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Journal «MEDICINA» 3/2015

pp. 1-69


List of the Presidential instructions following the forum «For quality and affordable medicine!» organized by the All-Russian Public Movement «All-Russia People's Front»
pp. 1-5 (Government policy)

Aleksandrova O.Yu., Ramnyonok T.V.
Urgent and emergency care – the problem of differentiation of the concepts and mechanisms of implementation of the provisions of the law
pp. 6-22 (Research)

The article analyzes the current legislation on the provision of emergency and urgent care. Conclusions are drawn that the separation of these two forms of assistance is legally ambiguous, does not have a clear mechanism for implementation.That increases the risk of occurrence of legal responsibility for the organization of health care for lack of medical care.

Key words: emergency medical care, urgent medical care, health insurance, medical intervention, injury

Danishevskiy K. D.
Factors of health care system, affecting maternal health: a comparison of four countries
pp. 23-46 (Research)

The article presents the results of a comparative study of the research carried out in four countries with different economic levels. Problem of maternal health from the perspective of the health care system was assessed. Results show how the processes taking place in the health system as a whole, influence maternal health within the existing set of conditions.

Key words: maternal mortality, healthcare system, public healthcare, private healthcare, healthcare reform

Apolikhin O. I.
Concept of reproductive health and active social longevity
pp. 47-52 (Discussion)

The article considers two systematic approaches to the organization of healthcare – curative and preventive. Author comes to the conclusion on the need for priority financing of primary health care referrals for preventive purposes, but not for help in the event of ill health. The importance of the priority of prevention and primary health care on the basis of counteracting risk factors is stressed, but not just early detection of existing diseases.

Key words: preventive healthcare, effectiveness of healthcare, detection of diseases, national system for healthcare

Komarov J. M.
On the priorities of the health care system in Russia up to 2020 and onwards
pp. 53-64 (Discussion)

The article considers the problem of task prioritization for the health care system in Russia, the existing international experience on the subject is analyzed. Author formulates his vision of the most important directions of development of public health, the need for the introduction of systems for evaluating the quality of care, the development of standards of care on the principles of evidence-based medicine.

Key words: Priorities, health care, reproductive health, school medicine, able-bodied population, disease prevention, quality of care, standards of care, evidence-based medicine

Komarov J. M.
On the plan of activities of the Ministry of Health in the 2013-2018
pp. 65-67 (Discussion)

The article provides critical analysis of the current action plan of the Ministry of Health. The inaccurate definition of the healthcare system tasks is observed. The disparity between stated goals and ways to achieve them is also marked. Need for a preliminary discussion of such documents in the medical community is stressed.

Key words: strategy for healthcare, morbidity, mortality, treatment outcomes, planning


Results of the scientific-practical seminar «Interlaboratory testing and harmonization of testing methods for determination of psychoactive substances in chemical toxicology and forensic laboratories in Russia»
pp. 68-69 (Conference Proceedings)