Management in healthcare
  • 2023 № 7 On the issue of the effectiveness of the maintenance of insurance medical organizations in the healthcare system of the Russian Federation.

    The problems of domestic healthcare are associated with a number of factors that are influenced by the indicators of the economic state of the country, while the main problem is insufficient funding, largely related to the participation of insurance medical organizations in healthcare. A comparison of the cost of maintaining the CFR and the Pension Fund of Russia over a long period of time clearly shows that the effectiveness of the healthcare system with the participation of the CFR is significantly less than the effectiveness of the Pension Fund.

    Authors: Cherkasov S. N. [2] Saraev A. R. [1] Lukin A. G. [1]

    Tags: efficiency11 financing13 insured population1 medical insurance organizations6 pension fund1 the central bank of the russian federation1

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  • POPULATION HEALTH
  • 2022 № 7 The disease burden of atopic dermatitis in current conditions

    The prevalence and increase in morbidity of the atopic dermatitis make possible to consider it to become actual and relevant in nearest future. The pilot study analyzed using the Delphi method allowed identifying the most significant areas for further detailed research and development of programs reducing the disease burden of atopic dermatitis in the country. The study showed that the Cumulative Life Course Impairment associated with this disease is mediated by its systemic nature and a complex of concomitant diseases. The social burden of the disease is primarily associated with missed opportunities of patients even after the onset of spontaneous remission due to education and socialization issues from the period of schooling. Almost all adult patients report a decrease in the quality of life and experiencing problems with communication and sports. The economic burden of the disease is associated with household spending on medicines and a decrease in income as a result of changing or losing work, primarily in families with sick children in addition to healthcare system expenditures. The COVID‑19 pandemic has led to a decrease in the volume of medical care for atopic dermatitis adult patients and also there is a possibility of developing previously unknown complications in patients with atopic dermatitis.

    Authors: Kadyrov F. N. [122] Meshkov D. O. [3] Zolotarev P. N. [2] Bezmelnitsyna L. Yu. [1] Besstrashnova Y. K. [1] Lobanov A. V. [1] Fedyaeva A. V. [1] Cherkasov S. N. [2] Shoshmin A. V. [1]

    Tags: atopic dermatitis1 cumulative life course impairment1 disease burden1 lost opportunities1 social adaptation2

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