Концепция предотвратимой смертности как основа для разработки мер по её снижению: пример болезней системы кровообращения

Российский кардиологический журнал. 2025. Т. 30. № 10. С. 103–110.

Кобякова О. С., Стародубов В. И., Бойцов С. А., Шляхто Е. В., Деев И. А., Marychev G., Шибалков И. П., Логненко М. М., Перфильева Д. Ю., Соломатников И. А.

This article demonstrates how the concept of preventable mortality can be used to develop mortality reduction measures using cardiovascular disease (CVD) as an example. The measures are structured according to Donabedian model. A Russian methodology for determining preventable mortality, based on international approaches and adapted to Russian healthcare system, was used. In collaboration with federal experts, a list of measures to reduce preventable cardiovascular mortality was developed. To systematize these measures, Donabedian’s triad was used, identifying resources, processes, and performance indicators for each measure. Following activity examples are presented: "health schools" using telemedicine technologies, individual patient information, and stress echocardiography. Their structuring according to the Donabedian model makes it possible to identify the causes of potentially unsatisfactory results and improve their implementation. Integrating the concept of preventable mortality with the Donabedian model ensures a rational selection and evaluation of measures to reduce cardiovascular mortality, as well as the effective allocation of resources. The list of activities requires regular updating, taking into account changes in medical technologies and healthcare system capabilities.

Keywords: здравоохранение, prevention, healthcare, болезни системы кровообращения, treatment, лечение, предотвратимая смертность, профилактика, cardiovascular diseases, Preventable mortality, Donabedian model, модель Донабедиана