Features of the formation of medical services availability in the new economic reality
Research Article
How to Cite
Voskolovich N.A. Features of the formation of medical services availability in the new economic reality. Population. 2024. Vol. 27. No. 1. P. 166-177. DOI: https://doi.org/10.24412/1561-7785-2024-1-166-177 (in Russ.).
Abstract
Analytical materials, sample observations and surveys show significant problems in the availability and quality of medical care for the Russian people, who differ in terms of living conditions, solvency, age and other characteristic. The purpose of this study is to identify the features of the formation of medical services availability in the Russian healthcare system in the new economic reality and to determine the directions for its improvement. The empirical base of the study is the data from official statistics of the Russian Federation, international organizations, outcomes of sample observations and surveys, processed by methods of comparative analysis, groupings, and expert assessments. The main results of the study: substantiation, as the most important tool for overcoming inequality in the availability and quality of medical care, of the projects of social orientation at the federal and regional levels, which contain a set of differentiated measures addressed to specific groups of the population living in different conditions. The impact of the healthcare system commercialization of on the level of accessibility of medical care for the urban population and people living in small rural and hard-to-reach settlements is considered; the need for social support of certain segments of the population in connection with the expansion of the segment of paid medical services through public-private partnership is substantiated. In the course of analytical study of the significance of federal and regional projects of a social orientation with a focus on the needs of specific groups of the population, there was shown the expediency of interaction and complementarity of various sectors of the economy and medical organizations in the provision of telemedicine consultations and other services, the need to enhance the professional training of doctors and medical personnel using distance learning forms and subsequent accreditation. The importance of developing regional social standards as a set of mutually agreed management practices and decisions to improve the quality and accessibility of services in the social sphere is shown.
Keywords:
availability of medical care, socially oriented projects, telemedicine technologies, new economic reality
References
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5. Timm R., Sparenber A., Bubolz S., Timm A. Vnedrenije telemonitoringa patsientov s saharnym diabetom v sel’skoj mestnosti Brazilii [A diabetic patients remote monitoring system in a rural community of Brazil]. Zhurnal telemeditsiny i elektronnogo zdravoohraneniya [Russian Journal of Telemedicine and E-Health]. 2017. No. 1. P. 11–13. (in Russ.)
6. Sousa L., Marcolino M. S., Pessoa C., Neves D. S., Alkmim M. B. M., Ribeiro A. L. The experience of the telehealth network of Minas Gerais, Brazil. Russian Journal of Telemedicine and E-Health. 2016. No. 1. P. 35–37.
7. Saraiva A. P., Sousa M. C. B., Nunes J. Ideal’nyj profil’ pol’zovatelya telemeditsinskih sluzhb — opyt Portugalii [The ideal profile of the telemedicine user — experience from Portugal]. Zhurnal telemeditsiny i elektronnogo zdravoohraneniya [Russian Journal of Telemedicine and E-Health]. 2017. No. 3. P. 144–148. (in Russ.)
8. Smyshlyaev A. V., Melnikov Yu. Yu., Artemova P. V. Zarubezhnyj opyt gosudarstvennogo regulirovaniya zdravookhraneniya v sfere primeneniya tekhnologij telemeditsiny [Foreign experience in the state regulation of health sphere using telemedicine technologies]. Problemy ekonomiki i yuridicheskoj praktiki [Economic Problems and Legal Practice]. 2018. No. 4. P. 207–211. (in Russ.)
9. Kim J., Alanazi H., Daim T. Perspektivy rasprostraneniya telemeditsiny: prognosticheskoje modelirovanije na primere sel’skih rajonov SShA. [Prospects for telemedicine adoption: Prognostic modeling as exemplified by rural areas of USA]. Forsajt [Foresight]. 2015. Vol. 9. No. 4. P. 29–39. (in Russ.)
10. Shaderkin I. A., Shaderkina V. A. Distantsionnyje meditsinskije konsul’tatsii patsientov: chto izmenilos’ v Rossii za 20 let. [Remote medical consultations for patients: what has changed in Russia in 20 years]. Zhurnal telemeditsiny i elektronnogo zdravoohraneniya [Russian Journal of Telemedicine and E-Health]. 2021. No 2. P. 7–17. (in Russ.)
11. Shaderkin I. A. Ekonomicheskije aspekty telemeditsiny. [Econmic aspects of telemedicine]. Zhurnal telemeditsiny i elektronnogo zhravoohraneniya [Russian Journal of Telemedicine and E-Health]. 2021. No. 3. P. 65–72. (in Russ.)
12. Voskolovich N. A. Upravlenije dostupnost’yu i kachestvom meditsinskoj pomoshchi naseleniyu [Managing accessibility and quality of health care to population]. Munitsipalitet: ekonomika i upravlenije [Мunicipality: Economics and Management]. 2018. No. 1. Р. 18–24. (in Russ.)
13. Voskolovich N. A. Dostupnost’ uslug zdravookhraneniya kak osnova sotsial’noy zashchishchennosti naseleniya [Availability of healthcare services as a basis of social protection of the population]. Narodonaselenie [Population]. 2021. No. 24(2). P. 87–96. (in Russ.)
14. Moskvicheva M. G., Polinov M. M. Rezul’taty regional’nogo pilotnogo proekta povysheniya dostupnosti pervychnoj mediko-sanitarnoj pomoshchi litsam starshe 65 let, prozhivayushchim v sel’skoj mestnosti [Results of implementation of the pilot project for raising the availability of primary medical care for people over 65 living in rural areas]. Sotsial’nye aspekty zdorov’ya naseleniya [Social Aspects of Population Health]. 2021. No. 67(2). P. 5. (in Russ.)
15. Levanov V. M., Perslegina I. A., Bezrukova V. K., Zhidkov I. M. Opyt primeneniya telemeditsinskih tekhnologij na fel’dshersko-akusherskih punktah sel’skogo rajona s nizkoj plotnost’yu naseleniya. [Experience in using telemedicine technologies at paramedic and midwifery stations in rural areas with low population density]. Zhurnal telemeditsiny i elektronnogo zdravoohraneniya [Russian Journal of Telemedicine and E-Health]. 2020. No. 1. P. 34–45. (in Russ.)
Article
Received: 29.07.2023
Accepted: 28.03.2024
Citation Formats
Other cite formats:
APA
Voskolovich, N. A. (2024). Features of the formation of medical services availability in the new economic reality. Population, 27(1), 166-177. https://doi.org/10.24412/1561-7785-2024-1-166-177
Section
ESTIMATION OF POVERTY AND WAYS TO ITS REDUCTION
