Проблемы формирования интегрированной системы здравоохранения

Abstract Significance. The epidemiological, clinical, and socioeconomic effects of healthcare digitalization are actively discussed in the scientific literature. Less attention has been paid to changes in the organization of healthcare resulting from the introduction of digital technologies. These changes have not been the subject of specific research. However, digital technologies is becoming a driver for the ...

Added: September 29, 2026

Онтологический разрыв: когда Другой — алгоритм

Ugleva A. V., Социологическое обозрение 2026 Т. 25 № 3 С. 268–293

This article undertakes a socio-philosophical analysis of a situation in which the place of the Other within the structure of subjective experience is occupied by an algorithmic agent – an entity that simulates understanding yet remains devoid of genuine subjectivity. To investigate this configuration, the author turns to psychiatric practice as a representative case study: ...

Added: September 26, 2026

Экспертная оценка ответов больших генеративных моделей на запросы врачей в клинической практике

Тыров И. А., Васильев Ю. А., Владзимирский А. В. et al., Труды Института системного анализа Российской академии наук 2026 Т. 76 № 3 С. 79–89

Large language models (LLMs) in healthcare currently attract significant interest. This study compared GigaChat and YandexGPT by evaluating 1,200 LLM-generated responses to physician queries from outpatient and inpatient settings across 7 topics. Thirteen expert physicians assessed the responses using a 5-point scale across five criteria: relevance, correctness, safety, completeness, and language literacy. We performed paired ...

Added: September 22, 2026

Изоформы микроРНК hsa-miR‐143-3p как регуляторы HK2 и SERPINE1 при гипоксии трофобласта и преэклампсии

Чеботарева О. Е., Пирогов А. А., Antipenko I. et al., Доклады российской академии наук. Науки о жизни 2026 Т. 529 № 1 С. 389–395

Preeclampsia (PE) is a severe obstetric complication caused by chronic placental ischaemia. Genome-wide profiling of microRNA isoforms in two trophoblast hypoxia models (CoCl2 and the oxyquinoline derivative neuradapt, BeWo b30 cells) and clinical PE samples (placental tissue, syncytiotrophoblast vesicles) revealed concordant downregulation of hsa-miR-143-3p isoforms. Under a strict fold-change threshold, the canonical isoform (21 nt) ...

Added: September 16, 2026

Validation of novel naturalistic limb movement stimuli for studying biological motion perception in adults

Koriakina M., Ntoumanis I., Blagoveshchensky E. et al., Frontiers in Human Neuroscience 2026 Vol. 20 Article 1754368

Introduction: Understanding how we perceive and interpret the movements of other living beings is fundamental to social interaction, survival, and navigating our dynamic environment. Traditional studies of biological motion perception have predominantly employed simplified stimuli, such as point-light displays, which sacrifice ecological validity for experimental control. Methods: To overcome this limitation, we created a novel stimulus set featuring ...

Added: September 15, 2026

Discovering New Orthologous Groups with P-COGs

Bug D. S., Kuzovenkova D. A., Tishkov A. V. et al., Biochemical Genetics 2026

Deciphering the evolutionary history of genes is foundational for biomedical research, enabling the identification of compensatory mutations in disease-associated genes and the selection of evolutionarily relevant model organisms. However, challenges of multi-isoform handling, the presence of incomplete genomes/proteomes initial datasets, and problems of evolutionary history representation are still present. To address these issues, we introduce ...

Added: September 14, 2026

Global burden of amphetamine, cannabis, cocaine and opioid use in 204 countries, 1990–2023: a Global Burden of Disease Study

Kang J., Kim H. J., Kim M. S. et al., Nature Medicine 2026 No. 32 P. 527–544

Added: September 9, 2026

Salivary Antioxidant Capacity and Magnesium in Generalized Anxiety Disorder

Proskurnina E., Liaukovich K., Bychkovskaya L. et al., Metabolites 2023 Vol. 13 No. 1 P. 73

Added: September 7, 2026

Benchmarking Synolitic Graphs for Autism Classification from Multisite Resting-State fMRI

Zaikin A., Vlasenko D., Zakharov D. et al., Diagnostics 2026 Vol. 16 No. 17 Article 2746

Background/Objectives: Synolitic graphs (SGs) were developed for task-based fMRI, where edge weights encode the discriminative power of pairwise regional features; whether similar information can be recovered from resting-state data was untested. We benchmarked SGs for autism spectrum disorder (ASD) classification using the multisite ABIDE-I dataset (871 subjects: 403 subjects with ASD, 468 typical controls; 17 sites; CC200 atlas). Methods: Using ...

Added: August 27, 2026

Measuring the composition and availability of human resources for health by sex in 204 countries and territories, 1990–2023, and workforce gaps for universal health coverage: a systematic analysis for the Global Burden of Disease Study 2023

Knight M., Bienhoff K., A B. et al., The Lancet Public Health 2026 Vol. 11 No. 9 P. e604–e629

Background Understanding the size, gender composition, and cadre mix of the health workforce and how it has evolved across time and locations can inform policies for planning, recruitment, training, and retention of human resources for health (HRH), and improvement of access to the health-care workforce among populations. Using comparable and standardised data sources, we aim to ...

Added: August 25, 2026

Localization in Medical Imaging: A Unified AI Approach for Ovaries, Follicles, and Vertebral Arteries

Moshkin A., Fedorov M., Arlazarov V. et al., Algorithms 2026 Vol. 19 No. 7 Article 523

Artificial intelligence (AI) technologies, which are being actively developed in modern medicine today, increase the speed and quality of patient care. This article mainly seeks to demonstrate the use of various options of computer analysis of clinical images to solve practical problems of increasing the efficiency of routine diagnostics using retrospective analysis, as well as ...

Added: August 17, 2026

Assessing walkability and climate adaptive capacity in relation to urban morphology and historical development

Shartova N., Mironova E., Geo Journal 2026 Vol. 91 Article 78

The historical timeline of urban development profoundly shapes the contemporary form and functionality of cities. Traditionally, cities were planned with limited consideration for the promotion of a healthy urban environment. Using Nizhny Novgorod, Russia, a city that has evolved from a medieval market town to an industrial centre and later into a multifunctional city with ...

Added: August 9, 2026

Global Burden of Elevated LDL-C: Findings From the Global Burden of Disease Study 2023

Razo C., DeCleene N., Johnson C. et al., JAMA - Journal of the American Medical Association 2026 Vol. 336 No. 8 P. 673–696

Importance Elevated low-density lipoprotein cholesterol (LDL-C) is a modifiable risk factor for cardiovascular disease, the leading cause of premature death worldwide. Assessing the LDL-C–related burden is critical for guiding prevention and treatment strategies. Objectives To estimate the global, regional, and national burden of ischemic heart disease and ischemic stroke attributable to elevated LDL-C (relative to 35-54 mg/dL) from ...

Added: August 4, 2026

Late-phase strategies to overcome limitations of PD-1/PD-L1 therapy: a clinical development trajectory through 2030

Elena A. Andresyuk, Natalya O. Porozova, Londaridze G. et al., Frontiers in Oncology 2026 Vol. 16 Article 1875861

Inhibition of the PD-1/PD-L1 axis has become a clinical standard across multiple malignancies, yet durable benefit remains restricted to selected settings, and many biologically rational combinations fail to maintain clinical benefit in late-phase evaluation. This structured, registry-derived narrative review, supported by expert-guided interpretation, was designed to identify the most clinically meaningful development directions among strategies ...

Added: July 31, 2026

Reach: Recognising episodes of acute complexity in health: a predictive older patient prioritisation machine learning model

Maghsoohi A., Pavlov V., Rouse P. et al., Health Care Management Science 2026 Vol. 29 Article 37

As the numbers of older people (65 +) rise globally, the pressure on acute hospitals to provide efficient and effective care while addressing resource inequities increases. In this study we introduce Recognising Episodes of Acute Complexity in Health (REACH), a novel Automatic Machine Learning (AutoML)-based predictive model that prioritises older patients and assigns them to complex ...

Added: July 30, 2026

Информированное добровольное согласие в действии и во времени: ритуалы производства и маршрутизации бланков, сведений и подписей в родовспоможении

Kuksa T., Этнографическое обозрение 2026 № 5 С. 142–163

My research fills gaps in medical anthropology and the anthropology of bureaucracy regarding practices of patient agency, medical discretion, and the production and routing of informed consent within the contemporary medical setting. Developing an ethnography of documents from a Latour Hull perspective, I examine informed consent forms as a network of non-human actors. My work ...

Added: July 29, 2026

Global, regional, and national burden of road injuries 1990–2023: a systematic analysis for the Global Burden of Disease Study 2023

van der Lubbe S. C., Moberg M. E., Aluquin D. et al., The Lancet Public Health 2026 Vol. 11 No. 9 P. e589–e603

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

Взаимодействие звеньев оказания медицинской помощи: результаты опроса врачей

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

Процессы концентрации и интеграции медицинских служб в зарубежном и отечественном здравоохранении: есть ли приращение эффекта?

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

Health care integration in the Russian federation: conceptual framework, evaluation, and new instruments

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

Кому и для чего нужны рейтинги поставщиков медицинских услуг?

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

Конкурентоспособность Северо - Западного региона в сфере социальной политики (на примере модели медицинского обеспечения в Санкт Петербурге)

Nazarova V., В кн.: Конкурентоспособный регион: концепции и факторы.: Пермь: [б.и.], 2012. С. 124–134.

The article is devoted to the review of the forming systems of public health in S.Peterburg, it shows main stages of private medical insurance, relations between its participants. The article focuses on improving the models of medical care, and suggests some recommendations for raising efficiency, based on local opportunities and peculiarities. The author ...

Added: February 23, 2013

Зарубежный опыт интеграционных процессов в здравоохранении. Часть 2

Sheiman I., Менеджер здравоохранения 2012 № 8 С. 19–25

В статье обосновывается актуальность проблемы интеграции медицинской помощи. На материалах по ведущим зарубежным странам анализируются организационные, экономические и информационные механизмы интеграции с акцентом на те из них, которые имеют отношение к практике российского здравоохранения. Ключевые слова: фрагментация медицинской помощи, интеграция медицинской помощи, интегрированные методы оплаты услуг, программы управления хроническими заболеваниями. ...

Added: February 12, 2013