Bulletin of Semashko National Research Institute of Public Health

Currently working environment is changing due to rapid development of technology. Conditions of professional activity, their evaluation criteria and approaches to optimization are also radically changing. Efforts and resources for health care are still focused on disease treatment; declared shift in emphasis to prevention is implemented formally and does not bring tangible results. Our purpose is to show problems in employment against the backdrop of globalization in the context of determinants of public health. The discussion presents problem interpretation in accordance with the common european strategy of security and health at work and standards of the International Labour Organization (ILO). It is pointed out that attitude to health and medical activity largely depends on personnel policy, corporate culture and values. Active exchange of information between employees, managers and all health services is an important reserve to increase efficiency of prevention, treatment and rehabilitation. Findings suggest the importance of intersectoral collaboration in health care of workers and working environment improvement. Results of this study can be used in scientific research and for decision-making by bodies of economic management, health and social protection.

Motherhood and infancy care since was an important area of the people's Commissariat of health from the very beginning. Laws on benefits for pregnant women and breastfeeding mothers were issued together with the people's Commissariat of labor. Hospitals for mothers and infants, maternity and child health clinics were created. Great attention was paid to health education of the population

The article provides an overview of literature describing regulatory legal acts for providing palliative care to adult population in Russia.

Conceptual approaches to creation of an automated system for calculation of primary health care volumes in Tver region of the Russian Federation are considered and proved.

Activity of maternity obstetric service in the Samara region is analyzed. Results of program f implementation or construction of perinatal centers are presented.

Information resources and methods for expert evaluation of respiratory health, accessibility and quality of pulmonology care are used to develop an organizational model of information and analytical support for pulmonary medical care management at a regional level. Indicators are proposed to assess specialized service performance for pulmonary profile patients. Efficiency of government bodies and public health facilities, scientific and educational institutions located in Amur region is demonstrated to ensure improving pulmonology care.

Demand for dental services elasticity is analyzed according to survey data of 1 998 profiles of patients receiving dental services on a fee basis. It is shown that except for «aesthetic» services dental health care has a low elasticity. Demand elasticity indicators in the short term is less than in the long term. Increasing price increases elasticity other conditions being equal, increasing level of patient material well-being reduces his sensitivity to prices. Patients who apply repeatedly differ by elasticity 10-15% lower than in the case of those who apply the first time. Patients of municipal medical facilities providing charged dental services show a higher level of price sensitivity than those of commercial jnes. Acquired data on factors that influence consumer choice and demand elasticity enable to form a marketing strategy of a healthcare organization.

Medical and social aspects of children rehabilitation attract attention of public leaders as well as health care community. Rehabilitation programs are an effective method of children health management. Rehabilitation institutions network is necessary for implementation of rehabilitation process in childhood at various levels. The existing system is not sufficient to ensure appropriate specialized care aimed at disability prevention and adequate child development. This is reflected in an increasing number of children with persistent health disorders, lack of interface between rehabilitation agencies, ambiguity of approaches to inter-agency rehabilitation programs for various categories of children; there is no scientific justification for a system of rehabilitation activities. It is required to improve health promotion system by implementation of new preventive approaches laid down in medical rehabilitation, to develop a territorial model of rehabilitation, which would provide comprehensive, complex and successive rehabilitation activities for children with various health status, social adaptation and socialization. Successful implementation of this model will contribute to development of medical rehabilitation national system, that is one of the most important conditions for overcoming the current critical situation in health care and social sphere.