Bulletin of Semashko National Research Institute of Public Health

Based on the data of the questionnaire survey of 150 conductors of railway long-distance cars, the importance of the attitude to one's own health as determinants of health was studied. It is shown that employees who accept responsibility for their health are more committed to the principles of a healthy lifestyle.

The article presents an overview of the historically confirmed facts of public-private partnership in the healthcare system of Moscow in the pre-revolutionary period, as well as the role and significance of charitable assistance in creating a system of medical and social assistance to the population of Moscow

In article are presented data on the study of gender differences in the physical components of quality of life in old age. The SF-36 questionnaire was used. The volume of observations is 250 people aged 60 years and over with multimorbidity. It was shown that in both men and women, there were reduced indicators of physical functioning, especially to the degree of pain, but there were no gender differences with a demonstrable degree of reliability.

The article shows the results of the introduction of a pilot project for the improvement of primary health care and the mechanism for its implementation in the polyclinic. The results are evaluated from the position of patients and primary care physicians.

The main risk factors of early childhood infants who were born prematurely are considered. It is shown that it is possible to use mathematical models of factor load in planning the need for medical care during early childhood.

As a special category of personnel can be considered for managers of medical institutions. Their motivational attitudes may differ significantly from other employees of healthcare organizations. The degree of motivation of the leader depends largely on the quality of the entire medical organization, i.e. the concept of labour efficiency of enterprises directly connected with the labor efficiency of a Manager. When comparing statistical models of managers in commercial and government health organizations draws attention to the sharp difference in gender and age composition. In public health organizations very little heads up to 40 years. Whereas in commercial medical organizations have heads under 30 years of age. It is worth noting that in the age group of 51 leaders of state health organizations. For managers of public health organizations in four priority two factors can be attributed to repressive: "the Fear of losing a job" and "administrative Measures". For heads of commercial medical organizations important repressive factor only one "administrative Measures" and it's positioning in fourth place. Therefore, for leaders of public health organizations factors of administrative pressure play a greater role than for heads of commercial medical organizations. A high degree of satisfaction with labor activity is combined with more varied motivational structure, regardless of ownership of medical organization, desire to make independent and perhaps risky decisions and orientation toward professional growth and improvement of their professional skills.

The aim of the study was to analyze the frequency of calls for out-patient medical care for men of different ages for reasons included in the XIII class. ICD-10 ("Diseases of the musculoskeletal system and connective tissue"). Data were used on the causes of treatment of 39,000 male patients within one year in medical organizations that provide outpatient medical care regardless of organizational form and departmental affiliation. It is shown that the increase in the frequency of calls for reasons included in XIII class ICD-10 ("Diseases of the musculoskeletal system and connective tissue") can be described very accurately (the approximation coefficient is 0.962) by a second-order parabola with a negative first coefficient. The increase in the frequency of treatment, especially pronounced in the age range 30-40 years, is uniquely determined by the causes associated with dorsopathies and arthropathies.