Перспективные меры по снижению смертности в России: аналитический обзор

Здравоохранение Российской Федерации. 2021. Т. 65. № 6. С. 573–580.

Кобякова О. С., Стародубов В. И., Халтурина Д. А., Зыков В. А., Зубкова Т. С., Zamyatnina E.

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 
Scholar. 
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.

Keywords: смертность, аналитический обзор, mortality, prevention, public health, Analytical Review, общественное здоровье, профилактика, организация здравоохранения, healthcare organization