Public health
  • 2022 № 3 Assessment of preventable health losses in the rural population

    Relevance. The protection of the health of the rural population is especially significant due to the fact that medical and social health problems are maximally concentrated in rural areas. The priorities in the organization of medical care for rural residents are currently the effective use of available health care resources, as well as increasing the availability and quality of medical care. The tasks of the federal and municipal authorities should be to provide software support, resources, as well as the practical solution of strategic problems in rural areas.
    The purpose of the study: development and testing of an automated system of information support for managerial decision-making using estimates of preventable losses in the health of the population of rural areas.
    The base of the study was the Orenburg region. The share of the rural population in the region is 40.1%, there are 35 rural territories (districts) in the region.
    Methodology. The following research methods were used: statistical, analytical, expert assessments.
    The preventable loss of health of the population of rural areas in the Orenburg region was assessed by experts according to the methodology developed by us. Four indicators of the likely preventability of health losses in the rural population were identified: health indicators; territorial availability of medical care; personnel; social well-being of the population.
    The results of the study were used as the basis for the methodological support of an automated information system for supporting managerial decision-making in the organization of primary health care in rural areas of the Orenburg region.
    The use of a software product of information support for managerial decision-making makes it possible to determine priorities for making strategic decisions at the level of heads of medical organizations, health authorities and institutions, as well as heads of administration in a constituent entity of the Russian Federation. The information is presented on the web page of the administrative territory and the administrative apparatus.

    Authors: Kalininskaya A. A. [10] Bayanova N. A. [4] Kizeev M. V. [2] Balzamova L. A. [1]

    Tags: health4 information system3 management decisions1 personnel4 rural population3 rural territories1 territorial accessibility of medical care1

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  • Medical statistics
  • 2015 № 2 Evaluation of loss health with the indicator «problematic»

    The rate of «problem» for estimating avoidable losses of public health based on the analysis of longterm electronic databases to support management decision-making in health care. The index reflects compliance with the individual components of the loss of public health established standards, taking into account the dynamics of symptoms. An example of the calculation of the «problem» for each of the components of loss of health as an example of Novokuznetsk in order to identify the main problems.

    Authors: Vlasenko A. E. [1] Zhilina N. M. [1] Chechenin G. I. [2]

    Tags: avoidable loss1 health4 nonparametric tests1 ranking problems1 the rate of «problem»1

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  • Manager of health care consults
  • 2017 № 1 Нealth care Funding in 2017 – another paradox: the means was less than planned for 2016, but the financial support for the industry has improved

    In recent years, the Federal budget is closely linked to the budget of the Federal mandatory medical insurance Fund – they cannot be analysed separately from each other. The Federal funding is reduced, but the budget of the Federal mandatory medical insurance Fund in 2017 favorably with previous: 2016 was suddenly executed with a surplus. Large carryovers for 2017 are not evaluated as a negative factor, as it was before, but as positive, as they relate to the refusal of the state from the withdrawal of the Federal budget planned amounts. Therefore, a sharp drop of healthcare financing from the Federal budget does not mean the deterioration in the financing industry – changing channels the movement of funds. This is due to the fact that the government became aware that the transformation of the budget of the Federal mandatory medical insurance Fund to source for other budgets will not ensure the implementation of presidential Decrees on raising wages. In addition, there have been major changes to the financing of high-tech medical care, which is not included in base program OMS –2017 it is almost completely financed by funds. In the article the analysis of dynamics and trends of health financing from different sources.

    Authors: Kadyrov F. N. [108] Obukhova O. V. [24] Brutovа A. S. [5]

    Tags: budget7 deficit6 expenses7 federal fund of compulsory medical insurance1 finance1 health4 income6 inflation2 obligatory medical insurance3 surplus2

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  • Law
  • 2020 № 7 On the issue of legal protection of adolescent girls ‘ reproduc tive health

    The article presents an overview of modern approaches to legal protection of reproductive health of adolescent girls
    in the Russian Federation. The system aspects of health protection of girls and adolescent girls, as well as prevention of violations
    of reproductive health formation, are taken into account. The research was based on Federal laws, regulatory and legislative acts
    of individual subjects of the Russian Federation, and relevant scientific publications. The legal priority in ensuring the reproductive
    health of girls and adolescent girls is determined by the availability and quality of specific medical care, as well as relevant sections of the main legal documents.

    Authors: Mingazova E. N. [12] Zhelezova P. V. [2] Samojlova A. V. [1] Zagorujchenko A. A. [1] Shigabutdinova T. N. [2]

    Tags: adolescent girls1 eproductive health1 health4 health protection2 legal regulation1 legislation4 prevention17 regulatory framework1

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