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Новые модели первичной медико-санитарной помощи: зарубежный опыт и российские перспективы
Электронный научный журнал "Социальные аспекты здоровья населения". 2022. Т. 68. № 2. Статья 2.
The existing multidisciplinary polyclinic model in Russia has both advantages and serious disadvantages. Equally controversial is the model of individual physician practice. Western countries are looking for alternatives to individual practice; larger organizational forms of primary care are being developed. Extended practices do not repeat the Russian multidisciplinary polyclinic model, but use some of its advantages, primarily teamwork of medical specialists. The ongoing worldwide changes in the composition, functionality, and interaction between PHC providers make it possible to identify new models. The most promising new PHC models in Russia include the following ones: extended general practice, integrated medical and social practice, center of outpatient care, and home clinic.
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
Kang J., Kim H. J., Kim M. S. et al., Nature Medicine 2026 No. 32 P. 527–544
Drug use disorders (DUDs) are emerging global public health challenges. Here we investigated the global and regional estimates of the prevalence and burden of DUDs, including amphetamine, cannabis, cocaine and opioid use disorders, from 1990 to 2023 for 204 countries and territories by using the Global Burden of Disease Study 2023. Overall, trends in global ...
Added: September 9, 2026
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
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
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
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
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
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
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
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
Авксентьева М. В., Ашихмин Я. И., Ашихмина О. В. et al., М.: ФГБУ "Издательство "Наука", 2023.
Предложены основные направления совершенствования планирования, организации и оплаты медицинской помощи, лекарственного обеспечения, информатизации и оценки технологий здравоохранения. Рекомендованы такие мероприятия, как конкретизация программы государственных гарантий бесплатного оказания гражданам медицинской помощи, создание системы общедоступного лекарственного обеспечения, использование клинико-статистических групп для оплаты медицинской помощи при ряде хронических неинфекционных заболеваний в амбулаторных условиях, формирование механизма привлечения соплатежей при ...
Added: July 16, 2026
Хайлова Ж. В., Омельяновский В. В., Терян Р. А. et al., Опухоли женской репродуктивной системы 2025 Т. 21 № 1 С. 86–105
Цель исследования – определить наиболее целесообразную стратегию скрининга и ранней диагностики рака шейки матки (РШМ) в Российской Федерации с точки зрения клинической (диагностической) и экономической эффективности.
Материалы и методы. Для оценки клинической (диагностической) эффективности различных стратегий скрининга проведен систематический обзор публикаций об исследованиях, оценивающих эффективность применения цитологического исследования и тестирования на вирус папилломы человека (ВПЧ) с целью диагностики ...
Added: July 16, 2026
Иванова А. А., Коган С. А., Горбунова Т. В. et al., Менеджер здравоохранения 2026 № 3 С. 96–105
The research r elev anc e is determined by the demand for telemedicine consultations (TMC) as one of health care digitalization pathways in Russian Federation. Telemedicine, regardless of the field, continues to prove its significant role, saving health resources without losing medical care quality. The TMC is regulated by federal level framework. Each year the ...
Added: July 16, 2026
Sun Z., Khvostikov A., Krylov A. et al., Machine Learning and Knowledge Extraction 2026 Vol. 8 No. 1 Article 8
Whole-slide histology images (WSIs) can exceed 100 k × 100 k pixels, making direct pixel-level segmentation infeasible and requiring patch-level classification as a practical alternative for downstream WSI segmentation. However, most approaches either treat patches independently, ignoring spatial and biological context, or rely on deep graph models prone to oversmoothing and loss of local tissue ...
Added: July 16, 2026
Хайлова Ж. В., Омельяновский В. В., Михайлов И. А. et al., Менеджер здравоохранения 2026 № 4 С. 41–52
The urgency of the problem of organizing effective medical care for cancer patients is determined by the steady trend of increasing incidence of malignant neoplasms, the high proportion of this pathology in the structure of overall mortality, as well as significant medical, demographic and socio-economic losses for society.Purpose of the st udy is to conduct ...
Added: July 16, 2026
Габриелян А. Р., Александрова О. Ю., Михайлов И. А., Здоровье мегаполиса 2026 Т. 7 № 2 С. 7–16
Objective. To evaluate the impact of a series of organizational measures for implementing innovative medical technology in a multidisciplinary hospital on patient quality of life based on patient self-assessments. Results. Patients who received care using innovative medical technology within a systemic organizational approach demonstrated a significantly higher level of overall satisfaction with the quality of care. ...
Added: July 16, 2026
Ахапкина Е. С., Омельяновский В. В., Тулупова О. Н. et al., Медицинские технологии. Оценка и выбор 2026 Т. 48 № 2 С. 70–77
OBJECTIVE
To analyze international approaches to assessing the labor complexity for different specialists with higher medical education (physicians).
MATERIAL AND METHODS
We performed a systematic searching and content analysis of foreign and national studies and documents devoted to labor complexity of different specialists with higher medical education (doctors). A group of experts among the authors of this study discussed and identified significant factors in assessing complexity.
RESULTS
There are 2 main systems to assess physician workload complexity in foreign countries. The first approach is based ...
Added: July 16, 2026
Arina Bukina, Eritsyan K., Antonova N. et al., Frontiers in Psychology 2026 Vol. 17 Article 1824428
Background:
Numerous studies have shown that indigenous populations experience poorer health outcomes compared to people with other backgrounds. However, the interpretation of these disparities remains challenging due to differences in living conditions and social environments, as well as by potential measurement-related biases. Little is known about whether the underlying mechanisms of mental health outcomes differ between ...
Added: July 15, 2026
Vlassov V., The Lancet Infectious Diseases 2026 P. 1–12
Background
Tuberculosis (TB) is the leading global cause of death from a single infectious agent. Recent reductions in global health funding have threatened TB control, making comprehensive assessment of TB, HIV-related TB, and drug-resistant TB burdens before these disruptions essential for shaping effective responses. The WHO End TB Strategy sets targets of a 95% reduction in ...
Added: July 7, 2026
Stepanov I., Sheiman I., Human Resources for Health 2025 Vol. 23 Article 70
The article develops an activity-based utilization model to inform strategic planning of the primary care workforce in Russia. Using national data on morbidity, service utilization, and staffing norms, the authors forecast physician visits per capita and link these projections to specific policy activities that can increase or decrease demand for primary care physicians. The model ...
Added: November 28, 2025
Shishkin S., Almazov A., Корнилов М. Н. et al., М.: Национальный исследовательский университет "Высшая школа экономики", 2022.
В докладе представлены главные направления изменений в организации первичной медико-санитарной помощи, происходящих в
России и в странах с развитой экономикой. Выделены новые модели
организации этой помощи, которые формируются и могут получить
развитие в нашей стране в перспективе 10–15 лет, в том числе расширенная общая врачебная практика, интегрированная медико-социальная практика, центр специализированной амбулаторной медицинской помощи, поликлинический центр, фельдшерская (сестринская)
практика, ...
Added: June 7, 2022
Sheiman I., Shishkin S., Shevski V. et al., Мир России: Социология, этнология 2021 Т. 30 № 4 С. 6–29
Диспансеризации населения позиционируется российским государством как важнейший инструмент политики в сфере здравоохранения. В отчетах органов государственной власти рост охвата населения диспансеризацией и числа выявленных заболеваний представляются как однозначные свидетельства ее успеха. Перспективы ее развития связываются с расширением числа участников и состава мероприятий по выявлению заболеваний. Считается, что это автоматически приведет к улучшению показателей здоровья населения. ...
Added: October 18, 2021
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
Sheiman I., Шевский В. И., Sazhina S. V., Электронный научный журнал "Социальные аспекты здоровья населения" 2019 Т. 65 № 1 С. 1–29
Оценка состояния первичной медико-санитарной помощи показывает, что сегодня это самый слабый сектор российского здравоохранения. Главные его проблемы – острейший дефицит врачей участковой службы, их ограниченный лечебный и координационный функционал, низкий уровень эффективности. Анализ текущих мероприятий по укреплению первичной помощи демонстрирует их недостаточность для решения выявленных проблем. Мероприятия, планируемые в рамках Национального проекта «Здравоохранение», в этой ...
Added: March 17, 2019