Territorial differentiation of public health in Kamchatka Krai

Prospects for long-term socio-economic development of Russian regions necessitate the implementation of new spatial assessments of the most important characteristics of living conditions and public health. The purpose of this study was to conduct a territorially differentiated assessment of the population health status of the Kamchatka Region over the last decade (2010-2019). This study was based on a cluster analysis of the main administrative-territorial units (districts) of the Kamchatka Region using five thematic indices. All indices characterize the complex state of population health. The indices were calculated for five blocks of indicators with 17 medico-demographic and epidemiological parameters. Cluster analysis classified all districts of the Kamchatka Region into five clusters (types). The five clusters of districts with different levels of population health status (above average, average, below average, low, very low) have been analyzed using comparative method. The most unfavorable levels of population health status were identified in the fourth (Karaginsky, Olyutorsky) and fifth (Penzhinsky, Tigilsky, Bystrinsky) clusters of districts. An important research perspective in the future is the development of new measures in the field of regional and municipal health care in the Kamchatka Region.