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Организация первичной медико-санитарной помощи: тенденции и перспективы
Editor-in-chief: Shishkin S.
Keywords: врач общей практикиэлектронная медицинская картаВсемирная организация здравоохранения (ВОЗ)первичная медико-санитарная помощьэлектронная медицинская запись
Publication based on the results of:
Shishkin S., Almazov A., Vlassov V. et al., Электронный научный журнал "Социальные аспекты здоровья населения" 2026 Т. 72 № 4 Статья 4
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
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
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
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
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., Mikhailov I. 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., Mikhailov I., 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
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
Маличенко В. С., Евразийский юридический журнал 2022 Т. 167 № 4 С. 30–34
Under the influence of globalization, socio-economic and demographic trends, health issues have gradually established themselves as important elements in achieving sustainable development goals and maintaining a comprehensive system of international security. The number of international and regional intergovernmental organizations, as well as other actors of international relations involved in the regulation of certain issues of ...
Added: June 13, 2023
Маличенко В. С., Международное право и международные организации 2022 № 1 С. 46–55
The object of the study is public relations arising from the interaction of international intergovernmental organizations, states, and non-governmental organizations in the framework of ensuring the human right to the highest attainable level of health and forming the concept of "global health governance". The subject of the study are international legal norms, as well as ...
Added: June 13, 2023
Маличенко В. С., Московский журнал международного права 2021 № 4 С. 6–20
INTRODUCTION. Over the past decades under the influence of demographic processes, economic shocks, morbidity increase and other systemic problems a whole spectrum of threats to health has gradually formed at the international level, characterized by severe socio-economic consequences for each country regardless of the welfare level. Today, the challenges of ensuring universal coverage of services, ...
Added: June 13, 2023
Shishkin S., Sheiman I., Vlassov V. et al., М.: Национальный исследовательский университет "Высшая школа экономики", 2022.
В докладе проводится сравнительный анализ структурных изменений в системах здравоохранения стран с развитой экономикой, прошедших второй эпидемиологический переход, и России, находящейся в начале такого перехода. Рассматриваются изменения в структуре ресурсного обеспечения здравоохранения, в соотношении различных видов медицинской помощи, в организационно-технологической структуре системы здравоохранения, функционалах и способах взаимодействия ее элементов. Выявляются причины отличий структурных изменений в ...
Added: June 6, 2022