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Проблемы формирования интегрированной системы здравоохранения
Вопросы государственного и муниципального управления. 2013. № 3. С. 24–47.
Shevski V., Sheiman I.
Keywords: поставщики медицинских услугфрагментация медицинской помощиинтеграция медицинской помощипрограммы управления хроническими заболеваниямикоординация медицинской помощипреемственность лечения
Publication based on the results of:
Vlassov V., The Lancet Public Health 2026 P. 1–6
Background
Road injuries are a leading cause of mortality and morbidity worldwide. Years of international efforts have aimed to strengthen policy engagement, including the 2020 UN General Assembly's proclamation of the Second Decade of Action for Road Safety (2021–30), targeting a 50% reduction in road traffic deaths and serious injuries by 2030. The aim of this ...
Added: July 25, 2026
Авксентьева М. В., Ашихмин Я. И., Ашихмина О. В. et al., М.: ФГБУ "Издательство "Наука", 2023.
Предложены основные направления совершенствования планирования, организации и оплаты медицинской помощи, лекарственного обеспечения, информатизации и оценки технологий здравоохранения. Рекомендованы такие мероприятия, как конкретизация программы государственных гарантий бесплатного оказания гражданам медицинской помощи, создание системы общедоступного лекарственного обеспечения, использование клинико-статистических групп для оплаты медицинской помощи при ряде хронических неинфекционных заболеваний в амбулаторных условиях, формирование механизма привлечения соплатежей при ...
Added: July 16, 2026
Михайлов И. А., Опухоли женской репродуктивной системы 2025 Т. 21 № 1 С. 86–105
Цель исследования – определить наиболее целесообразную стратегию скрининга и ранней диагностики рака шейки матки (РШМ) в Российской Федерации с точки зрения клинической (диагностической) и экономической эффективности.
Материалы и методы. Для оценки клинической (диагностической) эффективности различных стратегий скрининга проведен систематический обзор публикаций об исследованиях, оценивающих эффективность применения цитологического исследования и тестирования на вирус папилломы человека (ВПЧ) с целью диагностики ...
Added: July 16, 2026
Иванова А. А., Коган С. А., Горбунова Т. В. et al., Менеджер здравоохранения 2026 № 3 С. 96–105
The research r elev anc e is determined by the demand for telemedicine consultations (TMC) as one of health care digitalization pathways in Russian Federation. Telemedicine, regardless of the field, continues to prove its significant role, saving health resources without losing medical care quality. The TMC is regulated by federal level framework. Each year the ...
Added: July 16, 2026
Михайлов И. А., Machine Learning and Knowledge Extraction 2026 Vol. 8 No. 1 Article 8
Whole-slide histology images (WSIs) can exceed 100 k × 100 k pixels, making direct pixel-level segmentation infeasible and requiring patch-level classification as a practical alternative for downstream WSI segmentation. However, most approaches either treat patches independently, ignoring spatial and biological context, or rely on deep graph models prone to oversmoothing and loss of local tissue ...
Added: July 16, 2026
Хайлова Ж. В., Омельяновский В. В., Михайлов И. А. et al., Менеджер здравоохранения 2026 № 4 С. 41–52
The urgency of the problem of organizing effective medical care for cancer patients is determined by the steady trend of increasing incidence of malignant neoplasms, the high proportion of this pathology in the structure of overall mortality, as well as significant medical, demographic and socio-economic losses for society.Purpose of the st udy is to conduct ...
Added: July 16, 2026
Михайлов И. А., Здоровье мегаполиса 2026 Т. 7 № 2 С. 7–16
Objective. To evaluate the impact of a series of organizational measures for implementing innovative medical technology in a multidisciplinary hospital on patient quality of life based on patient self-assessments. Results. Patients who received care using innovative medical technology within a systemic organizational approach demonstrated a significantly higher level of overall satisfaction with the quality of care. ...
Added: July 16, 2026
Ахапкина Е. С., Омельяновский В. В., Тулупова О. Н. et al., Медицинские технологии. Оценка и выбор 2026 Т. 48 № 2 С. 70–77
OBJECTIVE
To analyze international approaches to assessing the labor complexity for different specialists with higher medical education (physicians).
MATERIAL AND METHODS
We performed a systematic searching and content analysis of foreign and national studies and documents devoted to labor complexity of different specialists with higher medical education (doctors). A group of experts among the authors of this study discussed and identified significant factors in assessing complexity.
RESULTS
There are 2 main systems to assess physician workload complexity in foreign countries. The first approach is based ...
Added: July 16, 2026
Михайлов И. А., Annals of Hematology 2025 Vol. 104 P. 2707–2715
Vamotinib (PF-114) is a 3rd -generation, ATP-competitive oral tyrosine kinase inhibitor (TKI) active against wild-type and mutated BCR::ABL1 isoforms including BCR::ABL1T315I. We present final results of a phase-1 vamotinib dose-escalation study to identify maximum tolerated dose (MTD) and dose-limiting toxicity (DLT) followed by expansion cohorts. 51 subjects with chronic myeloid leukaemia (CML) failing ≥ 1 2nd generation TKI or with BCR::ABL1T315I were ...
Added: July 16, 2026
Arina Bukina, Eritsyan K., Antonova N. et al., Frontiers in Psychology 2026 Vol. 17 Article 1824428
Background:
Numerous studies have shown that indigenous populations experience poorer health outcomes compared to people with other backgrounds. However, the interpretation of these disparities remains challenging due to differences in living conditions and social environments, as well as by potential measurement-related biases. Little is known about whether the underlying mechanisms of mental health outcomes differ between ...
Added: July 15, 2026
Ledesma J. R., Zhang M., Liew M. F. et al., The Lancet Infectious Diseases 2026 P. 1–12
Background
Tuberculosis (TB) is the leading global cause of death from a single infectious agent. Recent reductions in global health funding have threatened TB control, making comprehensive assessment of TB, HIV-related TB, and drug-resistant TB burdens before these disruptions essential for shaping effective responses. The WHO End TB Strategy sets targets of a 95% reduction in ...
Added: July 7, 2026
Liapin G., Vlassov V., DIALOGUES IN HEALTH 2026 Vol. 8 Article 100317
Objectives
Due to the economic growth at the end of the 20th century, people in low-income countries live longer but still spend most of their income on food. These countries, as well as affluent countries, demonstrate a rising prevalence of obesity. The interplay of longevity and obesity at different levels of economic development is not clear.
Methods
We ...
Added: June 29, 2026
Aly Ismailov, Spallone A., Belogurov A. et al., Frontiers in Immunology 2025 Vol. 16 Article 1530305
Glioblastomas are the most prevalent primary brain tumors and are associated with a dramatically poor prognosis. Despite an intensive treatment approach, including maximal surgical tumor removal followed by radio- and chemotherapy, the median survival for glioblastoma patients has remained around 18 months for decades. Glioblastoma is distinguished by its highly complex mechanisms of immune evasion ...
Added: June 17, 2026
Lifshits A., Святохина Е. В., Одиссей: Человек в истории 2026 № 1 С. 156–173
This article introduces a new source for scholarly discussion on the history of Russian language, science, and culture in the late 17th century. Numerous Russian captions for engravings were discovered in a copy of the "Travnik" (Herbal) by the great Renaissance botanist and pharmacist Pietro Andrea Mattioli, published in Prague in German in 1563. In ...
Added: June 15, 2026
Алексашина А. О., Русских С. В., Тырановец С. В. et al., Менеджер здравоохранения 2026 № 4 С. 53–60
Given the increasing prevalence of carbohydrate metabolism disorders in pregnant women, a validated tool is needed to assess the competencies of physicians involved in the multidisciplinary management of this pathology.
Objective. A comprehensive validation of the author’s methodology (questionnaire) «Flowchart “Methodology for assessing the professional potential of medical personnel of endocrinologists, obstetrician-gynecologists, and general practitioners in ...
Added: June 11, 2026
Boldyreva M., Mohammad R., Agareva M. et al., FRONTIERS IN ANIMAL SCIENCE 2026 Vol. 7 Article 1837838
Mammals from arid ecosystems face distinct physiological challenges: water scarcity and unpredictable food availability require the integration of energy storage, maintenance of water balance, and flexible switching between nutrients. Our previous study demonstrated lower fasting blood glucose levels in the desert rodent Acomys cahirinus (African spiny mouse), which also possesses a unique regenerative ability. The aim of ...
Added: June 3, 2026
Лебедева Д. А., Вестник Воронежского государственного университета. Серия: Право 2026 № 1 С. 66–77
The article is devoted to the study of problems in the fi eld of ensuring the protection and
portability of patient data in medical information and analytical systems (hereinafter – MIAS). The
purpose of the study is a comprehensive analysis of the legal regulation of the MIAS of the constituent
entities of the Russian Federation. The study identifi ...
Added: June 3, 2026
Biryukova A., Zasimova L. S., Вопросы статистики 2026 Т. 33 № 2 С. 40–57
The paper examines changes in the economic affordability of cigarettes in Russian regions in 2011–2023. Using fixed-effects models, it estimates the impact of prices, incomes, and tobacco affordability (the ratio of per capita income to cigarette price), on three indicators: retail sales of cigarettes per capita, adult population spending on tobacco products, and the share of these ...
Added: June 1, 2026
Helen Selorm Wohoyie, Anikin V. A., Tomsk State University Journal of Philosophy, Sociology and Political Science 2026 Vol. 90 P. 204–211
Menstrual health serves as a critical litmus test for state intervention in contexts where women’s bodily experiences are historically shaped by stigma, cultural taboos, and structural violence. Drawing on Joseph Gusfield’s theory of social problems, this review traces the moral passage of menstruation in Ghana (1992–2025) from a privately managed, stigmatized phenomenon to a matter ...
Added: May 26, 2026
Карцева М. А., Peresetsky A., / Высшая школа экономики. Серия WP2 "Количественный анализ в экономике". 2026. № WP2/2026/01.
This study examines the association between health status among elderly individuals living alone and pet ownership (cats, dogs). We employ data from the “Time Use Survey” conducted by the Federal State Statistics Service (Rosstat) in 2019, which contains information on more than 10,000 elderly individuals living alone aged 60 or older in Russia, including data ...
Added: May 8, 2026
Sazhina S. V., Shevski V., Sheiman I. et al., Электронный научный журнал "Социальные аспекты здоровья населения" 2021 Т. 67
Strengthening providers integration to improve health indicators is an important direction of healthcare development. Comparison of the 2012 survey and 2020 survey suggests some improvements in interaction between district physicians and outpatient specialists, however its level is hardly adequate. Interaction between district physicians and emergency care providers in polyclinics has improved. Interaction between polyclinic and ...
Added: March 17, 2021
Sheiman I., Шевский В., Вопросы государственного и муниципального управления 2019 № 1 С. 111–135
В статье рассматривается проблема соотношения концентрации рынка медицинских услуг и интеграции деятельности медицинских служб, измеряемая показателями, характеризующими совместную работу врачей, координацию клинических действий и преемственность лечения в амбулаторных и стационарных условиях. Обзор зарубежного опыта показывает значительные масштабы концентрации, главной формой которой является формирование в ведущих западных странах крупных больничных и амбулаторно-стационарных объединений. При этом интеграционные мероприятия проводятся ...
Added: May 16, 2019
Sheiman I., Shevski V., / NRU Higher School of Economics. Series PA "Public Administration". 2013. No. WP BRP 10/PA/2013.
Fragmentation in organization and discontinuities in the provision of medical care are problems in all healthcare systems, whether it is the mixed public-private system in the USA, national health services in the UK, or insurance-based ones in Western Europe and Russia. In all of these countries, a major challenge is to improve integration in order ...
Added: January 24, 2014
Tarasenko E. A., Здравоохранение 2013 № 8 С. 35–44
Рейтинг поставщиков медицинских услуг характеризует соотносительные значимость, место, вес, позицию одного поставщика медицинских услуг по ключевым показателям деятельности и уровню клинической эффективности по сравнению с другими (чаще всего однородными) поставщиками медицинских услуг на федеральном или региональном уровне. Основное предназначение такого оценивания и сравнения между собой поставщиков медицинских услуг – улучшение качества оказания медицинской помощи поставщиками ...
Added: October 1, 2013