2020 № 3 Improving the regulatory and legal framework for delivering primary health care to the population in the field of non-communicable diseases prevention and the implementation of a healthy lifestyle standardization
In order to prevent non-communicable diseases and carry out measures to model a healthy lifestyle, the article proposes changes to the regulatory and legal framework for delivering primary health care and primary specialized health care, including the introduction of a position of a physician for common hygiene in medical organizations. It is proposed to introduce additions to the nomenclature of medical services provided. There was developed a section of occupational standards program “Specialist in hygiene”, on the job functions of a physician for common hygiene. It is proposed to include in the job functions of a physician for common hygiene the diagnostic testing in health centers in order to assess the functional reserves and adaptive capabilities of a person affected by adverse environmental factors, and the prescribing appropriate curative and preventive measures. Implementation of the proposed activities in the health centers will improve the efficiency of medical and preventive work of medical organizations and reduce the level of uncertainty of preventive activities carried out, and of the expected results of preventive work carried out by a therapist and a general practitioner (family doctor). The proposed changes will help to identify causal relationships between the health status of the population and the impact of adverse environmental factors, to form risk groups among adult population in accordance with diagnostic criteria of risk factors and other pathological conditions and diseases associated with the impact of adverse environmental factors that increase the likelihood of developing of chronic non-communicable diseases in risk groups, if there are diagnostic criteria of risk factors to send the indigent to health organization for in-depth examination and carrying out the necessary medical and preventive measures, to prepare research and information materials and to participate in hygiene education, to promote healthy lifestyles and to improve health literacy of population.
2021 № 1 Environment and Public Health: Actual Issues of Health Care Organization and Medical Education
The priorities of scientific and technological development of the Russian Federation, established by Decree of
the President of the Russian Federation № 642 of 01.12.2016, provide for the improvement of health-saving technologies, which in this article have been considered from the standpoint of their focusing on reducing health risks caused by the adverse impact of environmental factors, including by increasing the functional and adaptive reserves of the body.
The article analyzes in order to improve regulatory legal documents in the field of improving the prevention of chronic
non-communicable diseases, the formation of a healthy lifestyle and hygienic education of the population. Also, a critical
analysis of the state of educational activities provided at the state level in the field of higher professional education and
postgraduate training of medical workers in the direction (specialties): medical and preventive care, medical care, public
health and healthcare.
Concluded that to ensure scientific and technological development of the country's need to expand educational and
enlightening activities on issues of ensuring sanitary and epidemiological welfare of the population, hygiene, public
health and organization of health care in health care organizations, and also outside in all major sectors of economy
and business, in the sphere of organized tourism and recreation, SPA, fitness centers, educational organizations, sports,
social welfare and life of the population, especially in terms of prevention, that in accordance with Federal Law № 323 of
21.11.2011 "On the basics of protecting the health of citizens in the Russian Federation" provides for measures to eliminate the harmful influence of environmental factors. Proposals and additions to the relevant state regulatory documents of the Russian Federation that have already been approved and are currently under development are given.