The analysis of attitude of patients to rendering of paid medical services in municipal polyclinic.

In modern society conditions, particular importance is attached to implementation of concept of relationship marketing in organization of provision of medical services. At that, implementation of marketing approaches in interaction between physician and patient, as well as between patient and administrators of department of paid medical services as primary link of contact "patient - medical institution" is of great importance. Purpose of the study is to develop portrait of consumer of paid medical services in state budgetary medical institution. The method of continuous questioning was implemented in study during 2015-2018. The sampling included 343 respondents. The survey demonstrated that main consumers of paid medical services in Moscow budgetary medical institutions are individuals of able-bodied age, married and with income per family member from 10 to 30 thousand rubles per month. Most of respondents are satisfied with quality of paid medical services. According to survey results concerning patients preferences of various forms of participation in paying for medical services, official payment to cashier was the most preferable form (45% of respondents), 73% of respondents noted their positive attitude towards paid medical services in municipal polyclinics and 61% noted that availability of paid medical services in state budgetary medical institutions helps to more fully implement right of citizen to medical care, provided that they are not included in mandatory medical insurance program. The high level of patient satisfaction with provision of paid medical services was revealed for following aspects: competence and courtesy of physician, convenient location of medical institution. There is positive attitude of patients to availability of paid medical services that are not included in state program in territorial polyclinic, related to increasing of territorial accessibility when receiving them at relatively low cost.

[The problems of implementing strategies of prevention in The Russian Federation: The new considerations of old truths (publications review)].

Over the last decades, with purpose of increasing efficiency of medical and preventive activities, the search, development, implementation and improvement of new methods and models of health care system functioning and management of medical organizations is carried out. Purpose of the study - to analyze mechanisms of implementing strategies of medical prevention in the Russian Federation. The publications on implementation of strategies of medical prevention in the Russian Federation were analyzed. The data analysis testifies that improvement of preventive activities at the level of ambulatory polyclinic care is initiated in many subjects of the Russian Federation. However, efficiency of these innovations remains relatively low. The conclusion is made that high morbidity and mortality of non-communicable diseases testify the most urgent need in optimizing prevention system.

[The Mental Health and Chronic Infectious Diseases].

Actually, the problem of decreasing growing burden of NCD is especially acute both worldwide and in the Russian Federation. According to the results of scientific research in recent decades, mental disorders are increasingly considered as the new main group of CNCDs. The article presents data from scientific publications concerning issues of relationship between mental and somatic health, corresponding key research approaches, prevention and treatment of mental diseases, including associated with the main groups of CNCDs, effect of borderline mental disorders on body systems functioning.