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Article

Структурно-функциональная модель региональной системы здравоохранения

Третьякова Е. А., Пепеляева А. В.

There is proposed a structural and functional model of the healthcare system of the
region, which allows to present in a clear and logical format any processes taking place in the
regional health care system, characterizing the most common patterns of the system as a
whole and being the basis for explaining its activities, reflecting the functional (the set of the
objective function, management functions and support functions required to achieve the output
parameters of the system – providing enhanced reproduction of human resources in the region
by improving the health of the region's residents) and the structure of the system. The
main functions of the regional health system and indicators for assessing the level of implementation
of these functions were determined. The proposed method of the assessment of the
regional health care system’ dysfunctions was tested on the example of the health care systems
of the seven subjects of the Russian Federation (Perm Krai, Republic of Tatarstan, Republic
of Bashkortostan, Nizhny Novgorod Oblast, Samara Oblast, Sverdlovsk Oblast and
Chelyabinsk Oblast). The conducted analysis showed that during the analyzed period (2000-
2015) the health care system of the Perm Krai showed a high level of dysfunctionality, it
should be noted a slight positive dynamics in the level of implementation of the target function
of the health care system. The most significant factors affecting the health status of residents
of Perm Krai are the social determinants of health and the population's behavior in the sphere
of health saving.