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":"[A MODEL FOR SUSTAINABLE HUMAN CAPITAL MANAGEMENT IN HEALTHCARE].","authors":"A B Veshkurova, I V Filimonova","doi":"10.32687/0869-866X-2026-34-s1-384-390","DOIUrl":"https://doi.org/10.32687/0869-866X-2026-34-s1-384-390","url":null,"abstract":"<p><p>The article presents the authors' hypothesis that sustainable human capital management systems in healthcare achieve maximum effectiveness when technological adaptability, geographically oriented workforce distribution, and comprehensive professional well-being support programs are integrated. The scientific novelty of the study lies in the development and validation of a conceptual model that combines three complementary components of sustainable human capital management in healthcare, with an emphasis on their synergistic interaction. The practical significance of the work consists in formulating recommendations for public healthcare authorities on the creation of sustainable human capital management systems capable of effectively responding to challenges associated with territorial vastness and demographic change. The results of the study may be used in the development of national strategies for strengthening the healthcare workforce and regional programs aimed at optimizing medical workforce management.</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":"34 0","pages":"384-390"},"PeriodicalIF":0.0,"publicationDate":"2026-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148388328","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}
E N Zakharova, V V Shalatov, M E Ordynskaya, V A Teshev
{"title":"[MEDICAL AND DEMOGRAPHIC INDICATORS IN THE STRUCTURE OF THE INTEGRATED ASSESSMENT OF QUALITY OF LIFE: THEORETICAL AND APPLIED ASPECT].","authors":"E N Zakharova, V V Shalatov, M E Ordynskaya, V A Teshev","doi":"10.32687/0869-866X-2026-34-s1-417-421","DOIUrl":"10.32687/0869-866X-2026-34-s1-417-421","url":null,"abstract":"<p><p>In the context of modern socio-economic transformations and global challenges to systemic healthcare, the problem of an objective assessment of the quality of life of the population is of paramount importance. Traditional economic indicators (for example, GDP per capita) do not fully reflect the state of public health and social well-being. In this regard, the development of integrated assessment tools synthesizing heterogeneous data is becoming a key task for substantiating management decisions in the field of social and demographic policy. A special role in such systems is played by medical and demographic indicators, which act as objective markers of the quality of human potential. The study is based on data from Rosstat and the Ministry of Health of the Russian Federation for the period 2015-2024 for 85 regions of the Federation. The purpose of the study is to theoretically substantiate and test in practice the methodology of integrated assessment of the quality of life of the population of the subjects of the Russian Federation using a system of key medical and demographic indicators, to determine their structural contribution to the final index.</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":"34 0","pages":"417-421"},"PeriodicalIF":0.0,"publicationDate":"2026-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148388003","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":"[AVAILABILITY OF MEDICAL CARE TO THE RURAL POPULATION AS A GLOBAL MEDICAL AND SOCIAL PROBLEM].","authors":"R U Khabriev, E A Bakirova, E N Mingazova","doi":"10.32687/0869-866X-2026-34-s1-513-519","DOIUrl":"https://doi.org/10.32687/0869-866X-2026-34-s1-513-519","url":null,"abstract":"<p><p>In the context of contemporary globalization, rural residents frequently encounter multiple barriers when attempting to access timely and high-quality healthcare. This article analyzes factors influencing the accessibility and quality of medical services for rural populations, including geographical isolation, limitations in material, human, and technological resources, and specific features of the socio-economic environment. Special attention is given to vulnerable groups within the rural population-such as women, children and adolescents, persons with disabilities, older adults, and inhabitants of areas prone to natural disasters - for whom restricted access to healthcare has cumulative and long-term effects, adversely impacting both physical and mental health indicators. Based on a systematic review of domestic and international publications from recent years, the study identifies key barriers and enabling factors that can improve access to healthcare in rural settings, including the development of primary healthcare services.</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":"34 0","pages":"513-519"},"PeriodicalIF":0.0,"publicationDate":"2026-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148388312","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":"[LABOR NORMS FOR THE «PSYCHIATRY-NARCOLOGY» PROFILE: CURRENT CHALLENGES IN IMPLEMENTING THE NEW DOCUMENT].","authors":"V M Shipova, T S Kugaevskaya, E N Mingazova","doi":"10.32687/0869-866X-2026-34-s1-520-525","DOIUrl":"https://doi.org/10.32687/0869-866X-2026-34-s1-520-525","url":null,"abstract":"<p><p>Ensuring adequate staffing levels for psychiatrists-narcologists and district psychiatrists-narcologists amid the observed shortage of healthcare personnel across all sectors and burnout among medical workers represents one of the primary pathways to improving the performance of psychoneurological services. Analysis of the new order from the Russian Ministry of Health on the «psychiatry-narcology» profile reveals that the document includes certain measures to strengthen preventive efforts by introducing the position of a medical psychologist in the office for the prevention of substance use disorders. However, in our view, certain provisions of the document require revision in the following directions: transitioning to commonly accepted indicators for labor norms in outpatient care, namely statistical data on population size and its contingents; and excluding staffing numbers from the normative provision for ensuring round-the-clock operations of medical personnel.</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":"34 0","pages":"520-525"},"PeriodicalIF":0.0,"publicationDate":"2026-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148387871","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}
K R Amlaev, K T Dahkilgova, Z Z Mardanov, A A Khripunova, I G Khripunova
{"title":"[RISK FACTORS FOR MORTALITY AND INJURY IN ROAD TRAFFIC ACCIDENTS].","authors":"K R Amlaev, K T Dahkilgova, Z Z Mardanov, A A Khripunova, I G Khripunova","doi":"10.32687/0869-866X-2026-34-s1-358-362","DOIUrl":"https://doi.org/10.32687/0869-866X-2026-34-s1-358-362","url":null,"abstract":"<p><p>Road accidents are a significant public health issue and a common cause of death. This article analyzes the main risk factors for road accidents and their impact on road mortality and injury. The most significant of these are speeding, alcohol consumption, and motorcycle use. Age, gender, and mobile phone use while driving are also significant factors. Seasonality, time of day, and road surface quality have a lesser impact on the risk of road accidents. Knowledge of road accident risk factors will enable the implementation of more effective measures to prevent road incidents. This, in turn, will reduce road user fatalities and injuries and reduce the material costs associated with the consequences of road accidents.</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":"34 0","pages":"358-362"},"PeriodicalIF":0.0,"publicationDate":"2026-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148388006","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":"[PROFESSIONAL LEARNING OF A FOREIGN LANGUAGE IN THE EDUCATION AT THE UNIVERSITY].","authors":"L N Shcherbatykh","doi":"10.32687/0869-866X-2026-34-s1-547-552","DOIUrl":"https://doi.org/10.32687/0869-866X-2026-34-s1-547-552","url":null,"abstract":"<p><p>In this article the author reveals the peculiarities of foreign language (FL) learning in different medical educational institutions. Learning a foreign language at the professional level requires a lot of personal work from the medical students. In the process of mastering all kinds of foreign language activities in a medical educational institution, students develop many important professional qualities. They become more patient, learn independently solve to many difficulties in their work, are accurate and precise in their actions. All these above mentioned qualities play a very important role in the formation of the future medical workers. In the article the researcher also describes the issues related to teaching English the students of the medical education institutions with different special purposes and belonging to different groups in terms of the proficiency levels. The author describes the methodology in terms of the competence and communicative approaches. The article gives a brief description of the main features of «the medical foreign language», and also gives the specific characteristics of the language exercises that help the teacher of a FL at the university to teach students the professional terminology.</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":"34 0","pages":"547-552"},"PeriodicalIF":0.0,"publicationDate":"2026-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148388060","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":"[SOCIO-CULTURAL IDENTITY IN THE SYSTEM OF SOCIAL IMMUNITY OF YOUTH].","authors":"V A Sapryka, V A Perepelkin","doi":"10.32687/0869-866X-2026-34-s1-475-481","DOIUrl":"https://doi.org/10.32687/0869-866X-2026-34-s1-475-481","url":null,"abstract":"<p><p>The relevance of studying the relationship between sociocultural identity and social immunity in young people stems from the need to find adaptive mechanisms in the context of contemporary sociocultural turbulence. Sociocultural identity, understood as the process and result of an individuals self-identification with a historically rooted system of traditional values, normative codes, and behavioral patterns, is a key mechanism for the reproduction and integration of society. It ensures the continuity of values and semantics and serves as the basis for the development of social immunity a property of a social system that allows it to maintain integrity and stability, protecting itself from destructive external influences. In the context of youth, this identity performs a dual function: it serves as a psychological buffer, reducing the traumatic impact of external instability, and simultaneously becomes a source of meaning and strategies for actively confronting challenges. The nonlinearity of modern identification processes, characterized by the multiplicity and variability of self-determination, does not negate this function; rather, it complicates and enriches the mechanisms of immunity, creating new opportunities for personal development and forming an adaptive resource for society as a whole. The possibilities of developing youth social immunity are examined from the perspective of a socio-technological approach, which views strengthening the positive socio-cultural identity of youth as a constructive task, solved through the implementation of reproducible and measurable social practices. The target outcome of these technologies is the development of a resilient adaptive complex in the new generation, including skills for critically assessing information, resistance to destructive influences, and the ability to maintain social health.</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":"34 0","pages":"475-481"},"PeriodicalIF":0.0,"publicationDate":"2026-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148388114","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}
M A Romanyuk, M A Sukharnikova, N V Chekmareva, R R Aronov
{"title":"[DISPENSARIZATION AND THE QUALITY OF EMPLOYMENT IN THE CENTRAL FEDERAL DISTRICT].","authors":"M A Romanyuk, M A Sukharnikova, N V Chekmareva, R R Aronov","doi":"10.32687/0869-866X-2026-34-s1-406-411","DOIUrl":"https://doi.org/10.32687/0869-866X-2026-34-s1-406-411","url":null,"abstract":"<p><p>This article examines the relationship between coverage by dispensarization (preventive health screening) and qualitative characteristics of employment in the regions of the Central Federal District of Russia. An analysis of statistical data for 2017-2023 is presented, describing the level of participation of the working population in preventive medical examinations and key parameters of employment quality, including working conditions, forms of labour relations, and social protection of workers. It is noted that there is substantial differentiation among the Central Federal District regions both in dispensarization coverage and in employment quality indicators. The study finds that regions with higher employment quality also demonstrate higher participation rates of the working population in dispensarization, supporting the hypothesis that characteristics of labour relations affect accessibility to preventive medical care. Key factors linking employment quality and dispensarization coverage are identified as the formal nature of labour relations, which enables workers to exercise their legally guaranteed right to time off for medical examinations, and employer engagement in creating conditions for staff participation in preventive activities. The article concludes that improving employment quality through strengthening social and labour guarantees and enhancing working conditions can be regarded as an important resource for increasing dispensarization coverage among the working population and, consequently, for improving public health.</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":"34 0","pages":"406-411"},"PeriodicalIF":0.0,"publicationDate":"2026-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148388349","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":"[COMMITMENT OF MEDICAL STUDENTS TO THEIR FUTURE PROFESSION].","authors":"T N Kameneva","doi":"10.32687/0869-866X-2026-34-s1-426-430","DOIUrl":"https://doi.org/10.32687/0869-866X-2026-34-s1-426-430","url":null,"abstract":"<p><p>This article is based on the results of a study analyzing the opinions and perceptions of medical students regarding their future professional activities. The objective of the study was to examine and analyze the attitudes and plans of medical students regarding their chosen profession. The object of the study was the professional attitudes of students in the Faculty of General Medicine. The theoretical methodology of the article is based on a sociological approach to professionalization, taking into account the activity-based and certification approaches. The empirical basis of the study was the results of a sociological survey conducted among 220 medical students in January 2026 (KSMU, Kursk, n = 100; RNRMU, Moscow, n = 75; PSPbSMU, St. Petersburg, n = 45). The study found that young people, typically those who have completed pre-professional school training, consciously choose medical universities. Half of the study participants expressed a willingness to remain in the state healthcare system, with minor regional differences. To create an effective healthcare system capable of adequately responding to the needs of young professionals, it is necessary to develop conditions for retaining young professionals in state healthcare, taking into account the expectations of todays students (unique experience, stability, career advancement, etc.).</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":"34 0","pages":"426-430"},"PeriodicalIF":0.0,"publicationDate":"2026-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148388274","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}
D V Kruglov, O S Reznikova, V A Mordovets, S V Umerova
{"title":"[DIGITALIZATION OF LABOR IN HEALTHCARE].","authors":"D V Kruglov, O S Reznikova, V A Mordovets, S V Umerova","doi":"10.32687/0869-866X-2026-34-s1-443-447","DOIUrl":"https://doi.org/10.32687/0869-866X-2026-34-s1-443-447","url":null,"abstract":"<p><p>Today, in the context of technological and social transformation, people and their health must be paramount. Health preservation and improvement, as well as improving the quality and length of life, are fundamental issues of primary and national importance. Research into the conditions and characteristics of the socioeconomic development of healthcare services should be directly aimed at preserving human life, promoting health, and promoting the prosperity of Russian society as a whole.</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":"34 0","pages":"443-447"},"PeriodicalIF":0.0,"publicationDate":"2026-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148388308","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}