Zdravookhranenie Rossiiskoi Federatsii / Ministerstvo zdravookhraneniia RSFSR最新文献

{"title":"Analysis of the accessibility of cancer patients to drug provision at the outpatient stage of treatment in the Russian Federation","authors":"S. Linnik","doi":"10.47470/0044-197x-2023-67-2-97-105","DOIUrl":"https://doi.org/10.47470/0044-197x-2023-67-2-97-105","url":null,"abstract":"Introduction. The outpatient stage of management of patients with malignant neoplasms does not have additional funding. Availability of patients to prescribed drugs on outpatient review of funds allocated by the Russian Federation for the purchase of drugs based upon budgets providing for benefits. In connection with the study of the problem of procurement of drugs for the treatment of patients with malignant neoplasms in outpatient treatment, an urgent task arises, the solution of which is the essence of the development of a study on the planning of drug treatment of patients. \u0000Purpose is to study the accessibility of patients with malignant neoplasms to drug provision at the outpatient stage of treatment in the Federal Districts of the Russian Federation. \u0000Material and methods. To study the availability of patients with malignant neoplasms, the supply of medicines for the treatment of patients with malignant neoplasms in 2019 and 2020 to hospitals purchased at the expense of the constituent entities of the Russian Federation and the federal budget in the Federal Districts was analyzed. We compared the funds spent between the subjects of the Russian Federation in terms of patients with a first diagnosis. To compare the provision of patients with drugs, we recalculated the amount of funds spent on the purchase of drugs per patient with a newly diagnosed oncological disease living in the Federal District. \u0000Results. Significant differences were found in the provision between the Federal Districts, reaching almost four times the size. \u0000Limitations. When studying the accessibility of patients with malignant neoplasms to drug provision at the outpatient stage of treatment, purchases of all Federal Districts of the Russian Federation at the expense of both the subjects of the Russian Federation and the federal budget were analyzed, which is a sufficient reference sample. \u0000Conclusion. A significant difference in the amount allocated per patient both from the funds of the regional and federal budgets, with the newly diagnosed malignant neoplasm in the Federal Districts creates unequal conditions for treating patients on an outpatient basis.","PeriodicalId":39241,"journal":{"name":"Zdravookhranenie Rossiiskoi Federatsii / Ministerstvo zdravookhraneniia RSFSR","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44199461","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":"Regional experience in the management of mortality monitoring","authors":"E. L. Borshchuk, Dmitriy N. Begun, Aislu N. Duisembaeva","doi":"10.47470/0044-197x-2023-67-2-111-117","DOIUrl":"https://doi.org/10.47470/0044-197x-2023-67-2-111-117","url":null,"abstract":"The article describes the module “Medical certificate of death” of the medical information system of the Orenburg region. The article describes the results of operational monitoring of mortality in the Orenburg region. \u0000The purpose is to analyze the results of monitoring mortality from all causes in the Orenburg region. \u0000Materials and methods. A comprehensive analysis of the deaths registered in the Orenburg region in 2019 and 2020 was made. For this purpose, the depersonalized database of medical death certificates of the mortality monitoring system of the MIAC of the Orenburg region was used. The results were evaluated using parametric and nonparametric methods. \u0000Results and discussions. The absolute number of deaths increased by 26% in 2020 compared to 2019. The maximum increase in mortality occurred in the class of “Respiratory diseases”. The leader in the absolute number of deaths with an increase of 40.5% was “Diseases of the circulatory system”. In general, the database does not trace the existence of a logical chain between the initial and immediate causes of death. In 78.67% of all causes of death according to medical certificates, the class of the original cause is not established. \u0000Limitations. The research materials are limited by the capabilities and completeness of the database of medical death certificates of the MIAC mortality monitoring system. \u0000Conclusions. The main part of the indicators in the structure due to the initial cause of death is associated with unspecified and unassigned conditions. A large proportion of causes of death where the class is not established are due to non-compliance with the ICD-10 coding rules for coding causes of death and choosing the original cause of death. There is no clear expert system of immediate and initial causes of death.","PeriodicalId":39241,"journal":{"name":"Zdravookhranenie Rossiiskoi Federatsii / Ministerstvo zdravookhraneniia RSFSR","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44510115","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":"Drug maintenance financing of patients with rare diseases: changes on the regional level","authors":"I. Komarov, E. Krasilnikova, Oksana Yu. Aleksandrova, R. Zinchenko, S. Kutsev","doi":"10.47470/0044-197x-2023-67-2-106-110","DOIUrl":"https://doi.org/10.47470/0044-197x-2023-67-2-106-110","url":null,"abstract":"Introduction. Financing of drug maintenance for patients with rare diseases has been remained one of the main topics in Russian Federation (RF) healthcare. \u0000The aim of this article is to present data regarding financing of drug maintenance for patients with life-threatening and chronic progressive rare diseases leading to a reduced life expectancy and disability. \u0000Materials and methods. There are considered changes in regional financing structure before (2018) and after (2020) the decision on the redistribution of drug maintenance financing from regional to the federal level for patients with hemolytic uremic syndrome, mucopolysaccharidosis type I, II, VI, juvenile arthritis with systemic onset, unspecified aplastic anemia, hereditary deficiency of factors II (fibrinogen), VII (labile), \u0000X (Stuart–Prower). \u0000Results. Over 2020, only in 2 regions of the Russian Federation, the cost of drug provision for patients with rare diseases from the “List of life-threatening and chronic progressive rare (orphan) diseases leading to a reduction in life expectancy of citizens or their disability” at the regional level exceeded 500 million rubles in comparison with 6 regions in 2018. In addition, the threshold of 200 million rubles was exceeded in all regions included in the list of 20 regions of the Russian Federation with the highest expenses for drug provision of patients with mentioned rare diseases at the regional level in 2018, while in 2020, only 15 regions spent more than the indicated threshold. \u0000Limitations. The number of Russian regions with large expenditures from regional funds on drug provision for patients with rare diseases were 20 regions in 2018 and 2020. \u0000Conclusion. Consistent federalization of drug provision for patients with certain rare diseases in 2019–2020 led to a decrease in funding for the provision of drugs for rare diseases from regional budgets.","PeriodicalId":39241,"journal":{"name":"Zdravookhranenie Rossiiskoi Federatsii / Ministerstvo zdravookhraneniia RSFSR","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44108473","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":"Causes of death in Almaty residents before and during the COVID-19 pandemic","authors":"V. Kamkhen, Saltanat A. Mamyrbekova, Malika G. Idayat","doi":"10.47470/0044-197x-2023-67-2-118-122","DOIUrl":"https://doi.org/10.47470/0044-197x-2023-67-2-118-122","url":null,"abstract":"Introduction. It was conducted a study of the structure and dynamics of death outcomes among Almaty residents over the COVID-19 pandemic. The leading causes of death in the population during this period may change, both through infectious morbidity and losses due to concomitant chronic non-communicable diseases associated with coronavirus infection. Material and methods. The material for the analysis was the registered data on case of deaths among Almaty residents in Kazakhstan between 2018 and 2020. We studied the structure and trend in cases of death by gender and age of patients, depending on the date and place of death and in view of the class of diseases. Results. During 2020, the number of deaths of Almaty residents increased in 1.37 and 1.40 times compared to 2018 and 2019. Differences in deaths on gender and age of patients were revealed. In trend, the number of deaths recorded in the hospital has significantly increased whereas the number of deaths at home has decreased. In 2020, five major classes of diseases dominated in the structure of causes of death: 1) I00-I99, 2) G00-G99, 3) C00-D48, 4) J00-J99, and 5) U07.1 and U07.2. Research limitations. All cases of deaths registered in Almaty were used to analyse the subject of the study, which increases the reliability of statistical conclusions. Conclusion. During the COVID-19 pandemic the structure of causes of death among residents of Almaty changed when compared with previous years. There was gain in deaths, which is primarily due to coronavirus infection and diseases associated with COVID-19. It is possible underreporting of deaths from COVID-19 among residents of Almaty which related with false registration of comorbid diseases.","PeriodicalId":39241,"journal":{"name":"Zdravookhranenie Rossiiskoi Federatsii / Ministerstvo zdravookhraneniia RSFSR","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45326728","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":"Quality of life in incurable patients as a criterion of effectiveness of palliative care","authors":"N. Petrova, Viktoria A. Yarovaya","doi":"10.47470/0044-197x-2023-67-2-129-135","DOIUrl":"https://doi.org/10.47470/0044-197x-2023-67-2-129-135","url":null,"abstract":"Introduction. The problem of palliative care developing is actual due to the increasing the proportion of older people and the number of patients with incurable diseases. The task of palliative care is to improve the quality of life in the incurable patient. To choose the best ways for solving this problem it is important to analyze all components of QL and it’s important for the evaluating the effectiveness of the measures taken. The aim of this study was to assess the quality of life in patients in the palliative care unit and its trend. Material and methods. The base of study — palliative care department. The EORTIC — QLQ30 and MSAS — SF questionnaires were used. The sample of patients included 82 people. The share of people with non-oncological diseases was 54.9%, with cancer — 45.1%. The study was conducted with an interval of one month. Results. The analysis of the trend in the quality of life showed unreliable (p > 0.05) decrease in the QL: 31.5 — 25.4 points (the maximum is 100 points). The trend in the partial components were multidirectional. The indicators of the functional scale and the symptom scale decreased from 34.7 to 29.8 points and from 30.3 to 29.9 points. The indicator of financial well-being increased: 35.0 and 38.6 points, social well–being — from 14.0 to 17.1. According to the scales characterizing the psycho-emotional status of patients, there is a positive trend: the average score of emotional well-being increased from 68.1 to 74.4; cognitive — from 44.7 to 53.2. The overall GDI distress index on the MSAS-SF scale increased from 2.3 to 2.4 points (with a maximum of 4 points). Limitations. patients receiving palliative care; satisfactory condition; follow-up interval — at least a month. Conclusion. Trend assessment in the quality of life in patients receiving palliative care should be carried out to obtain a comprehensive understanding of the urgent problems of the patient treatment, correction of therapeutic and care measures and may indicate their effectiveness.","PeriodicalId":39241,"journal":{"name":"Zdravookhranenie Rossiiskoi Federatsii / Ministerstvo zdravookhraneniia RSFSR","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48085490","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":"Features of the course and outcomes of Haff disease in the territory of the Tyumen region","authors":"Djinna I. Lebedeva, Aleksandr N. Marchenko, G. Sharuho, Yu. I. Raspopova, E. Turovinina","doi":"10.47470/0044-197x-2023-67-2-149-155","DOIUrl":"https://doi.org/10.47470/0044-197x-2023-67-2-149-155","url":null,"abstract":"Purpose is to identify the features of the clinical picture, course and outcomes of Haff disease in the Tyumen region. \u0000Materials and methods. a retrospective study was conducted. There were included nine patients (7 men and 2 women) with a diagnosis of “Alimentary-toxic paroxysmal myoglobinuria (Haff disease) (T62.8)”. Were collected original demographics (age, gender), symptoms, time to onset of initial symptoms, time to hospitalization, and laboratory tests (general blood analysis, biochemical analysis of blood, analysis of blood coagulation functions and of arterial blood gases). \u0000Results. 4 (44.4%) patients had stage 3 severity, in 3 (33.3%) — stage 2 severity and in 2 (22.3%) — stage 1 severity of alimentary-toxic paroxysmal myoglobinuria. The main complaints presented by patients at the moment admissions were pain in the leg muscles (n = 6; 66.7%) and lower back (n = 6; 66.7%), dark urine \u0000(n = 5; 55.5%) and weakness (n = 4; 44.4%). Myoglobin, ALT, AST, LDH, CPK and CPK-MB were increased in all patients, the average level of these indicators was 4691.4 ± 2831.5 ng/ml, 1572.0 ± 547.5 U/L, \u0000547.3 ± 158.2 U/L, 1555.7 ± 420.6 U/L, 33662.4 ± 15195.7 U/L and 1848.8 ± 692.6 U/L, respectively. \u0000The main complications developed in patients with stage 3 severity include acute renal and hepatic insufficiency and cardiomyopathy. Milder degrees of the disease (1–2 stages) were characterized by such complications \u0000as hepatitis and myocarditis. Also 1 death was observed, the analysis of this clinical case is analyzed in detail. \u0000Limitations. The main limitation of the study is the small group of patients due to the rare occurrence of Huff disease. In addition, there are no data on the amount of eaten fish, while there is evidence of a direct relationship between the severity of the disease and the amount of eaten food. The results are obtained in this region, \u0000and may differ from the results of other territories. \u0000Conclusion. with the development of myalgia or weakness of unknown etiology, it is necessary to ask patients if they have eaten fish in the previous 24 hours.","PeriodicalId":39241,"journal":{"name":"Zdravookhranenie Rossiiskoi Federatsii / Ministerstvo zdravookhraneniia RSFSR","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48943000","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":"Contact-tracing of the COVID-19 spreading using digital technologies with artificial intelligence (literary review)","authors":"Botir T. Daminov, Sherzod P. Ashirbaev, Igor P. Vikhrov","doi":"10.47470/0044-197x-2023-67-2-142-148","DOIUrl":"https://doi.org/10.47470/0044-197x-2023-67-2-142-148","url":null,"abstract":"The emergence of COVID-19 almost coincided with the beginning of an active phase of the digitalization process in all areas, including the healthcare system. Moreover, COVID-19 unwittingly became the impetus that accelerated the adoption of digital technologies, and initiated new, often innovative solutions to combat both the virus and its devastating social and economic consequences. \u0000The purpose of the study: the current study conducts a literature review of existing scientific reports in the field of digital contact-tracing COVID-19 using artificial intelligence (AI) technologies, to discuss issues related to the security of personal data when using official mobile applications, to draw conclusions and make recommendations in the field of effective and ethical management of digital contact-tracing as one of the main tools for preventing the spread of the pandemic. \u0000Scientific reports contained in the scientific research databases of Ebsco Publishing and SpringerLink for the period March 2020 — April 2021 were analyzed. \u0000Digital contact-tracing solutions have found their important place among other anti-epidemic measures in many countries around the world. However, the same solutions, but already using AI, are still gaining popularity. National governments in numerous developed and developing countries understand the importance of national contact-tracing systems, which in turn has introduced such approaches in national pandemic response strategies. \u0000Conclusion: Digital contact-tracing technologies using AI can be an effective tool in the fight against COVID-19 and similar pandemics. However, such digital systems are still at a preliminary stage of their development and implementation, and it will take time before the results will be visible. Very few of the considered examples and models of digital tracing solutions using AI technologies have operational maturity at this stage.","PeriodicalId":39241,"journal":{"name":"Zdravookhranenie Rossiiskoi Federatsii / Ministerstvo zdravookhraneniia RSFSR","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43945337","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 choice as a moral dilemma for doctors in the context of COVID-19","authors":"V. Nikishina, E. Petrash, A. Morgun, Lyubov A. Morgun, T. V. Nedurueva","doi":"10.47470/0044-197x-2023-67-2-163-171","DOIUrl":"https://doi.org/10.47470/0044-197x-2023-67-2-163-171","url":null,"abstract":"Introduction. The COVID-19 pandemic has added new semantic trend to the problem of the professional choice of doctors through a change in the conditions of their activities in the direction of intensifying tasks, complicating the possibilities for their implementation, and multiplying the uncertainty of the efforts made. \u0000The purpose of the study. Assessing the professional choice of doctors in the context of COVID-19 when solving moral dilemmas. \u0000Material and methods. The total sample size was four hundred twenty nine people (doctors of various surgical and therapeutic specialties) aged of 25–32 years. All doctors had at least 1.5 years of practical experience in COVID-19 conditions. The study was conducted using a questionnaire developed by the author, containing 24 moral dilemmas related to professional decision-making. \u0000Results. Regardless of the doctor’s profile, professional choice is made in favour of patients of the same gender as the doctor. At the same time, both male and female doctors strive to save young patients (up to 50 years old) with chronic diseases. At the same time, it should be noted that the profile (therapeutic or surgical) of a doctor and his specialty also influence the criteria for choosing professional decisions. Clear criteria in the situation of moral choice have not been established only in the group of ophthalmologists. \u0000Limitations. Excluded from participation in the study were pediatricians and dentists, as well as doctors who lack professional experience in the context of COVID-19. \u0000Conclusion. As a result of the study, it was found that regardless of the working conditions (in the red zone for COVID-19, in the green zone), both male and female doctors choose in favour of patients of the same gender. At the same time, doctors working in the red zone on COVID-19 make a professional choice in a situation of moral choice in favour of young patients of the same gender with chronic diseases. Physicians working in the green zone make the choice to rescue elderly patients of the same gender as physicians.","PeriodicalId":39241,"journal":{"name":"Zdravookhranenie Rossiiskoi Federatsii / Ministerstvo zdravookhraneniia RSFSR","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49648971","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":"Health Care System for Ethiopian population (analytical review)","authors":"I. B. Molla, P. Kiku, V. N. Rasskazova, V. D. Bogdanova","doi":"10.47470/0044-197x-2023-67-2-123-128","DOIUrl":"https://doi.org/10.47470/0044-197x-2023-67-2-123-128","url":null,"abstract":"The problem of obtaining high-quality, affordable, effective medical care for the population in developing countries, especially the African continent, is urgent. \u0000The purpose of the study is an assessment of Ethiopian health care system based on various health indicators of the country’s population. \u0000The following indicators characterizing the health care system were used: health care financing, life expectancy, indicators of medical care, human resources capacity of health care institutions, population morbidity, crude mortality rate, maternal mortality rate, infant and child mortality rate, vaccine prevention. There were analyzed the scientific literature reviews, obtained from the incidence databases of the World Bank, the World Health Organization, the Ethiopian Ministry of Health and other sources. The search for scientific literature was carried out using the Scopus, Web of Science, MedLine, Global Health databases. \u0000The review presents an assessment of the health care delivery system in Ethiopia, which identified a number of problems regarding the underfunding of the health care system. Maternal and child mortality rates were noted to be significantly reduced owing to the implementation of programs for prenatal care and vaccination of children. The distribution of highly qualified employees is biased towards private and non-governmental organizations. Statistical data showed an increase in the coverage of routine vaccination of children in recent years. \u0000The analysis made it possible to determine the main directions of medical and preventive work and can fully serve as the base for the development of programs for the improvement of the population of Ethiopia.","PeriodicalId":39241,"journal":{"name":"Zdravookhranenie Rossiiskoi Federatsii / Ministerstvo zdravookhraneniia RSFSR","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45951452","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":"On the main directions of development of centers of public health \u0000and medical prevention in Russia (literature review)","authors":"S. Magomedova, V. S. Nechaev, A. Zagoruychenko","doi":"10.47470/0044-197x-2023-67-1-42-48","DOIUrl":"https://doi.org/10.47470/0044-197x-2023-67-1-42-48","url":null,"abstract":"At present, besides of the particular important preventive orientation of the health service, the creation of a unified preventive environment in society becomes the most relevant. According to the official statistical data, unfavourable trends of increasing in primary and common morbidity are noted. In adolescent group of population, the propagation of diseases of endocrine system (obesity, diabetes mellitus) and of urogenital system intensively increases. Among adult population as previously the first place belongs to diseases of cardiovascular system. With the purpose to change existing conditions, the priority attention is to be focused on processes of sanitary hygienic education of children and adolescent population and measures of overcoming harmful habits, and the implementation of new technologies into functioning of public health and medical prevention centers. \u0000The purpose of the study is to determine possible basic directions of development of public health and medical prevention centers in the Russian Federation as examplified by management of prevention of non-communicable diseases in population of various age categories. \u0000Material and methods. The theoretical material of the research was the Federal legislation, normative and legislative acts, scientific publications of such bases as eLibrary (RSCI), CyberLeninka, MedLine, Scopus. In the course of this research, bibliographic, informational and analytical method, content analysis, and a comparative analysis were applied. \u0000The certain characteristics of public health and medical prevention centers activities for different age groups were systematized and presented as exemplified by management of prevention on non-infectious diseases in population, main directions of development of these medical institutions were determined, considering current demographic situation and implementation of new health-saving technologies. \u0000Conclusions. The analysis demonstrated the introduction of new management technologies and tools in public health and medical prevention centers will increase the interest of patients in their health, awareness of the population of different age groups about the existence of these medical institutions, and ensure preventive activity of citizens.","PeriodicalId":39241,"journal":{"name":"Zdravookhranenie Rossiiskoi Federatsii / Ministerstvo zdravookhraneniia RSFSR","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47339481","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}