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»2179Научная статьяREGIONAL VARIATION DYNAMICS OF MEDICAL DEMOGRAPHIC SITUATION IN 2005-2013RogovinaA. GNational Research Institute for Public Healthrogovina_ag27@rambler.ru151220163536514042022Copyright © 2016,2016Positive demographic trends in Russia since 2006 are demonstrated to be associated with narrowing regional variation spectra of population natural replacement indices and its basic determinants. Fertility and mortality correlations are discussed with population age composition, education level, income, potential of inpatient and outpatient health care facilities, number of physicians, urbanization, migration attractiveness of territories and criminal activity. Health care system is revealed to be weak in withstanding demographic challenges. Data reliability and comparability, attention to inherent causation of mixed changes are stressed to be indispensable for adequate evaluation of current situation, prospects of its development, distribution and usage of available resources.fertilitymortalitypopulation compositionhealth care resourcesregional variationрождаемостьсмертностьсостав населенияресурсы здравоохранениярегиональное варьирование1.Баранов И.Н. Конкурентные механизмы предоставления медицинских услуг / Конкуренция и конкурентная политика. - М., 2008. - С. 207-241.2.Белов В.Б., Роговина А.Г. Проблемы повышения рождаемости на современном этапе // Проблемы социальной гигиены, здравоохранения и истории медицины. - 2008. - № 6. - С. 3-6.3.Тапилина В.С. Социально-экономический статус и здоровье населения // СОЦИС. - 2004. - № 3. - С. 126-137.4.Щепин О.П., Купеева И.А., Щепин В.О., Какорина Е.П. Современные региональные особенности здоровья населения и здравоохранения России. - М, 2007. - 360 с.