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  • Development of medical prevention and early identification of diseases and their impact on outcomes of the system of health care delivery

Development of medical prevention and early identification of diseases and their impact on outcomes of the system of health care delivery

2019
The project has been carried out as part of the HSE Program of Fundamental Studies.

Objective of the work is to identify changes in organizational and economic mechanisms for the implementation of prevention and diseases’ early detection, as well as to evaluate their medical and economic effectiveness.

Methods

Analytical review of domestic and foreign literature, on-line survey of more than1100 district physicians and physicians of preventive offices (from 81 regions of the country), statistical analysis, economic evaluation using cost-effectiveness tools.

Empirical research base

Data of official health statistics, reports of the Russian Federation Ministry of Health and regional health authorities, reports of the Federal Fund for Compulsory Health Insurance, data of online survey of physicians.

Results:

Analyzed foreign experience in implementing preventive measures, as well as their importance for Russian health care.

Analyzed practices of medical prevention (dispanserization progeam) in Russia using physicians’ surveys. Identified problems of its implementation.

Suggested a method of assessing medical and economic effectiveness of the dispanserization program. Based on the available data, the ratio of expenditure dynamics to the number of diseases identified was assessed.

Recommendation are made to enhance medical and economic effectiveness of the dispanserization program.

Research outcomes use

Recommendations can be used for:

  • determining directions and measures to improve organization of the dispanserization       program;

  • establishing a coverage and structure of preventive services included in the program;

  • adjusting payment methods for preventive activities;

  • monitoring the dispanserization program by health authorities.

Publications:


Шишкин С. В., Потапчик Е. Г., Сажина С. В., Понкратова О. Ф. Рейтинг доступности и качества медицинской помощи в субъектах Российской Федерации / Высшая школа экономики. Серия WP8 "Государственное и муниципальное управление". 2019. № WP8/2019/01.
Richardson E., Sheiman I. New primary care policy in the Russian Federation // Quarterly of the European Observatory on Health Systems and Policies EUROHEALTH. 2019. Vol. 25. No. 14. P. 34-37.
Абанкина Т. В., Акиндинова Н. В., Бирюкова С. С., Власов В. В., Горина Е. А., Денисенко М. Б., Ермолина А. А., Корешникова Ю. Н., Корчагина И. И., Кузьминов Я. И., Любушина Е. С., Мисихина С. Г., Мкртчян Н. В., Нагерняк М. А., Назарбаева Е. А., Овчарова Л. Н., Пишняк А. И., Селезнева Е. В., Синявская О. В., Сорокин П. С., Фрумин И. Д., Харькова Т. Л., Шейман И. М., Шилова Н. П., Шишкин С. В. Национальные цели социального развития: вызовы и решения: докл. к XX Апр. междунар. науч. конф. по проблемам развития экономики и общества, Москва, 9–12 апр. 2019 г. / Отв. ред.: Я. И. Кузьминов, Л. Н. Овчарова. М. : Издательский дом НИУ ВШЭ, 2019.
Шишкин С. В., Темницкий А. Л. Роль аттестации медицинских работников в повышении трудовой мотивации // Вопросы государственного и муниципального управления. 2019. № 2. С. 141-167.
Shishkin S., Kuhlmann E., Richardson E., Ivanov I., Shvabskii O., Minulin I., Shcheblykina A., Kontsevaya A., Bates K., McKee M. Understanding the role of physicians within the managerial structure of Russian hospitals // Health Policy. 2019. P. 1-9. doi
Sheiman I., Shevsky V. Concentration of health care providers: does it contribute to integration of service delivery? // Risk Management and Healthcare Policy. 2019. No. 12. P. 153-166. doi
Шейман И. М., Шевский В. И., Сажина С. В. Приоритет первичной медико-санитарной помощи – декларация или реальность? // Электронный научный журнал "Социальные аспекты здоровья населения". 2019. Т. 65. № 1. С. 1-29. doi
Vlassov V. Russia needs to look beyond longevity // The Lancet Public Health. 2019. Vol. 4. No. 4. P. 169-170. doi
Sheiman I. MAXIMUM WAITING TIMES GUARANTEE IN RUSSIA: DOES IT IMPROVE ACCESS TO HEALTH CARE? / NRU HSE. Series WP BRP Series "Public and Social Policy". 2019.