2019 № 4 Organization of medical and social assistance to the population at the level of the subject of the Russian Federation
The unstable social and economic situation in Russia leads to an increase in families from groups of high medical and social risk, which has a negative impact on the health of children. The purpose of the study is to study the organization of medical and social assistance to children at the regional level. Sociological and expert methods were used to achieve this goal. The assessment of the degree of consistency of expert opinions was carried out using the concordance coefficient, the reliability of the results – using the method of calculation of Chi-square. According to the results of the study it was found that medical and social assistance is provided in the framework of primary health care to minors mainly by specialists in Pediatrics and social work. Taking into account regional peculiarities, the presented direction includes the following tasks: provision of medical and social patronage of families from risk groups, antenatal protection of the fetus, preservation of reproductive health of the child population. Expert evaluation allowed to identify the main problems in the system of maternal and child health, which reduce the effectiveness of medical and social care. As the main problem areas noted: the insufficient level of professional competence of specialists in the provision of medical and social assistance, the low degree of continuity between the medical organizations of the system of protection of motherhood and childhood, the low efficiency of interdepartmental cooperation in the provision of medical and social assistance. The presented problems are manageable and require improvement of appropriate organizational and managerial mechanisms both at the level of the Ministry of health and at the level of social protection bodies.