[The morbidity with temporary disability and its regional characteristics in the Russian Federation in 2000-2018].

The article presents the results of analysis of dynamics of morbidity of working population with temporary disability in the Russian Federation in 2000-2018 according its causes, assessment of gender and age differences and in the context of Federal Okrugs and subjects The Russian Federation. The significant changes in rate and duration of temporary disability indices on National and Regional levels are considered. The absence of differences in structure of causes and average duration of morbidity with temporary disability is analyzed. The most "damaging" gender and age groups of working population in cases and days are determined, that determines need in development of target efficient measures of preventing and reducing temporary disability in Russia.

[The actual problems of planning of obstetric-gynecologic care in The Russian Federation].

The purpose of the study was to analyze normative legal documents and their modifications in order to determine the labor standards of medical personnel in case of rendering and planning obstetric gynecological care in the Russian Federation, including standards of number of medical personnel in medical organizations and modes of operation of various types. The materials of the study were normative legal documents presented at the WEB-portal "garant.ru". The comparative analysis of actual normative legal set of documents concerning labor standards in the profile of "obstetrics and gynecology" demonstrated that the new order of Minzdrav of Russia № 1130n of 20.10.2020 introduced significant changes as compared with the current one. Its provisions contribute to reducing staffing by obstetricians-gynecologists of medical organizations providing primary health care, and to decreasing significantly the number of nurses for all types of considered medical organizations. The main drawback of the new order and the erroneousness of the orders on Procedures of Minzdrav of Russia in terms of staff support of round-the-clock functioning are demonstrated. The methodology of calculating the number of positions under different modes of operation of medical organizations are presented. The dynamics of general population morbidity in classes "Pregnancy, childbirth and complications of the postpartum period" and "Diseases of the genitourinary system" was analyzed.The corresponding trends were prognosticated for the period up to 2024. The results of the study testify the necessity to amend actual normative legal documents governing labor standards of medical personnel in case of providing obstetric gynecological and other types of medical care in the Russian Federation.

[The Morbidity of Children Population and Its Regional Characteristics in the Russian Federation in 2012-2018].

The article presents the analysis of results of the study of incidence and prevalence of children diseases in Russia in 2012-2018 including structure of diseases classes, regional characteristics in the Federal okrugs and regions and assessment of chronization coefficient. The significant changes are established in incidence cases rate by disease classes in the Federal districts and regions, in dynamics of chronization coefficient, and their absence in morbidity structure.

[The persistent disability of population in the Russian Federation: analysis and assessment of regional characteristics].

The disability is one of the main indices of public health, along with medical and demographic characteristics, morbidity and physical development that characterizes level of social economic development and is a major problem of health and social care authorities. The availability of statistical data and analysis of problem of population disability will allow to properly plan activities of various administrative bodies. The article presents trends of persistent disability in the Russian Federation during the studied period. In recent years, total number of disabled people has been gradually decreasing. In Russia, most of disabled people have disability group II. At the same time, the percentage of persons with group III increases and proportion of disabled persons with the groups I and II gradually decreases. The children disability in Russia tends to increase. In the Russian Federation, the analysis of regional differences in disability is presented. The analysis and assessment of regional characteristics of disability are necessary for planning and forecasting measures of medical and social support of persons with disability. The analysis of available statistical data permitted to established interdepartmental dissociation on this issue. The results of the study permitted to conclude that the need of increasing attention to the problem of disability results in strengthening interdepartmental interactions and developing of unified register of disabled people.

[The complex evaluation of target indices population health in the Central Federal Okrug of the Russian Federation].

The article presents the results of analysis of values and dynamics of changes in indicators of fertility rate, expected life expectancy, total and infant mortality, able-bodied mortality, mortality of circulatory system diseases, neoplasms, and road traffic accidents in 18 subjects of the Central Federal Okrug of the Russian Federation in 2015-2018. The results of comparative analysis of factual values of mentioned indicators with values of target indicators approved by the "Health care Development Strategy in the Russian Federation for period up to 2025" (2019) are presented. The necessary scope of correction of existing discrepancies are established. Reducing by 20% indicators of mortality of able-bodied age, circulatory system diseases and road accidents is needed to reach target values in more than half of the subjects of the Okrug for each cause of death. Based on the results of comprehensive ranking of analyzed health indicators, rating position of each subject in the Central Federal Okrug is determined. For the subjects of the Central Federal District, the analysis established significant differences in indicators values, volume of their changes, possibilities of achieving target goals, rating position and inter-territorial gaps. It is demonstrated that differences in extreme values of summing of ranks of the subjects of the Central Federal District increased up to 5.1 times in 2015, up to 5.5 times in 2016, up to 6.0 times in 2017 and up to 6.2 times in 2018 that substantiate marked tendency of increasing territorial differentiation.

[The scope and structure of ambulatory polyclinic visits of physicians in the Russian Federation in 2009-2011].

The article presents the results of structural functional analysis of public statistic data concerning the appealability of population the Russian Federation for ambulatory polyclinic care in health institutions of Minzdrav of Russia in 2009-2011. The study was targeted to identify the institutions, the volume, the specialists, the groups of population and purpose of provided medical care. It is demonstrated that during three years the significant differences in volume and structure of ambulatory polyclinic care used per capita between adults and children, urban and rural residents still are present. This is an indication of different degree of need and availability of this kind of medical care. It is noted that in ambulatory polyclinic institutions the specialized medical care is provided mainly on the occasion of diseases. This situation is not fully in line with present conceptions of targets of this stage of medical care provision.

[The emergency surgical care in the Russian Federation].

The article presents the results of providing emergency surgical care in case of acute diseases of abdominal organs and extra uterine pregnancy to population of the Russian Federation in 2000-2010. The analysis also considered time between onset of disease and delivery of patient to hospital, structure of diagnosis, operative activity and indicators of lethality. The preventability of lethal outcome under acute diseases of abdominal organs at the expense of hospitalization is calculated.

[The structural analysis of network of ambulatory polyclinic institutions in the Russian Federation].

The article presents the results of structural analysis of statistic data concerning network, capacity and manpower support of institutions providing ambulatory polyclinic care to population of the Russian Federation. The structure of ambulatory polyclinic institutions including their planning capacity, physicians' and paramedical personnel manpower support and depending on type and administrative subordination level are demonstrated. The mean planning capacity of one conditional ambulatory polyclinic institution is estimated for comparative evaluation of intensity of changes in number of institutions and their capacity.