10 thous. surveyed)
*Take the statistical data of previous levels of the series as the basis.
In accordance with the data of the situational task you need:
1. To describe the given dynamic series
2. To calculate the chain indicators of the dynamic series:
a) the indicator of absolute increase,
b) the indicator of increase rate
c) the indicator of growth rate;
d) the absolute value of 1% increase
3. To represent graphically the obtained chain indicator of the increase rate.
Additional references:
1. Trisha Hrinkhalkh. Fundamentals of evidence-based medicine: translated from English / Ed. I.M.
Denysova, K.I. Saitkulova. 3rd ed. М.: HEOTAR. Media, 2009. P. 142-159.
2. Hlants S. Medical and biological statistics. Translated from English. М.: Practice, 1998. P. 161-
193.
3. Banerzhy A. Medical statistics in plain language: introductory course / translated from English
under ed. of V. P. Leonov. М.: Practical Medicine, 2007. P. 146-196.
4. Evidence-based medicine. Pocket handbook / Karl Khanehan, Douglas Badenoch; translated from
English under ed. of V. I. Petrov. М.: HEOTAR. Media, 2011. P. 48-57.
Electronic resource:
1. U. S. National Library of Medicine – http://www.nlm.nih.gov/
2. V. O. Sukhomlynskyi State Scientific and Pedagogical Library of Ukraine –
http://www.dnpb.gov.ua/
3. Scientific Library of Danylo Halytsky Lviv National Medical University – http://library.me-
duniv.lviv.ua/
4. V. I. Vernadsky National Library of Ukraine – http://www.nbuv.gov.ua/
5. National Scientific Medical Library of Ukraine – http://www.library.gov.ua/
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