[Readiness for intersectoral cooperation to preserve health of megalopolis population].

INTRODUCTION: For a better understanding of issues related to health-preserving activities for the benefit of city population, theoretical knowledge about the attitude and readiness of all interested parties for intersectoral cooperation is needed. The purpose of the study is to analyze readiness of the participants of health-preserving activities for intersectoral cooperation in Moscow. MATERIAL AND METHODS: In 2023, a one-time, one-time study of intersectoral responsibility, commitment and awareness, as well as satisfaction with individual health care (original test cards) was conducted among different participants in the health care of the population of the city of Moscow (n = 1007). From among them, participants were identified -workers of «medical¼ infrastructure facilities of urban space, participants-workers of other facilities (sports, culture, industry, waste disposal, transport, food, trade, education and others) and the population as a participant in intersectoral health saving. RESULTS: The research based on the original integrated assessment methodology shows insufficient readiness for intersectoral cooperation to implement health-saving activities for the benefit of Moscow population. Immature intersectoral responsibility, literacy, motivation for teamwork noted among the participants of the unified health-preserving city space determines the lack of internal conviction that it is necessary to deal with both own health, and health of other members of the urban community. CONCLUSION: The data obtained can form basis for new methodological approaches to prioritize control measures to improve intersectoral cooperation between the participants of health-preserving activities in the metropolis.

[The normative legal regulation of expertise of medical care quality in the Russian Federation].

In modern conditions, the support of quality of medical care is one of key issues in health care management. Therefore, quality control issues are most important ones. The effective tool for monitoring quality of medical care is the medical care quality expertise. Hence, the legal regulation of this type of activity acquires special relevance. The article considers absence of uniform approaches to medical care quality expertise that does not allow to apply comparative analysis to processes of medical care support in medical organizations of various affiliations and to monitor both medical care quality and prevalence of medical errors to implement strategy of ensuring medical care quality. The identified legal aspects determine the need for further improvement of normative legal regulation of medical care quality expertise, specifying its role in the system of quality control and safety of medical care, unification of corresponding approaches, regardless of type of financing of medical care, departmental or territorial affiliation.

[Euthanasia as a worldwide dilemma of modern times].

Nowadays, the most important place in medicine is occupied by ethical and legal aspects of organization of medical care and the provision of qualitative medical services to citizens. The main mechanism of functioning of the patient-centric health care system is implementation of the rights of patients as described in our country within the framework of international legal acts, the Constitution of the Russian Federation, the Civil, the Civil Procedure and Criminal Codes of the Russian Federation, as well as the Legislation on the protection of health of citizen. Since the mid of twentieth century, in many countries was widely discussed possibility of ensuring one of the most controversial and non-obvious rights of patient - the right to death. In medical practice, the mechanisms implementing this right are the acts of euthanasia, the assisted suicide, the voluntary death (refusal of water and food), "murder out of sympathy", terminal sedation and the phenomenon of "double effect" as well. The article presents review of scientific publications presented in national and international databases, highlighting prerequisites of implementation of euthanasia into practice and international experience of applying this mechanism of demise as well.