Healthcare economics
  • 2023 № 7 Organization of preventive examinations of the adult population in the Healthy Moscow pavilions.

    The value and originality of the new organizational approach implemented in the Healthy Moscow program lies in the fact that mobile pavilions have been set up as part of a large-scale preventive examination of the population in convenient location accessibility – park areas, squares and recreation areas, which makes it possible to identify not only diseases at an early stages, but also risk factors among population groups who consider themselves healthy, as well as organize targeted promotion of a healthy lifestyle. During the period of the Healthy Moscow program, more than a million citizens underwent preventive examinations in the pavilions, and to a greater extent the population that, for a number of reasons, rarely visits polyclinics and who do not have pronounced symptoms of diseases. However,
    according to the results of the surveys, it was revealed that approximately 12% of the so-called healthy people have diseases.

    Authors: Mingazova E. N. [30] Bezymyanny A. S. [4] Grinin V. M. [3]

    Tags: clinical examination2 health improvement2 healthy lifestyle promotion2 prevention24 risk factors15 screening programs2 “healthy moscow”2

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  • Management in healthcare
  • 2023 № 9 The need to observe an individual approach when routing patients with atherosclerosis of the brachiocephalic arteries in the framework of the «Healthy Moscow» project.

    During the implementation of the program, up-to-date data were obtained on the state of the cardiovascular system, the main risk factors for stroke, especially among middle-aged able-bodied people who had a new coronavirus infection COVID‑19. An assessment was made of the dynamics of populations undergoing preventive examinations in the format of field medical care, the most common diseases, including pathologies of the BCA. A database has been created for long-term monitoring of the incidence of cardiovascular diseases in the population and the prevention of BCA pathologies and stroke.
    The routing of patients with BCA pathologies was developed based on the analysis of many years of practical experience in providing specialized medical care to patients with pathology of the precerebral arteries in medical organizations of the Moscow public health system. Routing of patients within the framework of this project, based on a specially developed methodology, an integrated approach to treatment with preliminary training of medical personnel in the ultrasound technique for measuring carotid artery stenosis according to the European ECST scale, a clear algorithm and mechanisms for working with patients within the framework of intersectoral activities, allows to reduce the incidence of stroke and mortality. Successful strategies to expand screening of patients with BCA pathology implemented in the «Healthy Moscow» project require further study to evaluate the effectiveness of specific stroke prevention mechanisms.

    Authors: Mingazova E. N. [30] Bezymyanny A. S. [4] Grinin V. M. [3] Starshinin A. V. [1]

    Tags: atherosclerosis of brachiocephalic arteries1 cancer screening1 check-up1 emias1 routing of patients1 the «healthy moscow» project1

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  • 2023 № 7 Organization of preventive examinations of the adult population in the Healthy Moscow pavilions.

    The value and originality of the new organizational approach implemented in the Healthy Moscow program lies in the fact that mobile pavilions have been set up as part of a large-scale preventive examination of the population in convenient location accessibility – park areas, squares and recreation areas, which makes it possible to identify not only diseases at an early stages, but also risk factors among population groups who consider themselves healthy, as well as organize targeted promotion of a healthy lifestyle. During the period of the Healthy Moscow program, more than a million citizens underwent preventive examinations in the pavilions, and to a greater extent the population that, for a number of reasons, rarely visits polyclinics and who do not have pronounced symptoms of diseases. However,
    according to the results of the surveys, it was revealed that approximately 12% of the so-called healthy people have diseases.

    Authors: Mingazova E. N. [30] Bezymyanny A. S. [4] Grinin V. M. [3]

    Tags: clinical examination2 health improvement2 healthy lifestyle promotion2 prevention24 risk factors15 screening programs2 “healthy moscow”2

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  • POPULATION HEALTH
  • 2023 № 5 Arterial hypertension among children and adolescents as a prognostic risk factor. Problems of diagnosis.

    An analysis of modern studies has shown that arterial hypertension, detected in childhood, is one of the main risk factors for both cardiovascular diseases and the progression of renal failure in subsequent age periods, which indicates the importance of early diagnosis, treatment and prevention of this condition among children and children. teenagers. The increase in the prevalence of hypertension among children and the associated health risks actualize the issues of the level, methods, techniques and frequency of blood pressure screening, differentiation of primary and secondary hypertension for successful treatment and control of the disease, as well as the development of
    methods for analyzing multiple factors for accurate diagnosis and prediction of spread. arterial hypertension. Of greatest research interest are the issues of accurate measurement of blood pressure during routine medical examinations of children, including invasive or noninvasive methods for measuring blood pressure in newborns, the availability of proven equipment and specialists in pediatric hypertension, and the interpretation of blood pressure measurements.

    Authors: Mingazova E. N. [30] Valeev V. V. [4] Bezymyanny A. S. [4] Traskovetskaya I. G. [1]

    Tags: adolescents3 arterial hypertension2 children13 hypertension2 prevalence7

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