Importance of the Dynamics of Public Health and Health care Performance for the Priority National Project "Health" Implementation in the City of Moscow

The relevance of research: The high importance and relevance of taking into account the dynamics of public health and health care performance indicators for the implementation of the priority national project "Health" in Moscow is difficult to overestimate. On the basis of the materials “Collections of the main indicators of the health of the population of the city of Moscow,” a base is being actively replenished and improved. The data available there is a basis for understanding the entire demographic situation as a whole, and the state of health of the population of the capital, and also makes it possible to assess the availability, volume and quality of medical care provided in hospitals in the city of Moscow. Based on the analysis of industry statistics, managers of metropolitan clinics make management decisions in favor of their institution. Primary health care is the closest to a person, therefore increasing the availability of this type of medical care, enhancing its preventive focus, improving its quality, and creating comfortable conditions for a patient to stay in a medical organization are the most important tasks facing the entire health care system. Purpose of the study: Development of recommendations on the use of an array of statistical data generated on the basis of the collection and analysis of the accounting for the dynamics of public health and the performance indicators of medical institutions in the city of Moscow for making management decisions in the implementation of the priority national project "Health". Objectives of the study: 1. To consider the data of the medical-demographic situation and the health indicators of the population of the city of Moscow for 2018 (in comparison with the data for 2017). 2. To analyze the dynamics of the performance of the Moscow health institutions for 2018 (compared with the data for 2017) during the implementation of the priority national project "Health". 3. Summarize data on the results of the implementation of programs working in the Moscow health care institutions for 2018, in connection with the introduction of the priority national project "Health". 4. Analyze the opinion of 10 health experts on the topic of assessing the importance of taking into account the dynamics of public health and health care performance indicators and develop recommendations on the use of statistical data, noting their high role and importance, in light of the implementation of the priority national project “Health” in Moscow. Empirical base and research methods: • analysis of world health statistics for 2017; • analysis of data of the main indicators of the health of the population of the city of Moscow for 2017–2018; • author's qualitative research - 10 expert in-depth interviews conducted by the author in April-May 2019 in Moscow. In this paper, an assessment was made of the effectiveness of the implementation of the priority national project “Healthcare” and the degree of its influence on the dynamics of medical and demographic indicators in medical organizations in the city of Moscow. The analysis of the outpatient and inpatient care of the population. Recommendations were given on working with databases for solving the tasks set in the implementation of the priority national project “Healthcare” as a whole and in the provision of medical care. The significant role of possession of medical-statistical data and information support for solving the issues of managing pilot programs and projects in the framework of the implementation of the priority national project "Health" is shown. That is why some of the work with regards to the average Moscow indicators for 2017-2018. is already used in medical institutions subordinated to the Department of the City of Moscow (with the exception of the recommendations written by the author during the implementation of the WRC), and some of them were tested at the April HSE Conference in 2018.