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":"[ALEKSANDR SEMENOVICH LURYE - NEUROSURGEON, ONCOLOGIST AND HEALTHCARE ORGANIZER].","authors":"N N Kamynina, Y V Burkovskaya, O I Nechaev, M A Orlyuk","doi":"10.32687/0869-866X-2025-33-s2-1016-1019","DOIUrl":"10.32687/0869-866X-2025-33-s2-1016-1019","url":null,"abstract":"<p><p>The article summarizes the activities of the famous neurosurgeon, oncologist, organizer of the surgical service A. S. Lurye and introduces into scientific circulation previously unknown documents of the «Molotov period» of the doctors life. He graduated from the Voronezh Medical Institute and was accepted as a resident in the faculty surgical clinic of the First Moscow Medical Institute, headed by Professor N. N. Burdenko. Along with clinical work, he was actively involved in experiments in the field of fundamental medicine. In 1938, he was elected to the position of associate professor of the surgery department of the Molotov Medical Institute, where, along with medical and teaching activities, he continued research in the field of neurosurgery. His broad outlook was in demand as a consultant to hospitals in the Molotov region. With the beginning of the Great Patriotic War, he supervised surgical care for the civilian population. After returning to Moscow in 1943, A. S. Lurye headed the department of the peripheral nervous system at the Central Evacuation Hospital, on the basis of which he defended his doctoral dissertation «Surgical treatment of gunshot and blunt injuries of the brachial plexus in adults». Later, A. S. Lurye was one of the organizers of the system of oncosurgical care for the population of the Moscow region. As an innovative surgeon, he improved the Roux-Hertsen-Yudin operation and proposed a new surgical approach for esophageal tumors.</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":"1016-1019"},"PeriodicalIF":0.0,"publicationDate":"2025-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145483265","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":"[Nursing Practices in the Prevention of Diabetes Mellitus and Its Complications in Primary Healthcare Abroad: Review].","authors":"Y V Burkovskaya, A V Gazheva","doi":"10.32687/0869-866X-2025-33-s2-1057-1062","DOIUrl":"10.32687/0869-866X-2025-33-s2-1057-1062","url":null,"abstract":"<p><p>Diabetes mellitus (DM) is a serious global health problem that requires effective prevention strategies due to its increasing prevalence and severe complications. Outpatient nurses play a key role in the prevention of diabetes, improving patients self-care and quality of life. The aim of the study is to evaluate the effectiveness of nursing practices in reducing the risk of diabetes and concomitant pathologies in primary healthcare. A systematic review of publications (2020-2025) has been conducted, revealing the main areas of nurses work, such as educational programs, screening, lifestyle modification, interdisciplinary collaboration, and digital technologies. These methods have proven effective in improving clinical performance, treatment adherence, and reducing the risk of complications. The introduction of such practices is promising for strengthening the prevention of diabetes and unloading the healthcare system.</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":"1057-1062"},"PeriodicalIF":0.0,"publicationDate":"2025-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145483204","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":"[MODERN TRENDS IN DIGITAL TRANSFORMATION OF DOMESTIC AND FOREIGN HEALTHCARE].","authors":"E I Aksenova, N N Kamynina, P S Turzin, K E Lukichev","doi":"10.32687/0869-866X-2025-33-s2-999-1004","DOIUrl":"10.32687/0869-866X-2025-33-s2-999-1004","url":null,"abstract":"<p><p>The relevance of this study is due to the fact that the Government of the Russian Federation has approved a strategic direction in the field of digital transformation of healthcare until 2030, contributing to the achievement of technological sovereignty and ensuring conditions for the development of the countrys healthcare sector. In this context, an overview of the current situation in the field of digital healthcare at the national and international levels was conducted. The authors analyzed the regulatory documents of the Russian Federation and scientific publications (RSCI, PubMed), selecting 22 domestic and 6 foreign works (2023-2024) on the digital transformation of healthcare. Based on PRISMA, an assessment of the quality of research was carried out, new analytical data on current trends and prospects for the development of digital healthcare were obtained. This review includes an analysis of the practical implementation of digital healthcare initiatives and a critical examination of the formation and effectiveness of the relevant regulatory framework in the country. The current main scientific and practical directions of the digital transformation of domestic healthcare were also considered. In addition, the results of the study of current priority trends in the digital development of foreign healthcare are presented. This allowed us to form a holistic view of the achievements and challenges facing the healthcare system in the era of digitalization.</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":"999-1004"},"PeriodicalIF":0.0,"publicationDate":"2025-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145483040","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":"[Prevention of risk factors for chronic noncommunicable diseases, effective practices, policies and approaches in the primary health care system].","authors":"V M Kuraeva, O S Oynotkinova, A A Timoshevsky","doi":"10.32687/0869-866X-2025-33-s2-1081-1086","DOIUrl":"10.32687/0869-866X-2025-33-s2-1081-1086","url":null,"abstract":"<p><p>The relevance of this study stems from the fact that the prevention of behavioral risk factors in primary health care (PHC) is an effective measure that can reduce not only morbidity but also the burden on healthcare systems. However, the implementation of effective practices, policies, and approaches remains uneven, necessitating an examination of the best strategies, barriers, and opportunities to optimize preventive care at the PHC level. A search in the PubMed, Scopus, and WHO IRIS databases for the period 2019-2025 identified 48 relevant open-access sources. Using PRISMA guidelines, the quality of the studies was assessed, and data on current interventions implemented within PHC systems were obtained. The findings highlight the effectiveness of integrated PHC models, such as multidisciplinary teams and network-based collaboration, in reducing modifiable risk factors. Among the key successful approaches are the use of digital technologies, risk stratification, integration with local communities, and outcome-based financing. The main barriers include fragmented healthcare systems, limited resources, and low coverage of vulnerable groups. The review confirms the need to adapt effective strategies to national and regional contexts to optimize the prevention of chronic noncommunicable diseases.</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":"1081-1086"},"PeriodicalIF":0.0,"publicationDate":"2025-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145483148","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 Comprehensive Method for Assessing Medical Workers' Satisfaction with the Infrastructure of Moscow Medical Organizations].","authors":"M D Gornostalev, V N Stepanova, M B Myakisheva, I V Bogdan","doi":"10.32687/0869-866X-2025-33-s2-951-957","DOIUrl":"10.32687/0869-866X-2025-33-s2-951-957","url":null,"abstract":"<p><p>The aim of this study was to develop a questionnaire designed to assess the satisfaction of health workers with the infrastructure of the Moscow Department of Health. The article considers modern approaches to assessing this indicator. An overview of the key infrastructure components that affect the professional well-being of staff is provided, and the importance of a comprehensive analysis of infrastructure factors to improve employee loyalty and the quality of medical services provided is emphasized. The architecture of the authors questionnaire, adapted to the specifics of Moscow healthcare, is described, providing for an assessment of satisfaction in four infrastructure domains (comfort of stay, appearance of medical organizations, technical equipment, digitalization and artificial intelligence), as well as the use of CSI and eNPS metrics to assess staff loyalty.</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":"951-957"},"PeriodicalIF":0.0,"publicationDate":"2025-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145483214","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":"[«New gerontology» as a philosophy of age and meaning: a transdisciplinary approach].","authors":"P I Ananchenkova","doi":"10.32687/0869-866X-2025-33-s2-1087-1092","DOIUrl":"10.32687/0869-866X-2025-33-s2-1087-1092","url":null,"abstract":"<p><p>The article examines the concept of «new gerontology» as a philosophical and humanitarian reflection on age, aging and the meaning of life in the context of demographic transition and increasing life expectancy. The emphasis is placed on the transdisciplinary nature of modern gerontology, integrating biomedical, sociocultural and existential dimensions. It is shown that the «new gerontology» transforms the idea of old age as a deficit and decrease, offering an image of a productive, meaningful and active late age. The necessity of philosophical understanding of aging as an anthropological and axiological phenomenon is substantiated.</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":"1087-1092"},"PeriodicalIF":0.0,"publicationDate":"2025-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145483235","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":"[MOTIVATION FACTORS FOR DOCTORS: PART 2 (STAYING IN THE PROFESSION)].","authors":"N S Sarkhadov, V E Andrusov, A V Smyshlyaev, A V Gazheva","doi":"10.32687/0869-866X-2025-33-s2-1104-1108","DOIUrl":"10.32687/0869-866X-2025-33-s2-1104-1108","url":null,"abstract":"<p><p>This article examines the factors influencing doctors motivation to stay in their profession. For this purpose, a sociological survey was conducted, which was attended by 428 medical workers of various specialties working in public health institutions in Moscow and the Moscow region. The survey consisted of several key sections, including personal, professional, social, and economic aspects, which revealed both internal and external motivations shaping doctors attitudes toward their profession. The results show that 57% of respondents chose the profession of a doctor out of a desire to help people, which highlights the altruistic nature of medical practice. However, higher workloads, economic instability, and lack of respect for the profession pose significant challenges. Despite this, a significant part of the doctors surveyed express satisfaction with their work, which indicates internal motivation and a desire for constant self-improvement. The article summarizes the popularity of professional communities, the level of financial expectations and the importance of family support, and identifies changes that could improve the working conditions of medical professionals.</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":"1104-1108"},"PeriodicalIF":0.0,"publicationDate":"2025-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145483079","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":"[CRM CONCEPT AS A NEW FORMAT OF PATIENT-CENTRICITY IN MEDICAL ORGANIZATIONS OF THE FUTURE].","authors":"E I Medvedeva, S V Kroshilin","doi":"10.32687/0869-866X-2025-33-s2-970-976","DOIUrl":"10.32687/0869-866X-2025-33-s2-970-976","url":null,"abstract":"<p><p>The effectiveness of the management of medical organizations, on which the quality of medical services and the health of Russians depend, is today a cornerstone in solving and achieving strategic health-saving objectives. Russian medicine uses the most advanced technologies and digital solutions that contribute to the effective organization of the work of medical workers, allow them to realize patient-centricity and improve the quality of medical services provided. The purpose of the study is to search for approaches to creating and implementing a CRM application model as a new format for implementing patient-centricity in the Ministry of Health of the future. To achieve this goal, a range of different techniques was used: analytical, logical and systematic approaches to the analysis of secondary data. The empirical part of the study is a survey of the expert community, which allowed us to build/obtain a matrix diagram of the relationship between CRM functionality and HR management processes in the Ministry of Defense. As a result, a conceptual model of CRM implementation in the MO is proposed, which takes into account the demand from patients for the services of a particular MO, taking into account its capabilities. The results obtained within the framework of the research topic will improve the efficiency of the Ministry of Defense due to a more efficient and optimal workload of medical specialists and a more complete «understanding of needs» on the part of the population based on the implementation of CRM.</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":"970-976"},"PeriodicalIF":0.0,"publicationDate":"2025-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145483253","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":"[Educational trajectories of professional competence formation among healthcare professionals (using the example of legal competence)].","authors":"T B Sviridova, A S Lutikov, E A Goldina, Y V Burkovskaya, N N Kamynina, A V Gazheva","doi":"10.32687/0869-866X-2025-33-s2-1026-1031","DOIUrl":"10.32687/0869-866X-2025-33-s2-1026-1031","url":null,"abstract":"<p><p>The Russian Federation continues a phased reform of the higher professional education system, which focuses on the development of professional competencies among medical professionals. But the development of professional competencies should not go only by replenishing the baggage of skills with narrow-profile knowledge and skills. The competence-based model of continuing medical education implies the formation of a legal culture and the necessary level of legal literacy for a doctor. Knowledge and compliance by medical professionals with the norms of current legislation is the basis for the functioning of the healthcare system, legal literacy is the key to professional protection of their activities. The purpose of the study is to substantiate the need to develop an educational trajectory for the development of professional competencies among medical professionals (using the example of legal competence).</p><p><strong>Materials and methods: </strong>The sociological method (studying the opinion of respondents), the statistical method (evaluating the results of a sociological survey).</p><p><strong>Results: </strong>When determining the need to improve legal literacy among specialists in the field of public health and healthcare organizations, a sociological survey was conducted that revealed a lack of legal knowledge, primarily the lack of a structured understanding of the basic laws setting out the basics of the rights and obligations of subjects of medical care, and basic regulatory legal acts regulating medical activities.</p><p><strong>Conclusions: </strong>The availability of legal competencies would allow health workers to effectively master the methods of crime prevention in providing assistance, control the occurrence of conflict situations, as well as find solutions to complex ethical and legal issues. A modern doctor, and especially a healthcare organizer, must confidently navigate the legal context of his activities, legal information, and use legal knowledge in his work.</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":"1026-1031"},"PeriodicalIF":0.0,"publicationDate":"2025-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145483383","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":"[MOTIVATION FACTORS FOR DOCTORS: PART 1 (CHOOSING A DOCTOR'S PROFESSION)].","authors":"N S Sarkhadov, V E Andrusov, A V Smyshlyaev, A V Gazheva","doi":"10.32687/0869-866X-2025-33-s2-1098-1103","DOIUrl":"10.32687/0869-866X-2025-33-s2-1098-1103","url":null,"abstract":"<p><p>Modern society is facing numerous challenges in the field of healthcare, which require young people to make an informed choice of profession. In an ever-changing social and economic environment, the question of what motivates young people to choose a medical profession is becoming an increasingly relevant topic for research. This article provides an in-depth analysis of the many motivational factors that play a key role in deciding on a medical career. The work covers psychological, social and economic aspects that shape the motivation of future doctors. Psychological factors include inner aspirations and personal beliefs, such as a desire to help people, an interest in science, and an attraction to the humanities of medicine. Social aspects consider the influence of the environment, including family values and cultural expectations, which may encourage young people to choose this profession. Economic factors focus on financial expectations and career opportunities in medicine. Based on a sociological study conducted among students and applicants of medical universities, the article highlights the key motivators influencing the choice of a doctors profession. The results of this work can serve as a basis for the development of programs aimed at attracting and retaining young people in the medical profession, which is important for the future of healthcare.</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":"1098-1103"},"PeriodicalIF":0.0,"publicationDate":"2025-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145483088","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}