ОБЩЕСТВЕННОЕ ЗДОРОВЬЕ И РАЗВИТИЕ ЗДРАВООХРАНЕНИЯ В РЕГИОНАХ РОССИИ
Аннотация
В статье основное внимание уделено разработке методического инструментария оценки общественного здоровья и уровня развития здравоохранения в регионах России. Новизна подхода заключается в исследовании общественного здоровья как экономической категории, отражающей как затраты экономических ресурсов страны, направляемых на охрану здоровья населения, так и результативность государственной политики государства, направленной на охрану здоровья населения.
Разработан методический инструментарий многокритериальной оценки общественного здоровья и уровня развития здравоохранения в регионах России на основе интегральных индикаторов результативности и ресурсной обеспеченности системы здравоохранения. Для формирования интегральных индикаторов использованы сопоставимые по регионам России статистические данные, отражающие обеспеченность населения услугами врачей, средним медицинским персоналом, больничными койко-местами, ожидаемую продолжительность здоровой жизни, суммарный коэффициент рождаемости, коэффициент младенческой смертности, коэффициент смертности населения трудоспособного возраста.
Проведена дифференциация регионов России по интегральным индикаторам результативности и ресурсной обеспеченности системы здравоохранения. Определены основные проблемы функционирования системы здравоохранения на территориях регионов России.
Обоснованы предложения по совершенствованию подготовки медицинских кадров, повышению доступности первичной медицинской помощи, уровня оснащенности современным медицинским оборудованием медицинских учреждений, обеспечению информированности местного населения о здоровом образе жизни.
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Литература
Agarkov V.I., Likhobabina O.A., Agarkov A.V., Bugasheva N.V., Parakhina O.N. Teorii obshchestvennogo zdorov’ya, meditsiny i narodonaseleniya [Theories of public health, medicine and population]. Vestnik gigieny i epidemiologii [Bulletin of Hygiene and Epidemiology], 2019, vol. 23, no. 2, pp. 152-155. https://vh.dnmu.ru/index.php/VHE-2-2018/article/download/251/262/
Belikova I.V., Radchenko N.R., Kustareva L.P. Monitoring sostoyaniya zdorov’ya naseleniya v kontekste razvitiya obshchestvennogo zdravookhraneniya [Monitoring of the health status of the population in the context of public health development]. Zdorov’e cheloveka, teoriya i metodika fizicheskoy kul’tury i sporta [Human health, theory and methodology of physical culture and sports], 2019, no. 4 (15), pp. 257-261. http://journal.asu.ru/zosh/article/view/7105
Boldina K.S. Klassifikatsiya regionov RF po urovnyu razvitiya sistemy zdravookhraneniya [Classification of regions of the Russian Federation by the level of development of the health care system]. Vestnik Volgogradskogo gosudarstvennogo universiteta [Bulletin of the Volgograd State University], 2015, no. 2 (27), pp. 31-39. http://dx.doi.org/10.15688/jvolsu1.2015.2.3
Gosudarstvo i obshchestvo: tseli, prioritety, imperativy [State and society: goals, priorities, imperatives]. https://old.wciom.ru/index.php?id=236&uid=10703 (accessed 01.03.2021)
Dagbaeva S.D-N. Territorial’nye problemy razvitiya sotsial’noy infrastruktury [Territorial problems of social infrastructure development]. Fundamental’nye issledovaniya [Fundamental research], 2019, no. 4, pp. 38-42. http://dx.doi.org/10.17513/fr.42435
Zhuravleva T.A. Dostupnost’ uslug zdravookhraneniya v Orlovskoy oblasti [Availability of healthcare services in the Oryol region]. Vestnik Akademii znaniy [Bulletin of the Academy of Knowledge], 2018, no. 1 (24), pp. 83-89. http://academiyadt.ru/zhurnal-vestnik-akademii-znanij-vaz-24-1-yanvar-fevral-2018/
Zakharova E.N. Regional’nye osobennosti sostoyaniya zdorov’ya naseleniya i organizatsii sistemy zdravookhraneniya Sverdlovskoy oblasti [Regional features of the health status of the population and the organization of the health care system in the Sverdlovsk region]. Vestnik Belgorodskogo universiteta kooperatsii, ekonomiki i prava [Bulletin of the Belgorod University of Cooperation, Economics and Law], 2019, no. 3, pp. 128-137. https://doi.org/10.21295/2223-5639-2019-3-128-137
Zdravookhranenie v Rossii. 2019: Stat.sb. [Healthcare in Russia] / Rosstat. M., 2019. 170 p.
Ivanova S.N. Ranzhirovanie territoriy regional’nogo i lokal’nogo urovney po dostupnosti uslug sotsial’noy sfery [Ranking of territories of regional and local levels according to the availability of social services]. Ekonomika i upravlenie: nauchno-prakticheskiy zhurnal [Economics and Management: scientific and practical journal], 2020, no. 4 (154), pp. 131-136. https://doi.org/10.34773/EU.2020.4.28
Katkova I.P. Rossiyskoe zdravookhranenie v kontekste zadach dostizheniya vseobshchey dostupnosti uslug zdravookhraneniya k 2030 godu [Russian healthcare in the context of the tasks of achieving universal accessibility of healthcare services by 2030]. Narodonaselenie. [Population], 2020, vol. 23, no. 1, pp. 135-147. https://doi.org/10.19181/population.2020.23.1.11
Ludupova E.Yu. Nuchno-organizatsionnye printsipy postoeniya territorial’noy sistemy upravleniya kachestvom meditsinskoy deyatel’nosti [Scientific and organizational principles of building a territorial system for managing the quality of medical activity]: Abstract of the thesis. ... Dr. med. sciences. Moscow, 2019, 47 p.
Natsun L.N. Otsenka pokazateley obshchestvennogo zdorov’ya v Rossii v kontekste vypolneniya Tseley ustoychivogo razvitiya OON [Assessment of public health indicators in Russia in the context of the implementation of the UN Sustainable Development Goals]. Sotsial’naya politika i sotsiologiya [Social Policy and Sociology], 2019, vol. 18, no. 4, pp. 5-13. https://doi.org/10.17922/2071-3665-2019-18-4-5-13
Pasport natsional’nogo proekta «Demografiya» [Passport of the national project “Demography”]. http://government.ru/info/35559/ (accessed 01.03.2021)
Pasport natsional’nogo proekta «Zdravookhranenie» [Passport of the national project “Health”]. http://government.ru/info/35561/ (accessed 01.03.2021)
Pis’mennaya E.E., Mozhenkova E.M. Dostupnost’ i kachestvo meditsinskikh uslug v rossiyskoy sisteme zdravookhraneniya [Mozhenkova E.M. Availability and quality of medical services in the Russian health care system]. Vestnik Finansovogo universiteta [Bulletin of the Financial University], 2016, no. 2 (22), pp. 36-40. https://humanities.fa.ru/jour/article/view/110/99
Postanovlenie Pravitel’stva RF ot 26 dekabrya 2017 g. № 1640 “Ob utverzhdenii gosudarstvennoy programmy Rossiyskoy Federatsii «Razvitie zdravookhraneniya» [Decree of the Government of the Russian Federation of December 26, 2017 No. 1640 “On approval of the state program of the Russian Federation “Development of healthcare”]. https://www.garant.ru/products/ipo/prime/doc/71748440/ (accessed 01.03.2021)
Rusinova N.L., Panova L.V. Dostup k uslugam zdravookhraneniya: metodologichsekie podkhody i metody izmereniya [Access to healthcare services: methodological approaches and measurement methods]. Zhurnal sotsiologii i sotsial’noy antropologii [Journal of Sociology and Social Anthropology], 2002, vol. V, no. 4, pp. 147-163. https://ecsocman.hse.ru/data/343/877/1219/011_Rusinovax2c_Panova_147-163.pdf
Tagaeva T.O., Kazantseva L.K. Obshchestvennoe zdorov’e i reforma zdravookhraneniya v Rossii [Public health and health care reform in Russia]. Mir novoy ekonomiki [World of a new economy], 2019, vol. 13, no. 3, pp. 126-134. https://doi.org/10.26794/2220-6469-2019-13-4-126-134
Timofeev L.F., Petrova P.G., Borisova N.V., Turkebaeva L.K., Timofeev A.L. Integral’nyy analiz pokazateley obshchestvennogo zdorov’ya i resursnoy obespechennosti zdravookhraneniya po ekonomicheskim zonam Respubliki Sakha (Yakutiya) [Integral analysis of public health indicators and resource provision of health care in the economic zones of the Republic of Sakha (Yakutia)]. Vestnik Severo-Vostochnogo federal’nogo universiteta imeni M.K. Ammosova. Seriya: «Meditsinskie nauki» [Bulletin of the North-Eastern Federal University named after M.K. Ammosov. Series: “Medical Sciences”], 2020 no. 2 (19), pp. 60-67. https://doi.org/10.25587/SVFU.2020.19.2.006
Toropushina E.E. Metodicheskie podkhody k otsenke urovnya razvitiya sotsial’noy infrasturktury regionov Severa i Arktiki Rossii [Methodological approaches to assessing the level of development of social infrastructure in the regions of the North and the Arctic of Russia]. Sever i rynok: formirovanie ekonomicheskogo poryadka [North and the market: the formation of the economic order], 2018, no. 4 (60), pp. 101-111. https://doi.org/10.25702/KSC.2220-802X.4.2018.60.101-111
Federal’naya sluzhba gosudarstvennoy statistiki Elektronnyy resurs [Federal State Statistics Service . Electronic resource]. URL: https://rosstat.gov.ru (date of access: 01/29/2021).
Tsekhla S.Yu., Plugar’ E.V. Zdorov’e naseleniya i razvitie ekonomiki zdorov’ya [Population health and development of health economics]. Uchenye zapiski Krymskogo federal’nogo universiteta imeni V.I. Vernadskogo. Ekonomika i upravlenie [Scientific notes of the Crimean Federal University named after V.I. Vernadsky. Economics and Management], 2017, vol. 3 (69), no. 1, pp. 104-110. http://sn-ecoman.cfuv.ru/wp-content/uploads/2018/02/010cexla.pdf
Shabunova A.A. Obshchestvennoe zdorov’e i ego izmerenie [Public health and its measurement]. Sotsiologicheskiy al’manakh [Sociological almanac], 2011, no. 2, pp. 173-181. https://socio.bas-net.by/wp-content/uploads/2016/04/soc_alm2.pdf
Mcintyre D., Meheus F., Røttingen J. What level of domestic government health expenditure should we aspire to for universal health coverage? // Health Economics, Policy and Law, 2017, vol. 12, no. 2, pp. 125-137. https://doi.org/10.1017/S1744133116000414
Duganov M.D., Shabunova A.A., Kalashnikov K.N. Post-Industrial Countries’ Experience in Medical Care Restructuring and Lessons for Russia. Problems of territory’s development, 2016, no. 2, pp. 65-81. http://pdt.vscc.ac.ru/article/1799/full
Ivanova A.A., Potapov A.F., Timofeev L.F., Makarova T.S., Bulatov A.V., Ignateva L.V. Trends in Mortality from Preventable Causes in the Sakha Republic (Yakutia). International Journal of Biomedicine, 2020, vol. 10, no. 2, pp. 169-173. https://doi.org/10.21103/Article10(2)_OA17
Dybul M. Health financing seen from the global level: beyond the use of gross national income. Health Economics, Policy and Law, 2017, vol. 12, Special Issue 2: Towards a Global Framework for Health Financing, pp. 117-120. https://doi.org/10.1017/S1744133116000396
Elovainio R., Evans D. Raising more domestic money for health: prospects for low- and middle-income countries. Health Economics, Policy and Law, 2017, vol. 12, Special Issue 2: Towards a Global Framework for Health Financing, pp. 139-157. https://doi.org/10.1017/S1744133116000426
Moon S., Røttingen J., Frenk J. Global public goods for health: weaknesses and opportunities in the global health system. Health Economics, Policy and Law, 2017, vol. 12, Special Issue 2: Towards a Global Framework for Health Financing, pp. 195-205. https://doi.org/10.1017/S1744133116000451
Moon S., Omole O. Development assistance for health: critiques, proposals and prospects for change. Health Economics, Policy and Law, 2017, vol. 12, Special Issue 2: Towards a Global Framework for Health Financing, pp. 207-221. https://doi.org/10.1017/S1744133116000463
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