Bulletin of Semashko National Research Institute of Public Health

Presents on the incidence of community-acquired pneumonia manifestation of the population of the Republic of Bashkortostan and the cities of Ufa, Sterlitamak, Salavat, Oktyabrskiy. Revealed superiority in intensity epidemiological study manifestations of pathology in the cities of Sterlitamak, Oktyabrskiy and Ufa with predominant involvement in the process of the children under 1 year and 1-2 years. The sity of Salavat risk group for the pneumonia were adults over 18 and children under 14 years of age, which are dominated by children 3-6 years attending kindergartens.

Successes in nursing small children make more demands on the outpatient stage of medical care. The purpose of this study is to analyze the regulatory support that regulates the mandatory volume of medical care for newborn preterm infants, as well as an analysis of the practice of meeting these requirements in polyclinics and centers of a catamnesis. Analytical, statistical, expert, normative legal methods are used. The analysis of the order of the Ministry of Health of the Russian Federation No. 1346n, the jurisdiction of its action, extending only to medical organizations with the attached population for compulsory medical insurance. The analysis of medical records (outpatient cards) of children with a diagnosis of prematurity and body weight at birth up to 2 kilograms was carried out, during which state obligatory requirements in terms of the volume of examination of premature babies were revealed in state polyclinics, which is determined by the arising (legal) duty. In the centers of the catamnesis, which have great diagnostic and therapeutic capabilities, in most cases, the minimum scope of the survey is not provided for polyclinics, which is related to the paid basis of this medical assistance, the shift of the decision center on the content of the received services from the attending physician and the medical need to the mother's side And financial capabilities of the family. It is proposed to reform the principles of financing medical care for premature babies with the aim of providing them with access to the resources of the "centers of the catamnesis" of perinatal centers, without prejudice to the financial provision of polyclinics in the community, providing basic primary health care (minimum regulatory examination.), While introducing regulatory requirements for the scope of research, for example, relevant standards of care, or binary criteria quality. In various formats, these measures can be taken at the federal, regional and departmental levels, as well as in the medical organization.

The paper presents the dynamics of the number of hospitals main types. The activities of the hospitals, the security of the Russian population of beds, doctors, nurses.

The interaction of primary care physicians and specialists in skin and venereal diseases is crucial for the treatment of chronic dermatoses. Study was based on a sociological survey of general practitioners (GPs) to assess the completeness of their functions in the management of patients with skin diseases.

The article describes the performance of the medical service of the penitentiary system of Russia. Proposals for its improvement are presented. In 2016, the total number of places in the hospitals of the prison system decreased by 9.3% and amounted to 32800. Currently, there are 673 medical institutions, 57 medical and 143 paramedic individual medical offices, 55 centers for medical rehabilitation; 136 hospitals (including 65 tuberculosis and 5 psychiatric); 13 House of the child; 72 of the Center for Sanitary and Epidemiological Control. The death rate in 2016 among prisoners was 533.3 per 100 thousand people (died - 3408 people), which is 9.8% lower than in the previous year

The article shows inaccurate coding diagnoses of diseases that are characterized by high blood pressure. This situation leads to errors in the collection of data on this pathology and to an incorrect increase in the incidence of hypertensive disease. It is proposed to make changes in ICD-10.

By results of the special analysis the standard and legal and organizational aspect of interdepartmental providing and medico-social maintenance of improvement and rest of children and teenagers in the Russian Federation during the summer period as one of components of health protection of younger generation is considered.

The paper presents an analysis of morbidity from the external causes of the population in the Chelyabinsk region. More than 12% of residents turned to medical organizations for help due to external causes. One in four cases (25,4%) was registered in children, 19,0% of cases were in persons older than working age. In the context of the municipal formations of the Chelyabinsk region, a significant resonance in the level of primary incidence of the population from external causes has been revealed, which indicates the need to develop targeted measures aimed at improving the routing of victims. Given that external causes are injuries that require, as a rule, emergency and urgent medical care, it is necessary to organize traumatic centers, burn centers and acute poisoning centers, taking into account the stable endemic situation in various municipalities, the material and technical base of medical organizations and the climate-geographical features of the region.