Problemy sotsial''noi gigieny i istoriia meditsiny / NII sotsial''noi gigieny, ekonomiki i upravleniia zdravookhraneniem im. N.A. Semashko RAMN, AO ''Assotsiatsiia ''Meditsinskaia literatura''最新文献

The authors digitized therapeutic factors used in the treatment of various forms of cognitive disorders, including dementia, with the subsequent development of a medical information system «Diagnosis and treatment of cognitive disorders». The medical information system «Diagnosis and treatment of cognitive disorders» was created on the basis of the 1C platform, supplemented by the module «Treatment of cognitive disorders», focused on supporting medical decision-making when choosing therapeutic factors for patients with cognitive disorders. It is planned to use this module in the complex activities of memory impairment classrooms.

Monitoring of scientific activity is a process of systematic tracking, analysis and evaluation of the activity and results of scientific research, to identify new directions and trends in research, as well as to assess the growth, level of activity and significance of scientific activity in a particular field of knowledge. This paper summarizes and analyzes statistical data for 2023 on publication and patent activity, personnel, directions and topics of research work of participants in the Scientific Program of the Moscow Healthcare Department for 2023-2025, the functions of which are coordinated by the Research Institute for Healthcare Organization and Medical Management of Moscow Healthcare Department.

The authors analyzed information of the demand for treatment abroad in search engines Yandex and Google the Russian audience of Internet users over the period from 2018 to 2023, covering the 3 stages of the development of international medical tourism market: before pandemia (2018-2019), pandemia (2020-2021) and sanctions (2022-2023). Based on dynamic indicators, a forecast is given for strengthening the positions of individual countries in the information Internet space of the Russian medical tourism market, and the main directions of integration processes in the medical tourism market in the space of the member states of the Commonwealth of Independent States are outlined.

A unique "Health School" project has been implemented in Moscow to teach older people knowledge about health, prevention of chronic non-communicable diseases, injuries and poisonings. The project was based on the integrative interaction of the Department of Health and the Department of Labor and Social Protection of Moscow. The leading role in the implementation of the project was played by employees of the Research Institute of Healthcare Organization and Medical Management of the Moscow Department of Health. The "Health School" project was successfully implemented in 2023 and its implementation continues in 2024. Training older people in the basics of health conservation has proven its relevance and effectiveness. A promising area of development could be the "Evidence-Based Happy Longevity" Platform, a knowledge base on active longevity issues and "best practices" in this area.

Colorectal cancer is one of the most common malignancies in the world. Its incidence and mortality could be reduce through primary prevention activities, which include healthy lifestyle behavior and avoidance of risk factors, and through screening (secondary prevention). Understanding the strengths and weaknesses of different colorectal cancer screening strategies is within the scope of interest of different health professionals. Therefore, the aim of this review is to synthesis the current scientific evidence that addresses the issues of effectiveness of population-based colorectal cancer screening programs and new methods for its early diagnosis.

The issue of malignant tumor occurrence associated with viral infections is a particularly significant one. Approximately 15-20% of tumors have some connection with various viral infections. An extensive amount of data has been gathered on neoplasms of the female reproductive system linked to the human papillomavirus (HPV). However, the connection between papillomavirus infection and malignant neoplasms in the male reproductive system requires further investigation. The aim of this review is to examine the association between malignant neoplasms of the male reproductive system and HPV, as well as to consider the issue of male vaccination. A research team conducted a literature review on the topic using databases such as the National Library of Medicine, Web of Science, and CyberLeninka. Data was collected on three types of malignant tumors in the male reproductive system: penile cancer, testicular cancer, and prostate cancer. In the context of the relationship between HPV and penile and prostate cancers, data on the presence of viral DNA in tumor tissue samples have been isolated. A study found that HPV DNA was present in semen samples from 34.9% of patients with testicular cancer, compared to only 2.4% in a control group. However, understanding of the HPV lifecycle raises questions about the link between HPV and testicular cancer. HPV multiplies in dividing epithelial cells, but testicular tissue is of mesodermal origin, and may not provide a suitable environment for HPV reproduction. Based on these findings, it is possible to draw the following conclusions: there are pathogenic reasons for the association between HPV and male reproductive system neoplasms. Further systematic review and meta-analysis are needed to fully understand this complex relationship.

The introduction of value-based healthcare is considered as the most promising area of healthcare system reform in different countries, regardless of the level of their socio-economic development. The definition of value-based in healthcare is defined by M. Porter and E. Tysberg, which is formulated as the ratio of the results that are important to patients to the costs incurred to achieve these results. The purpose of this study is to study the experience of foreign medical organizations in the implementation of value-based healthcare and generalize the main stages and factors influencing its implementation.

All over the world, with regard to digitalization in the provision of primary health care, issues of the principles of the cost-effective resource system for the provision of medical services covering all residents (any category of the population), ways to achieve other goals set for the health system at the territorial or regional level are being discussed. Depending on the main goals and principles set out in national legislation, including legislation in the field of health protection, approaches to achieving the Sustainable Development Goals and, accordingly, approaches to organizing the digitalization of medical care differ in different States. The issues of automating the processes of a medical organization and generating relevant information relate to the ways of using artificial intelligence to free up time for doctors, reduce the administrative burden on medical service providers. The level of digital medical literacy, combined with modern possibilities of remote interaction in the patient-medical worker format, can be decisive at the first stage of seeking medical help - with remote patient triage, which is an indispensable tool for determining both the need for assistance and the urgency of providing assistance. The experience of remote triage of patients by non-medical staff provided by the NHS Pathways clinical decision support system, used by the National Health Service of England, has freed up general practitioners (doctors and nurses) to provide other forms of medical care. In 2005, nurses and, to a lesser extent, general practitioners in England accounted for 100% of the staff handling telephone calls in the similar NHS Direct remote consultation system. The foreign experience of patient teletriage in our country will be limited by the legislation of the Russian Federation in the field of health protection, however, some existing restrictions, taking into account the assessment of risks to patients brought by innovative development, may be revised during the implementation of the «Program of experimental legal regime in the field of digital innovations in the field of medical activity, including the use of telemedicine technologies and technologies for collecting and processing information about the state of health and diagnoses of citizens», which will expire on 08/01/2026.

The import of medical products remains an important topic at present, given the relevance of healthcare in connection with the sanctions policy of Western countries and the ambiguous situation with foreign supplies of medical products. The situation with the dominant share of imported medical products in the Russian market highlights the dependence on international supplies and technologies in the healthcare sector. The policies and sanctions imposed by the European Union and other countries regarding the supply of medical equipment to Russia cause certain restrictions and difficulties due to the current political situation. Although these goods are classified as vital and do not fall under sanctions, many companies from Europe and the United States have suspended deliveries due to the so-called «moral embargo». Lack of access to modern equipment and medicines can lead to a deterioration in the quality of medical care, an increase in waiting times for treatment, as well as possible complications and a deterioration in the prognosis of the disease in patients. The article analyzes the dynamics of the medical products market over the past few years, and identifies changes in the structure of the medical devices market. The share in the import of medical equipment to Russia was also studied. In addition, the prospects for the development of the medical industry are considered and the current situation is assessed. To solve the problem in the short term, the necessary measures have been proposed to include vital medical devices and equipment in the list of the Ministry of Industry and Trade for its import according to the rules of parallel import.

The purpose of the study is to identify the features of the emotional component of professional deformation (burnout) of healthcare workers in the post-covid period. A survey was conducted of 658 healthcare workers with characteristics of the emotional component of professional deformation (burnout) in the post-covid period. Questionnaires of emotional burnout and self-assessment of emotional states were used. Mathematical and statistical processing included the K. Pearson correlation criterion and the Chaddock-Snedecor scale.