RESUMO
The analysis was carried out concerning impact of cyclicity of social economic development on population health of the Russian Federation. The conclusions are made related to necessity of determining priorities of development of national system of population health care.
Assuntos
Atenção à Saúde/normas , Desenvolvimento Econômico/tendências , Saúde Pública/normas , Mudança Social , Humanos , Federação RussaRESUMO
Analytical consideration of state and trends of regional health processes in population of Russia is presented. Data provided by health administrations of various subjects of Russian Federation and researchers findings is used.
Assuntos
Morbidade/tendências , Mortalidade/tendências , Saúde Pública/tendências , Adolescente , Adulto , Idoso , Coeficiente de Natalidade , Criança , Pré-Escolar , Emigração e Imigração/tendências , Feminino , Humanos , Lactente , Recém-Nascido , Expectativa de Vida/tendências , Masculino , Pessoa de Meia-Idade , Dinâmica Populacional , Grupos Populacionais , Federação RussaRESUMO
Analysis of state and trends of processes defining population health in various regions of Russia based both on official administrative statistic releases from various regions of Russian Federation and proper data is presented.
Assuntos
Nível de Saúde , Vigilância da População , Saúde Pública/tendências , Humanos , Federação RussaRESUMO
Relevant trends in informatization progress in Russian public health and medical science are justified. Actual processes in population health are considered.
Assuntos
Atenção à Saúde/organização & administração , Informática em Saúde Pública/tendências , Humanos , Federação RussaRESUMO
The authors of the article analyze the current health status of Russian population and underline the necessity to set priorities in the development of the country's public health system. Within a short period of time the mortality in this country has risen 1.5 times, and the birth rate have declined twice. By January 1, 2005, the population of Russian Federation had decreased by 10,361,300 people, as a result of natural depopulation. Mostly affected by the crisis is able-bodied population, the mortality among who have increased 2.5 times. The gap in the mortality between ours and other economically developed countries is now sevenfold. This means that six out of seven cases of death at the productive age in this country are absolutely preventable. The mortality among pensioners has not changed at all, i.e. people at this age seem to be reliably protected against the crisis. The birth rate has decreased abruptly; its summary coefficient has fallen down to 1.17 while 2.15 are necessary for simple reproduction. The proportion of out-of-wedlock children, as well as that of disabled children, displays a multiple increase. Male population in Russia demonstrates a catastrophic super mortality, the gap between the length of life among men and women being 13.5 years. In a number of regions men do not reach the age of 54.
Assuntos
Demografia , Saúde Pública , Adulto , Fatores Etários , Idoso , Coeficiente de Natalidade/tendências , Feminino , Homicídio/tendências , Humanos , Ilegitimidade/tendências , Recém-Nascido , Expectativa de Vida/tendências , Masculino , Pessoa de Meia-Idade , Mortalidade/tendências , Federação Russa , Fatores Sexuais , Suicídio/tendênciasRESUMO
On the basis of analysis of health status of able-bodied population in Saratov oblast measures of enhancing health promotion of this population group are validated.
Assuntos
Emprego , Nível de Saúde , Mortalidade/tendências , Causas de Morte/tendências , Humanos , Federação Russa/epidemiologiaRESUMO
Issues of adolescents behavior related to disposition to drug addiction, alcoholism and other self-destructing habits are considered. Preventive measures designed for youths of military age are set out.
Assuntos
Comportamento do Adolescente/psicologia , Governo , Nível de Saúde , Militares , Comportamento Autodestrutivo/epidemiologia , Transtornos do Comportamento Social/epidemiologia , Adolescente , Humanos , Federação Russa/epidemiologiaRESUMO
The conditions and dynamic changes of the most important indices related with population health in a number of Northern regions of the Russian Federation are under discussion. A conclusion is made that they are predetermined by migration processes, latitude effects and peculiarities of production activity.
Assuntos
Saúde Pública , Adolescente , Adulto , Idoso , Alcoolismo/epidemiologia , Coeficiente de Natalidade , Poluição Ambiental , Feminino , Humanos , Recém-Nascido , Expectativa de Vida , Masculino , Pessoa de Meia-Idade , Morbidade/tendências , Mortalidade/tendências , Dinâmica Populacional , Federação Russa , Sibéria , Fatores Socioeconômicos , Suicídio/tendências , MigrantesRESUMO
Discussed in the paper are the peculiarities related with the morbidity observed in a number of Russia's northern regions; a conclusion is made on that it is necessary to take account of the above specific features while rendering the medical care.
Assuntos
Nível de Saúde , Área Programática de Saúde , Humanos , Federação RussaRESUMO
The medical-and-demographic processes as a starting point for the planning of means and resources for the short- and average-term future are forecasted in the paper on the basis of long-term peculiarities of the natural-science data and with respect for the social-and-economic crisis now underway in the country.
Assuntos
Coeficiente de Natalidade/tendências , Mortalidade/tendências , Dinâmica Populacional , Crescimento Demográfico , Adolescente , Adulto , África , Europa (Continente) , Feminino , Humanos , Recém-Nascido , Malásia , Masculino , Idade Materna , Pessoa de Meia-Idade , Prognóstico , Federação Russa , Sibéria , Fatores Socioeconômicos , América do Sul , U.R.S.S. , GuerraRESUMO
Modern approaches towards managing the medical care quality through influencing the components of medical care provision, such as licensing, accreditation, therapeutic-process standards, and satisfaction of patients with the received medical care, are analyzed in the article.
Assuntos
Serviços de Saúde/normas , Licenciamento/legislação & jurisprudência , Garantia da Qualidade dos Cuidados de Saúde/métodos , Serviços de Saúde/provisão & distribuição , Humanos , Seguro Saúde , Federação RussaRESUMO
Issues related with transforming the functioning of the country's health care on the basis of the model of general practitioner (GP) are discussed in the article. It is concluded that there is need in a full-scale preparatory activity comprising both the optimization of the internal structural-and-functional relations and the ensuring of the health care readiness as whole, i.e. evolving the activity of its elements in the direction of an integrally functioning system.
Assuntos
Primeiros Socorros/economia , Primeiros Socorros/normas , Serviços de Saúde/economia , Serviços de Saúde/normas , Serviços de Saúde/provisão & distribuição , Humanos , Federação RussaRESUMO
The article deals with approaches towards creating a self- regulating system of medical insurance based on the mutually balanced financial interests of all sides involved into the process of providing and receiving the medical care, i.e. an individually-insured person, employer, health-care institution and local municipal authorities.
Assuntos
Administração de Serviços de Saúde , Humanos , Seguro Saúde , Federação RussaRESUMO
Coordination and interaction in public health management are analyzed. It is concluded that it is necessary to develop an effective interdepartmental coordination system regulated by federal legal and normative order documents.
Assuntos
Reforma dos Serviços de Saúde , Administração em Saúde Pública/normas , Saúde Pública/tendências , Humanos , Administração em Saúde Pública/tendências , Federação RussaRESUMO
The paper presents the results of a study into the impact of migration, including rotational one on the formation of medicodemographic processes, such as composition and natural movement of the population, general and age-standardized causes of death.
Assuntos
Demografia , Emigração e Imigração , Morbidade/tendências , Mortalidade/tendências , Adulto , Idoso , Coeficiente de Natalidade , Causas de Morte , Criança , Clima , Feminino , Humanos , Recém-Nascido , Expectativa de Vida , Masculino , Pessoa de Meia-Idade , População Rural , Federação Russa , Sibéria , Fatores Socioeconômicos , População UrbanaRESUMO
The authors analyze the specific features of the present medical and demographic situation in the Russian Federation, the naturally research regularities determining the evolution and development direction of population processes in the 20th century by using the populational advance to the demographic transition to the present-day reproduction as an example. Socioeconomic factors affecting the demographic structure of society are considered.
Assuntos
Demografia , Adolescente , Adulto , Idoso , Criança , Pré-Escolar , Feminino , Humanos , Lactente , Recém-Nascido , Expectativa de Vida , Masculino , Pessoa de Meia-Idade , Dinâmica Populacional , Gravidez , Federação Russa , Distribuição por Sexo , Fatores Socioeconômicos , Estatísticas VitaisRESUMO
The need in fundamental socio-hygienic studies aimed at solving the problem of preterm death prevention is validated. The attention is focussed on the health status of capable population of Russia and prevention of deaths caused by social economic crisis.
Assuntos
Longevidade , Mortalidade , Adolescente , Adulto , Fatores Etários , Idoso , Idoso de 80 Anos ou mais , Criança , Pré-Escolar , Feminino , Saúde Global , Humanos , Lactente , Recém-Nascido , Masculino , Pessoa de Meia-Idade , Federação RussaRESUMO
Decreased utilization of medical services by the population, primarily by economically active part of the population, under conditions of socioeconomic crisis is discussed as exemplified by outpatient and inpatient care and temporary invalidity. The direct result of decreased consultation rate is an essential part of diseases and abnormalities which are no longer registered in medical files and remain untreated, which eventually leads to development of chronic, combined, multiple diseases, primary disability, and untimely deaths.