Problemy sotsial''noi gigieny i istoriia meditsiny / NII sotsial''noi gigieny, ekonomiki i upravleniia zdravookhraneniem im. N.A. Semashko RAMN, AO ''Assotsiatsiia ''Meditsinskaia literatura''最新文献

{"title":"[MEDICAL AND ORGANIZATIONAL ASPECTS OF PROVIDING MEDICAL CARE IN THE FIELD OF OBSTETRICS AND GYNECOLOGY AT THE REGIONAL LEVEL].","authors":"I Y Kopyrin, V S Stupak, E A Lokhmacheva","doi":"10.32687/0869-866X-2025-33-s1-848-856","DOIUrl":"https://doi.org/10.32687/0869-866X-2025-33-s1-848-856","url":null,"abstract":"<p><p>The purpose of the study was to study the medical and organizational aspects of providing medical care in the field of obstetrics and gynecology at the regional level by conducting a survey of medical staff working in medical organizations in the Tula region. 408 respondents took part in the survey. Of these, 56 heads of structural divisions, 53 secondary medical workers, and 299 specialist doctors. The study of the medical and organizational aspects of providing medical care in the field of obstetrics and gynecology has shown that promising areas for the development of the maternity and childhood care system are the formation of new regional routes for women of fertile age, pregnant women, women in labor and women in labor with the formation of a unified organizational and functional structure for reproductive health. The organization of the coordination centers activities as the main provider of medical and preventive services with an integrated information system for automated support of management decisions using artificial intelligence technologies is aimed at providing affordable and high quality obstetric and gynecological care to the population. Updating route management processes, taking into account the identified aspects of improvement, will increase the efficiency of planning and use of resources in the obstetric care system, will rationalize the use of the bed fund, human resources and technical equipment of medical organizations.</p>","PeriodicalId":35946,"journal":{"name":"Problemy sotsial''noi gigieny i istoriia meditsiny / NII sotsial''noi gigieny, ekonomiki i upravleniia zdravookhraneniem im. N.A. Semashko RAMN, AO ''Assotsiatsiia ''Meditsinskaia literatura''","volume":"33 0","pages":"848-856"},"PeriodicalIF":0.0,"publicationDate":"2025-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145239708","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[OVERVIEW OF GOVERNMENT AND CORPORATE PARTNERSHIPS USING THE EXAMPLE OF THE ROSATOM STATE CORPORATION IN THE IMPLEMENTATION OF THE FEDERAL PROJECT \"LEAN POLYCLINIC\": RESULTS, SOCIAL SIGNIFICANCE AND ECONOMIC BENEFITS BY 2024].","authors":"E N Seifieva, S A Bazhenova, E A Grammova, B B Zaikovskii, N S Kasimova","doi":"10.32687/0869-866X-2025-33-s1-","DOIUrl":"https://doi.org/10.32687/0869-866X-2025-33-s1-","url":null,"abstract":"<p><p>This study provides an overview of innovative solutions provided by the Federal project Lean Polyclinic and implemented in medical institutions in Russia. The results obtained by medical organizations in the field of process optimization are revealed. The impact of optimization on employees and patients of organizations is analyzed. The article provides an overview of government and corporate partnerships using the example of the Rosatom State Corporation in the implementation of the Federal project Lean Polyclinic. The article also analyzes the main results and economic benefits of the project by the end of 2024 and examines particularly important areas of innovation in the organizational processes of medical institutions, improving the resources most important for the activities of medical organizations, optimizing the space and time of service provision, convenience and accessibility of medical services for patients, etc. Attention is focused on official sources on integration, collaboration and projects of various companies and organizations with medical institutions for the implementation of the Russian Federal project Lean Polyclinic, such as, for example, the Rostatom State Corporation. In addition, the article presents statistical data by the end of 2024 on the implementation of this project. The conducted research has determined that due to the further development of the project, many problems relevant to polyclinics are being solved, including determining social benefits, economic efficiency, and social significance for various groups of citizens - potential patients of medical institutions at different levels. The article also focuses on the economic benefits of the project.</p>","PeriodicalId":35946,"journal":{"name":"Problemy sotsial''noi gigieny i istoriia meditsiny / NII sotsial''noi gigieny, ekonomiki i upravleniia zdravookhraneniem im. N.A. Semashko RAMN, AO ''Assotsiatsiia ''Meditsinskaia literatura''","volume":"33 0","pages":"2298"},"PeriodicalIF":0.0,"publicationDate":"2025-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145239883","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[DYNAMICS OF CHANGES IN THE INDICATOR OF THE INDEX OF PERSONNEL WELL-BEING IN THE HEALTHCARE SYSTEM OF THE REPUBLIC OF TATARSTAN].","authors":"E N Mingazova, M Y Kotlovskiy, M I Muslimov, S V Russkikh","doi":"10.32687/0869-866X-2025-33-s1-","DOIUrl":"https://doi.org/10.32687/0869-866X-2025-33-s1-","url":null,"abstract":"<p><p>The article is devoted to a comprehensive study of the dynamics of changes in the regional human resource well-being index as an integral indicator that allows for an objective assessment of the state of the human resource potential of the healthcare system using the example of the Republic of Tatarstan. The analysis showed that over a five-year period in the Republic of Tatarstan, the situation with the provision of medical personnel either stabilized or demonstrated positive dynamics relative to the initial year of observation. The identified trend is due to a significant improvement in the human resource situation in 2020, the period of the onset of the global COVID-19 pandemic, but subsequently a deterioration in a number of key indicators was observed. The results of the analysis are valuable for the formation of scientifically based approaches to improving regional human resource policy in the field of healthcare, ensuring the effective development of relevant programs and activities.</p>","PeriodicalId":35946,"journal":{"name":"Problemy sotsial''noi gigieny i istoriia meditsiny / NII sotsial''noi gigieny, ekonomiki i upravleniia zdravookhraneniem im. N.A. Semashko RAMN, AO ''Assotsiatsiia ''Meditsinskaia literatura''","volume":"33 0","pages":"2300"},"PeriodicalIF":0.0,"publicationDate":"2025-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145239969","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[THE DEVELOPMENT OF NUTRITION SCIENCE AND THE INCREASE IN THE NUMBER OF DIETITIANS AS A MODERN TREND IN HEALTHCARE TRANSFORMATION].","authors":"S A Gureev, E N Mingazova","doi":"10.32687/0869-866X-2025-33-s1-822-825","DOIUrl":"https://doi.org/10.32687/0869-866X-2025-33-s1-822-825","url":null,"abstract":"<p><p>The article reflects the role of the dietetic community as a service for effectively countering the growing global burden of diseases related to malnutrition, including malnutrition, micronutrient deficiency, overweight and obesity. A key element of healthcare transformation in this direction is to ensure a sufficient number of highly qualified dietitians, whose density per 100,000 population is recognized by WHO as the most important indicator of the countrys nutritional potential. However, world practice shows a widespread shortage of such specialists, even in developed countries. Strengthening the role and increasing the number of dietitians, ensuring their continuous professional development and creating a regulated professional environment are an integral modern trend and a prerequisite for building sustainable healthcare systems.</p>","PeriodicalId":35946,"journal":{"name":"Problemy sotsial''noi gigieny i istoriia meditsiny / NII sotsial''noi gigieny, ekonomiki i upravleniia zdravookhraneniem im. N.A. Semashko RAMN, AO ''Assotsiatsiia ''Meditsinskaia literatura''","volume":"33 0","pages":"822-825"},"PeriodicalIF":0.0,"publicationDate":"2025-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145239886","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[MEDICAL AND SOCIAL ASPECTS OF REPRODUCTIVE HEALTH AND BEHAVIOR OF WOMEN IN THE REPUBLIC OF DAGESTAN].","authors":"K A Gatsaynieva, O E Konovalov","doi":"10.32687/0869-866X-2025-33-s1-797-801","DOIUrl":"https://doi.org/10.32687/0869-866X-2025-33-s1-797-801","url":null,"abstract":"","PeriodicalId":35946,"journal":{"name":"Problemy sotsial''noi gigieny i istoriia meditsiny / NII sotsial''noi gigieny, ekonomiki i upravleniia zdravookhraneniem im. N.A. Semashko RAMN, AO ''Assotsiatsiia ''Meditsinskaia literatura''","volume":"33 0","pages":"797-801"},"PeriodicalIF":0.0,"publicationDate":"2025-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145239650","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[SUICIDE MORTALITY IN THE REGIONS OF THE NORTH WESTERN FEDERAL DISTRICT IN THE POST PANDEMIC PERIOD].","authors":"V A Rozanov, N V Semenova, A J Vuks, M V Anokhina, V D Isakov, N G Neznanov","doi":"10.32687/0869-866X-2025-33-s1-902-911","DOIUrl":"https://doi.org/10.32687/0869-866X-2025-33-s1-902-911","url":null,"abstract":"<p><p>Suicide mortality monitoring provides important information that may be interpreted within social determinants of public health. Suicide mortality during the pandemic, contrary to many fears, did not increase, but the situation in the post pandemic period, when new challenges emerged, has not been studied yet. Surveillance in the Northwestern Federal District over the past 7 years has revealed a sharp decline in mortality in 2023 in some subjects, particularly in St. Petersburg (SPb) and Leningrad Oblast (LO). We calculated average annual mortality rates per 100,000 population with confidence intervals (as per Wilson). For detailed analysis we used the division of society into generations - up to 19 years old (generation Z), 20-39 years old (millennials, Y), 40-59 years old (generation X) and gt; 60 years old (\"baby boomers\" and traditionalists). Suicide indices in LO are significantly higher than in SPb, which is probably due to the higher proportion of rural population. The sharp decrease in mortality in 2023 in both subjects appeared to be most pronounced and statistically significant among men aged 40-59 and over 60. While the mortality rate among women in the older groups is generally decreasing, it is either stable or tends to increase among women under 39 years of age. From the perspective of the role of social integration, according to Durkheim theory, the sharp decline in male suicides can be attributed to increased social cohesion, signs of social optimism, as well as military and economic mobilization during the special military operation. At the same time, when large contingents return from the conflict zone, prevention measures should be considered, taking into account possible jobs competition between young and older male groups, as well as the likelihood of an increase in the prevalence of post traumatic stress disorder.</p>","PeriodicalId":35946,"journal":{"name":"Problemy sotsial''noi gigieny i istoriia meditsiny / NII sotsial''noi gigieny, ekonomiki i upravleniia zdravookhraneniem im. N.A. Semashko RAMN, AO ''Assotsiatsiia ''Meditsinskaia literatura''","volume":"33 0","pages":"902-911"},"PeriodicalIF":0.0,"publicationDate":"2025-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145239872","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[DYNAMICS OF THE AGE PROFILE OF THE FERTILE CONTINGENT OF THE FEMALE POPULATION AND ITS RELATIONSHIP WITH THE BIRTH RATE OF THE POPULATION OF THE SOUTHERN TERRITORIES OF THE IRKUTSK REGION].","authors":"G M Gaidarov, T I Alekseevskaya, T S Krupskaya, A S Vanyarkina, I V Maevskaya","doi":"10.32687/0869-866X-2025-33-s1-790-796","DOIUrl":"https://doi.org/10.32687/0869-866X-2025-33-s1-790-796","url":null,"abstract":"<p><p>The article presents the results of the analysis of the dynamics of the age profile of the female population of fertile age and identifies the factors affecting the fertility rates. It is shown that the absolute number of the female population living in the southern territories of the Irkutsk region has decreased. The proportion of the cohort of fertile age women has decreased in general in the population of the total population and in the population of the female population. The reduction in the number of women of fertile age has led to a change in their age structure towards its aging, a decrease in the proportion of young, active reproductive ages. Special fertility rates make it possible to obtain a quantitative characteristic of the intensity of childbirth. Over the 23-year study period, the fertility rates of the female population have increased in general. It was revealed that in the dynamics, maximum fertility has moved to older age groups (25-29 years), characterizing the intensifying demographic processes of the implementation of late motherhood. As a result of applying the index analysis method, it was revealed that in most southern territories of the region such as: Irkutsk, Angarsk, Angarsk district, Shelekhov, Usolye, Usolsky district, Cheremkhovo, Cheremkhovsky district. in the dynamics of 2005-2023. a decrease in the index of the number of births was recorded. On average, by territory, the key factor influencing the decrease in this index was a decrease in the index of the proportion of women of childbearing age in the total number of women. By territory, the contribution of factors to the decrease in the index of the number of births was different. Thus, for such territories as: Irkutsk, Cheremkhovo, Cheremkhovsky district, Usolye, Angarsk, the key factor in decreasing the index of the number of births was a decrease in the index of the proportion of women of childbearing age from all women. For territories such as: Angarsk and Usolsky districts, the factor determining the decrease in the index of the number of births was a decrease in the fertility rate of the female population. In the Irkutsk and Shelekhovsky districts, a positive trend in the increase in the birth rate index has been formed. The leading factor in the increase in the birth rate index in the Irkutsk district is the increase in the index of the proportion of women of fertile age from all women. For the Shelekhovsky district, this is an increase in the average population index. Calculated special coefficients allow us to predict the dynamics of population reproduction in individual territories and are an important link in the development of regional programs for strengthening the demographic potential of the territories of the constituent entity of the Federation.</p>","PeriodicalId":35946,"journal":{"name":"Problemy sotsial''noi gigieny i istoriia meditsiny / NII sotsial''noi gigieny, ekonomiki i upravleniia zdravookhraneniem im. N.A. Semashko RAMN, AO ''Assotsiatsiia ''Meditsinskaia literatura''","volume":"33 0","pages":"790-796"},"PeriodicalIF":0.0,"publicationDate":"2025-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145239947","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[INVESTIGATION OF THE PROBLEM OF REDUCING THE NUMBER OF PERSONNEL AND THE NUMBER OF EMERGENCY MEDICAL TEAMS].","authors":"Y A Arestova","doi":"10.32687/0869-866X-2025-33-s1-771-777","DOIUrl":"https://doi.org/10.32687/0869-866X-2025-33-s1-771-777","url":null,"abstract":"<p><p>According to Rosstat, over the past twenty years, there has been a steady decline in the number of hospitals, stations, and emergency medical teams. In 2022, the number of stations decreased by 40% compared to 2000. Given the increase in the incidence of the population and the increase in the proportion of citizens who are in pre-retirement and retirement age, the number of medical staff has stopped covering the need for specialists. The article analyzes statistical data and reveals their dynamics in terms of the number of hospitals, stations and emergency medical teams. The relationship between the number of their staff and the number of people who received medical care has been determined. The structure of medical personnel by groups based on population size has been studied. An analysis of the dynamics of the number of teams and cases of emergency medical care has been performed. As a result of the study, proposals were formulated justifying the need to review the regulatory framework on reducing the professional burden and increasing the salaries of emergency medical personnel in order to attract young specialists and return doctors from commercial medical institutions to hospitals, stations and brigades to meet the need for medical personnel per capita.</p>","PeriodicalId":35946,"journal":{"name":"Problemy sotsial''noi gigieny i istoriia meditsiny / NII sotsial''noi gigieny, ekonomiki i upravleniia zdravookhraneniem im. N.A. Semashko RAMN, AO ''Assotsiatsiia ''Meditsinskaia literatura''","volume":"33 0","pages":"771-777"},"PeriodicalIF":0.0,"publicationDate":"2025-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145239683","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[DEVELOPMENT OF A MARKETING STRATEGY FOR A MEDICAL ORGANIZATION BASED ON AN ANALYSIS OF THE SEGMENTATION OF THE MEDICAL SERVICES MARKET].","authors":"M I Muslimov, E N Mingazova","doi":"10.32687/0869-866X-2025-33-s1-873-876","DOIUrl":"https://doi.org/10.32687/0869-866X-2025-33-s1-873-876","url":null,"abstract":"<p><p>The article presents approaches to developing a marketing strategy for a medical organization based on the analysis of medical services market segmentation. Marketing activities of a private medical organization (PMO) include market segmentation assessment, market situation analysis, and competitor identification. The main marketing activity for any PMO is the study of the medical services market and its segments. The key objects of segmentation are medical services, patients, and the PMO itself. Correlation and regression analysis is used to assess key factors affecting the competitive capabilities of the PMO. A comprehensive assessment of the PMOs marketing and management activities made it possible to determine its correct positioning in the medical services market using an algorithm to support management decision-making on determining the cost of a specific consultative, diagnostic, or treatment service using the aggregate summation of sales volume, consumer demand, and competitors price range.</p>","PeriodicalId":35946,"journal":{"name":"Problemy sotsial''noi gigieny i istoriia meditsiny / NII sotsial''noi gigieny, ekonomiki i upravleniia zdravookhraneniem im. N.A. Semashko RAMN, AO ''Assotsiatsiia ''Meditsinskaia literatura''","volume":"33 0","pages":"873-876"},"PeriodicalIF":0.0,"publicationDate":"2025-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145239957","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[EXPERIENCE IN ELIMINATING PLAGUE OUTBREAKS IN JAPAN AND RUSSIA IN THE EARLY XX CENTURY].","authors":"V A Gorshkov-Cantacuzene, T Sumida, I O Mordvinov","doi":"10.32687/0869-866X-2025-33-s1-808-815","DOIUrl":"https://doi.org/10.32687/0869-866X-2025-33-s1-808-815","url":null,"abstract":"<p><p>By the beginning of the 20th century, plague was still a terrible enemy of mankind, striking ruthlessly at cities and claiming many lives. However, the causative agent of the disease had already been discovered and the medical community was gradually beginning to develop science-based approaches to sanitary protection, although quarantine in ports was still the main anti-epidemic measure. A number of countries had already established specialized institutions, conducted scientific research, trained specialists in handling pathogens of particularly dangerous infections, and maintained and published reports. In this regard, it seems very useful and instructive to compare the experience of elimination of plague outbreaks in the Japanese and Russian empires. This article, based on extant historical documents, examines the experience of plague outbreaks in the cities of Yokohama and Odessa in 1902. Since both cities are port cities and were often the scene of battles with particularly dangerous infections, such a comparison is the most correct, although rather limited, due to the paucity of extant information. Nevertheless, the results show that quarantine is no longer considered the only measure to combat plague, ceding the pedestal to disinfection, microbiological monitoring and epizootological surveillance. In particular, participants in those events conclude that a plague epizootic on rats is possible, and that the hygienic condition of cities must be improved. Clinical techniques and health education are improved, but failures by the sanitary services of each state are also revealed.</p>","PeriodicalId":35946,"journal":{"name":"Problemy sotsial''noi gigieny i istoriia meditsiny / NII sotsial''noi gigieny, ekonomiki i upravleniia zdravookhraneniem im. N.A. Semashko RAMN, AO ''Assotsiatsiia ''Meditsinskaia literatura''","volume":"33 0","pages":"808-815"},"PeriodicalIF":0.0,"publicationDate":"2025-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145239661","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}