[N. A. Semashko National Research Institute of Public Health, 105064, Moscow, Russia].

The medication support of population is an integral part of health care system reflecting the state of social and economic sectors in conditions of national pharmaceutical market development that as opposed to markets of other goods has such specific characteristics as wide scale, large selection of assortment, science linkage, durational cycle of medication development. Lately, intensive work was implemented improving national medication supply system. The normative base passed through significant changes. The percentage of costs of medication support in total costs of health care increased. The preparation of pilot project concerning system of reimbursement of appropriated medications proceeds. However, despite all these actions, availability of medications does not improve. The components of medicinal availability can be structured as physical, spatial temporal, assortmental and infrastructural ones. The article presents overall analysis of most acute challenges in the area of medication supply. The proposals were formulated concerning development of system of medication support of population.

[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 state and problems of pharmaceutical support of preferential categories of citizen].

The Federal program of supplementary preferential pharmaceutical support of particular categories of citizen functions since 2005. During this period, it seriously impacted on quality of pharmaceutical support, accessibility of medications, development of pharmaceutical market in general. The article presents analysis of state of pharmaceutical support of particular categories of citizen during 2017-2018. The established problems requiring solution are discussed too. It is established that in majority of cases the problems with pharmaceutical support have organizational specificity. The health care authorities allow decreasing of volumes including shortcomings in purchase and logistic of deliver, untimely holding of auctions, inconsistent compiling of applications and insufficient control of trade stock management. The problems with accessibility of pharmaceuticals occur because of inefficient application of already bought items. The open access data of official web-site of Minzdrav of Russia and Roszdravnadzor were used for analysis and preparation of article.

[About Problems of Palliative Care].

The palliative care is determined as "a complex of medical interventions targeted to deliverance from pain and relief of other severe manifestations of disease, for improving quality of life of terminally ill citizens" (Art. 36 of the Federal Law of 21.11.2011 № 323FZ) on the stage of uncontrolled progression of disease. The actual status and accessibility of palliative care was analyzed, including development of this issue in both the Russian Federation and number of foreign countries. According to the WHO, in Russia, 360-460 out of 100,000 population need palliative care. Out of them, 200 individuals with oncologic diseases, 150 individuals with non-malignant diseases and 12 individuals with AIDS/HIV. The health authorities face the task of significant increasing of scope of palliative care to make it more accessible. In recent years, issues of palliative care were intensively considered at the level of patients, of public organizations and legislators, as well as at the level of physicians, the Ministry of Health Care officials and others. Despite the great attention of researchers to issues of palliative care, the majority of physicians confirm its low accessibility to patients, as testify the results of survey of health workers carried out by the Foundation of Independent Monitoring of Medical Services "Zdorovie". The article also considers issues of normative base regulating palliative care provision and application of narcotic analgesics. The analysis of study results permits to conclude that despite considerable attention to palliative care, the issue of its accessibility continoue to be very actual.

[On the Issue of Development of the International Classification of Diseases].

The article presents history of development and becoming of the International Classification of Diseases (ICD), including its importance and necessity for health care.

[The Clinical Economic Evaluation When Choosing and Purchasing Consumables: Optimization of Expenses of Medical Organizations].

The article presents a description of the new methodological guidelines and substantiates its actuality for practical health care in conditions of budget limitations.

[The Russian Italian Round Table in the N. A. Semashko National Research Institute of Public Health about the Problem of In-Hospital Infectious Diseases and Antibiotic Resistance].

The article presents the results of information exchange within the framework of the Russian Italian round about the problem of in-hospital infectious diseases and antibiotic resistance and the role of bacteriophages in inhibition and prevalence of antimicrobial resistance organized and carried out in The Federal State Budget Scientific Institution «N. A. Semashko National Research Institute of Public Health¼ (Moscow, Russia).

[The Problems of Statistical Registration of Mortality Because of External Causes in Russia].

The physical accessibility of pharmaceuticals considering space-time factors and assortment accessibility is minutely considered on the example of the Sakhalin oblast. The conclusions considering universality of factors of accessibility and availability in every subject are made emphasizing necessity of characteristics to be taking into account. The analysis of factors of accessibility in the subject permits to establish risk zones preventing accessibility of pharmaceutical for population.

[The Actual Legal and Organizational Problems of Licensing of Military Medical Expertise].

The article presents analysis of problems of organization of functioning of military medical commissions in the light of implementation of complex of activities related to licensing of military medical expertise as a type of medical activity. The conceptual definitions and main legislative acts regulating procedures of licensing of the given type of expertise are considered. The characteristics of functioning of military medical expertise in actual conditions of Russia, including experience of Moscow and the Moskovskaia oblast are established.

[The Scientific Analysis of Factors of Physical Accessibility of Medications as Exemplified by the Sakhalin Oblast. Part II].

The Sakhalin oblast is considered as a detailed example of physical accessibility of pharmaceuticals with regards to time-space factors and assortment accessibility. The conclusions are made concerning universality of factors of accessibility and availability of characteristics to be taken into account in every subject. The analysis of factors of accessibility in the subject permits to establish risk zones preventing accessibility of pharmaceuticals to population.

[The evaluation of medicinal therapy under treatment of arterial hypertension in hospital].

The article presents the analysis of data of "Study on Global AGEing and Adult Health, 2007-2010" (SAGE) concerning subjective judging of health, prevalence of ischemic heart disease under different levels of arterial pressure in similar age groups. An attempt is made to evaluate spectrum of pharmaceuticals applied in treatment of patients with arterial pressure in hospital at the level of oblast hospital. According official statistics of Minzdrav of Russia, in 20102 prevalence of diseases characterized by higher arterial pressure amounted to 10.5% in adult population and to 22.3% in population older than able-bodied age. At the same time, according SAGE data, prevalence of various forms of hypertension disease in population older than 50 years amounted to 52.8%. That is, this pathology is often missed in conditions of mass medical network. Thereafter, patients receive no necessary medicinal therapy. The one or another treatment was provided to almost 94% of patients with hypertension disease diagnosed by physician. At that, among patients received treatment the normal levels of both systolic and diastolic pressure were established in less than 20% of patients with hypertension. Therefore, the issue of effectiveness of applied methods of correction of arterial hypertension become a matter of interest. The appropriate treatment of hypertension is a mean to decrease complications and as a result to diminish mortality of diseases of circulatory system.