Bulletin of Semashko National Research Institute of Public Health

To assess the clinical and economic effectiveness of ametropia diagnostics in children of different age categories (before 1 year, 1-3 yrs, 3-7 yrs). Materials and methods: retrospective analysis of medical documentation of 260 patients aged 5-7 years with refractive errors with mathematical, statistical methods. Clinical and economical analysis included detection of direct medical costs (DMC) for managing patients, decision tree modeling, burden of ametropia in children in the Russian Federation in modern conditions and the Budget impact analysis (BIA) of early diagnosis. Results: The average level DMCper patient under the age before 1 year was 46000 rubles, at the age of 1 -3 years - 55 000 rubles, at the age of 3-7 years - 63000 rubles. BIA has shown that early diagnosis can save up to 6-7 billion rubles. Conclusion: uncorrected refractive errors in children are characterized by a high economic and social burden.

The tendency of the population reduction in Russia may raise in the future the issue of the country’s territorial integrity and state sovereignty. Demographic processes influence the activities of healthcare facility, determine immediate and remote prospects for planning the material and technical and human resources of medical care. Materials of official statistics, information documents and materials have been studied. It has been detected the main trends in the medical and demographic situation, and priority development goals have been identified

The article presents the results of the quality assessment of medical services for patients in Vascular Center of Moscow Region, and also analyzes the materials of the questionnaires of patients reflecting their opinion on the assessment of health status and functional capabilities after inpatient treatment.

It is necessary to optimize the provision of x-ray diagnostics services given aging population and the increase in elderly patients. Socio-demographic characteristics of patients were studied in the outpatients center of x-ray diagnostics with the help of questionnaires.

The possible role and place of screening systems based on home appliances in the General concept of development of telemedicine in Russia. The prospects of implementation of screening status on pre-hospital stage and the integration of these data into a single information space.

The health status of adolescents depends largely on the future health of the adult population. Good health of adolescents is one of the sources of social and economic development. When-usual dynamics of the main indicators of adolescent health for the period 2011-2015. The analysis of the incidence, clinical supervision, structure of morbidity.

The system of organization of hematological care for the adult population includes outpatient, inpatient and inpatient care. There is an almost two-fold increase in outpatient and a decrease in the volume of round-the-clock inpatient care over the past five years. The leading medical organization that provides hematological assistance to the adult population is the Clinic of the Samara State Medical University.