2019 № 1 To the question of volume reducing of dispansserization and preventive examinations
The beginning of mass prophylactic medical examination in Russia was accompanied by an excessive inclusion of screening methods and additional diagnostic interventions. Such tactic was not justified from the financial, economic and organizational point of view. Although in 2017 the volume of medical examination was significantly reduced, analysis of official documentation and reporting forms shows that imbalance in its structure is still preserved, and some methodic, used for screening and additional diagnostic, are not justified from position of evidence-based medicine. In 2015, only due to optimization of clinical examination structure on the first stage it would possible to reduce costs by more than 10 billion rubles, increasing the effectiveness of preventive interventions through rational reallocation of funds.
2019 № 4 Prevention of chronic non-infectious diseases prevention in Russia: possibilities of optimization
Chronic non-communicable diseases (CNCD) remain the cause of three-fourths of deaths in Russia, but their control is not productive enough. Achieving of planned mortality reduction to 2025 among employable persons by 25,4%, from cardiovascular diseases – by 16,5% and from cancer – by 6% is possible only due to CNCD prevention. However, the costs on the «Centers of Health» activity are not justified from the point of view of their effectiveness, and dispanser- ization is not yet fully balanced in structure and volume. The analysis of some financial, organizational, methodological, legal and reporting documents makes will be it possible to identify problems and to offer systemic measures to optimize CNCD prevention.