Bulletin of Semashko National Research Institute of Public HealthBulletin of Semashko National Research Institute of Public Health2415-84102415-8429FSSBI «N.A. Semashko National Research Institute of Public Health»2175Научная статьяTHE REASONS AND FACTORS DEFINING NEED OF CHANGES IN RURAL HEALTH CAREGilmanovA. AKazan State Medical Universitygilmanov.anas@gmail.com151220163293914042022Copyright © 2016,2016Assessment of efficiency of model of rural health care system of 14 rural municipalities of the Republic of Tatarstan with population less than 25 thousand people. Methods. The analysis of statistical data of 14 rural central regional hospitals of the Republic of Tatarstan, demographic indicators and incidence of the living population for 2000-2014 and in 6 regional hospitals is carried out, including, the analysis of efficiency of use of personnel, material and financial resources of health care for 2012-2014 is carried out. Intensive, extensive indicators and average sizes are calculated. Results. Obvious problems of a demographic situation in areas of research is established. In all regional hospitals decreased total number of the population, and in structure of the population decreased the number of the children's population. For years of research there was a twofold decrease in number of the round-the-clock stationary beds and reduction of level of hospitalization by 35%. Decreased number of visits in outpatient departments. The part of hospitalization of the emergency patients in late terms and a lethality of postoperative patients has increased. Primary incidence and prevalence of diseases among the population has increased. Conclusion. The current model of rural health care when attaching a population of less than 25,000 people is ineffective, does not provide an adequate level of population health the health care organizationPopulationhumanmaterial and financial resourcesbed capacity and the level of hospitalizationmorbidity and mortalitypostoperative mortalityefficiency of resources usemodel of rural health careensuring fair and equal access to the health system of urban and rural populationЧисленность населениякадровыематериальные и финансовые ресурсы здравоохранениякоечная мощность и уровень госпитализациизаболеваемость исмертность населенияпослеоперационная летальностьэффективность использования ресурсовмодель сельского здравоохраненияобеспечение справедливого и равного доступак системе здравоохранения городского и сельского населения1.Н.Б.Найговзина. О модели здравоохранения. Учебное пособие для интернов, ординаторов, аспирантов и слушателей дополнительного профессионального образования по специальности «Организация здравоохранения и общественное здоровье». -М.; МГМСУ, 2014; -86с.2.Н.А.Тестемициану, Д.В.Тинтюк. Пути сближения уровней стационарной помощи городскому и сельскому населению. -Кишинев.: Штиница, 1984. -120с.3.К.Ш.Зыятдинов, А.А.Гильманов и др. Статистика здоровья населения и здравоохранения (по материалам Республики Татарстан за 2000-2004 годы). Учебно-методическое пособие. -Казань, 2004. -256с.4.А.Ю.Вафин, В.Г.Шерпутовский и др. Статистика здоровья населения и здравоохранения (по материалам Республики Татарстан за 2010-2014 годы). Учебно-методическое пособие. -Казань, 2014. -268с.