DOI: 10.33917/mic-6.119.2024.104-120

In this study, the causes of unsatisfactory organization of accessible and high-quality medical care were diagnosed, directions for improving its organization were determined, and an attempt was made to economically evaluate the role of industry executives in the efficiency of using budget funds allocated for the development of health care.

The proposed approach enables the development of scientifically based risk minimization tools and mechanisms to achieve the goals of improving the organization of highly qualified, accessible and high-quality medical care.

References:

1. Cipolla C. The 5 basic laws of human stupidity, according to Cipolla. News Editors. Book. 11/05/2021. URL: https://www.naturalnews.com/

2. Cipolla C.M.  The Basic Laws of Human Stupidity. 2024. URL: https://thebeerthrillers.com/2023/11/20/

3. Ганнушкин П.Б. Клиника психопатий их статика, динамика, систематика. Москва. Издательство Юрайт. 2023. 165 c.

4. Voskanyan Y., Kidalov F., Shikina I., Kurdyukov S., Andreeva O. Model of Individual Human Behavior in Health Care Safety Management System. In: Antipova T. (ed.). Russian Sklifosovsky Journal of Emergency Medical Care. 2022. № 11(2). p. 30.

5. Gill S., Mills P.D., Watts B.V., Paull D.E., Tomolo A. A Review of Adverse Event Reports from Emergency Departments in the Veterans Health Administration. J Patient Saf. 2021;17(8):898–903.

6. Panagioti M., Khan K., Keers R.N., Abuzour A., Phipps D., Kontopantelis E., et al. Prevalence, severity, and nature of preventable patient harm across medical care settings: systematic review and meta-analysis. BMJ. 2019;366:l4185.

7. Lavrenteva M. V. Is healthcare a public good or a market service? A critical analysis of the discussion of strategies and tactics for the development of the global healthcare system in post-Covid conditions based on the current debates around the works of B. Gates and the World Health Organization. 2023;7(133).

8. Zadvornaya O.L. Conceptual approaches to improving the qualifications of personnel for the implementation of lean manufacturing technologies in medical organizations providing primary health care. Medical technologies. Assessment and selection. 2020;1: 48–54.

9. Omelyanovsky V.V., Gorkavenko F.V., Ignatyeva N.V., Mukhortova P.A., Ryzhova O.R., Teptsova T.S., Kingshott A.A., Kondratieva B.B. Real clinical practice: principles of use in making management decisions and assessing healthcare technologies. Pharmacoeconomics. Modern pharmacoeconomics and pharmacoepidemiology. 2023;16(2):283–290.

10. Voskanyan Yu.E. Adverse Events Associated with the Provision of Health Care, or the Downside of Healthcare in Foreign Countries (a Systematic Review). Surgery. Pirogov Journal. 2022;4:79–98.

11. Vetoshkin S. Digitalization Has Turned Medicine into a «Mouse Fray». Report at a Meeting of the Expert Council on Modern Management and Digitalization in Healthcare of the Duma Committee on Health Protection. 06/21/2024. URL: https://svpressa.ru/blogs/article/420598/

DOI: 10.33917/mic-4.111.2023.82-93

Examines the state of the healthcare system in the regions of the Arctic zone of the Russian Federation based on the analysis of the level of provision of the population with healthcare facilities and personnel, judging by such specific indicators of annual state statistical reporting as the number of doctors of all specialties and secondary medical personnel, the burden on healthcare workers, the number of secondary medical personnel per doctor, the population per one a hospital bed, the capacity of outpatient clinics, the morbidity of the population with a diagnosis established for the first time in their lives. The ranking of the main classes of diseases according to the indicator characterizing the number of cases was also carried out. The dynamics of changes in these specific indicators from 2005 to 2021 is given, which allowed us to identify trends towards an increase or decrease in the quantitative values of the indicators under consideration.

References: 

1. Decree of the Government of the Russian Federation dated May 20, 2023 No. 1315-r “On approval of the Concept of technological development for the period up to 2030”. URL: https://www.consultant.ru/document/cons_doc_LAW_447895/

2. Global Innovation Index 2022

3. Rating of regions by scientific and technological development – the results of 2021. URL: https://riarating.ru/infografika/20221024/630231634.html

4. Human development index in Russia: regional differences. URL: https://ac.gov.ru/uploads/2-Publications/analitika/2022/_2021_long.pdf

5. Most educated countries in 2023. URL: https://translated.turbopages.org/proxy_u/en-ru.ru.822d3c45-64ae8608-e9b7ec27-74722d776562/https/worldpopulationreview.com/country-rankings/most-educated-countries

6. Information and analytical materials based on the results of monitoring the activities of educational institutions of higher education. URL: https://monitoring.miccedu.ru/?m=vpo&year=2021

7. In 2022, the size of the market for additional professional education in Russia decreased by 3.8%: from 824 to 793 million acad. hours. URL: https://businesstat.ru/news/additional_professional_education/

8. Demographics. URL: https://rosstat.gov.ru/folder/12781

9. Life expectancy in Russia rose to a record high after a two-year decline. URL: https://www.rbc.ru/economics/26/03/2023/641f04989a7947c736e37524

10. On the results of the work of the Ministry of Health of the Russian Federation in 2022 and tasks for 2023. URL: http://medinvestclub.ru/wp-content/uploads/2023/04/About-results-of-work.pdf

11. The main directions of the budget, tax and customs tariff policy for 2023 and for the planning period of 2024 and 2025. URL: https://minfin.gov.ru/common/upload/library/2022/10/main/Osn_2023-2025.pdf

DOI: 10.33917/mic-6.89.2019.73-79

The algorithm for choosing strategic priorities for the development of social infrastructure is considered as a mechanism for managing territorial socio-economic systems (TSES). The applied approach is supplemented by monitoring the state of health care and education on the basis of a survey of direct consumers of social services at all stages of strategy development. To determine the priority areas for improving social infrastructure, a methodology for assessing the dynamics of the main indicators of the social sphere of TSES is proposed. It is based on determining the increment in the quantitative parameters of objects of health care and education systems. The advantage of the technique is the possibility to use publicly available statistics.

DOI: 10.33917/mic-6.89.2019.80-91

The studies have shown that the resource provision of health care in the Republic of Bashkortostan (RB) in the Volga Federal District (VFD) is low. This is evidenced by the obtained ranks in terms of resource provision for 2017. The resource support factors affecting the change in the gross regional health product and the provision of social services are also investigated. The direct moderate relationship was revealed with such factors as the capacity of outpatient organizations, the number of doctors of all specialties, and labor productivity. The high relationship has been established with the average salary of health workers and the provision of social services with an effective attribute. The economic and mathematical dependence of the gross regional health product on the average wage of workers in this field of activity is built. The model is applicable for predicting the development of healthcare in Bashkortostan.

DOI: 10.33917/mic-3.92.2020.44-55

The development need an industry methodology for assessing clinical and economic efficiency in the segment of dental practice was reasonable.

Studies have been carried out to identify, the possibility and advisability of applying established theoretical principles and proven methods for assessing the effectiveness of processes and technologies in the dental practice segment.

The most effective methods and techniques for evaluating effectiveness were selected, indicators were developed, and formulas for calculating them in relation to dental practice were developed. The results of testing the developed method on the example of orthopedic planning was presented. The practical significance and feasibility of using the proposed methodology in dental practice was proved.

No major cause in the time of V.V. Putin and D.A. Medvedev was completed, no major affair had a large economic effect.