Перспективные меры по снижению смертности в России: аналитический обзор
The purpose of the study was to identify promising measures to reduce mortality in Russia.
Methods used included analysis of systematic reviews from PubMed, Web of Science, Scopus, and Google
Results. Promising measures for reducing mortality in Russia include promoting healthy behaviour (tobacco
control, alcohol control, support for healthy diet, physical activity) and preventing death due to external causes.
It is necessary to increase the effectiveness of disease management, including arterial hypertension, hyper-
cholesterolemia, diabetes mellitus, cardiovascular accidents, hepatitis C, HIV. This could require intensifying
digital transformation of health care, implementing modern teamwork approaches to the patient’s treatment
and follow-up with greater involvement of nurses and other personnel. In terms of screening, it is essential
to expand coverage and introduce modern, effective screening methods for colorectal cancer, cervical cancer,
and neonatal screening. It is necessary to expand vaccination against COVID-19, vaccination of the elderly
from Pneumococcus, and teenagers from HPV. Prevention of mortality from external causes should include
sets of measures targeted at the prevention of suicides, traffc accidents, fres, drownings, etc., in addition to
alcohol control measures. Finally, increasing health care fnancing, including medication provision, can bring
additional years of life.
Conclusions. Russia has signifcant potential to implement new measures to reduce the mortality.