Public health and health care. Рубрика в журнале - Economic and Social Changes: Facts, Trends, Forecast
Статья научная
The authors have performed a monitoring medico-sociological research aimed to study the system for organizing the treatment of patients with arterial hypertension (AH) at the territorial level. The survey was conducted among physicians in 2010. The results of this examination are presented as a set of filled-in expert assessment charts. The randomized sample (338 people) was effected by random selection. Sampling error does not exceed 5% (α = 0.95). The authors have analyzed the representative data in order to assess the quality of implementation of the program “Prevention and treatment of arterial hypertension in the Vologda Oblast population” and provide analytical support in management decision-making. The authors have also assessed the demographic and economic losses due to health deterioration caused by diseases of the circulatory system. In addition, the authors have proposed the measures to improve health care practices in order to enhance the efficiency of using people’s labor and life potential.
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Evaluation of the efficiency of regional health-preserving educational space formation
Статья научная
The article is devoted to the urgent problem of preserving children’s health. The author presents detailed characteristics of health-preserving educational space formation. It is regarded as a complex multilevel and multispectral system. The article defines the principles, methods, mechanisms of the health-preserving process on the municipal level. The subject of research includes the background, conditions and resources of health-preserving educational space formation. The participants of educational process (students, teachers, parents) and representatives of local authorities are the object of the research. The study aims to evaluate the efficiency of health-preserving educational space formation within various conceptual and methodological approachesand the degree of involvement of the municipal authorities. In the course of the experiment the author tests the method of estimating the models of regional health-preserving educational space formation and healthy lifestyle training, developed by the author. The article pays considerable attention to the justification of choosing the optimal strategy within the implementation of health preserving technologies on municipal level. It shows the crucial role of constructive inter-agency cooperation between the education system, health care and the authorities for effective and productive activities in this sphere.
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Macrosocial determinants and public health risks in Russia's regions
Статья научная
The article presents the results of the comprehensive analysis of the macro-economic factors that determine the medical and demographic situation in Russia, using the methods of mathematical modeling. The authors have constructed regression models to determine the proportional contribution of macro-social determinants to a negative deviation of population health indicators. The authors have carried out the cluster analysis and highlighted six types of territories with similar socio-economic and demographic situation. They have also calculated additional cases of general and infant mortality determined by macro-economic factors for each type of territories. In addition, the authors have assessed health risks associated with the effect of social factors at the macro-level.
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