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:

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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.

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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: https://doi.org/10.33917/es-6.180.2021.20-29

Demographic dynamics becomes crucially important for successful scenario of the future for both Eurasian integration and each EAEU member state. The “pandemic crisis” caused an increase in excess mortality, reduced social well-being and created serious legal and managerial conflicts. Within the EAEU new barriers to mobility and migration have emerged and social tension has increased. In the existing realities the current supranational solutions are insufficient, they are poorly focused on achieving the demographic security of the EAEU member states. Coordinated actions are needed to significantly improve the demographic situation in the EAEU.

DOI: https://doi.org/ 10.33917/es-5.179.2021.6-15

How is it that in Russia, unlike in other countries, during the coronavirus pandemic the total mortality increased by a record amount and the income and consumption of the population decreased to the greatest extent? The point is that the crisis, caused by the coronavirus pandemic, is completely different from previous ones. It highlights the dilemma: should we use forces and means to prevent an economic recession with lower costs for anti-crisis measures, or focus on saving people’s lives while minimizing additional mortality and maintaining real incomes of the population? Each country, depending on objectives, prevailing conditions and opportunities, chooses its “golden mean”. In many cases such choice is not fully conscious, since it’s not possible to forecast with any certainty even over the near term. Decisions have to be taken up along the way, based on the situation and assessing the probability of certain events, including in view of the other countries’  experience in combating the pandemic.

DOI: https://doi.org/ 10.33917/es-5.179.2021.6-15 

How is it that in Russia, unlike in other countries, during the coronavirus pandemic the total mortality increased by a record amount and the income and consumption of the population decreased to the greatest extent? The point is that the crisis, caused by the coronavirus pandemic, is completely different from previous ones. It highlights the dilemma: should we use forces and means to prevent an economic recession with lower costs for anti-crisis measures, or focus on saving people’s lives while minimizing additional mortality and maintaining real incomes of the population? Each country, depending on objectives, prevailing conditions and opportunities, chooses its “golden mean”. In many cases such choice is not fully conscious, since it’s not possible to forecast with any certainty even over the near term. Decisions have to be taken up along the way, based on the situation and assessing the probability of certain events, including in view of the other countries’  experience in combating the pandemic.

DOI: https://doi.org/10.33917/es-4.178.2021.14-21

The article analyzes the current situation and long-term strategy in the sphere of fertility and mortality in Russia. Methodology for elaborating the social doctrine of the Russian Federation in 2025–2030 is addressed

DOI: https://doi.org/10.33917/es-4.178.2021.6-13

How is it that in Russia, unlike in other countries, during the coronavirus pandemic the total mortality increased by a record amount and the income and consumption of the population decreased to the greatest extent? The point is that the crisis, caused by the coronavirus pandemic, is completely different from previous ones. It highlights the dilemma: should we use forces and means to prevent an economic recession with lower costs for anti-crisis measures, or focus on saving people’s lives while minimizing additional mortality and maintaining real incomes of the population? Each country, depending on objectives, prevailing conditions and opportunities, chooses its “golden mean”. In many cases such choice is not fully conscious, since it’s not possible to forecast with any certainty even over the near term. Decisions have to be taken up along the way, based on the situation and assessing the probability of certain events, including in view of the other countries’  experience in combating the pandemic.

In the article the state of health care development in the Russian Federation (RF), the Volga Federal District (PFD) and the Republic of Bashkortostan (RB) is analyzed. The study applied indicators of the development of health economics. The target values ​​for 2018 and 2020, reflected in the “Forecast of the long-term socio-economic development of the Russian Federation for the period up to 2030,” were used as the criteria parameters. This document was developed by the Ministry of Economic Development of the Russian Federation. The preliminary assessment of the implementation of the planned indicators of the development of health care in the Russian Federation revealed that in 2015, target indicators for reducing the mortality rate of the population from neoplasms and road accidents were not achieved. In addition, the analysis showed that the ratio of wages of doctors and medical employees to the average wage in the region is below target values, they differ in the regions of the Russian Federation, the Volga Federal District and the categories of employees. The existing problems in health care are solvable only in the conditions of a constant increase in expenditures in this social sphere.

The present article analyzes demographic situation in Moscow. It focuses on such topical demographic problems of the city population as migration, birth rate, marriage, length of life, population aging. The author considers the problem of low birth rate as one of the key ones in demographic development of Moscow, without solution of which in many respects it is impossible to cope with the other demographic problems of the capital, such as depopulation of the indigenous population, deformation of the population age structure, reduction of the traditional marriage value. The article presents statistical data characterizing demographic processes in Moscow, it identifies the main trends, evaluates the consequences.

The article presents a comparative analysis of various forecast options of major demographic indicators dynamics for Russia up to 2030. Data of Rosstat and the UNO forecasts are used. Assumptions underlying forecasts are analyzed and possible dynamics of fertility and mortality indicators are assessed. The article also examines, based on the index method, the contribution of various birth-rate components (fertility intensity, proportion of reproductive age women and the age structure of reproductive contingent) in the overall dynamics of this indicator.

The main objective of the round table “Radical improvement of public health — an essential condition of the Russian society and economy modernization” is deeper understanding of the health systems impact on the state of population health and critical analysis of the latest evidence on effective strategies for improving health systems functioning with regard to increasing demands to ensure their sustainability and the principle of solidarity.