• A
  • A
  • A
  • ABC
  • ABC
  • ABC
  • А
  • А
  • А
  • А
  • А
Regular version of the site
For visually-impairedUser profile (HSE staff only)SearchMenu

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

2019

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:


Vlassov V., Shishkin S., Chirikova A., Vlasova A. An idea alien to both worlds: why health care rationing is not acceptable in the USA and Russia // Journal of Medical Law and Ethics. 2019. Vol. 7. No. 3. P. 231-240. 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
Sheiman I. MAXIMUM WAITING TIMES GUARANTEE IN RUSSIA: DOES IT IMPROVE ACCESS TO HEALTH CARE? / ГУ ВШЭ. Series WP BRP Series "Public and Social Policy". 2019. 
Vlassov V. Russia needs to look beyond longevity // The Lancet Public Health. 2019. Vol. 4. No. 4. P. 169-170. doi
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. 
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. C. 1-29. doi
Kuhlmann E., Shishkin S., Richardson E., Ivanov I., Shvabskii O., Minulin I., Shcheblykina A., Kontsevaya A., Bates K., McKee Martin Understanding the role of physicians within the managerial structure of Russian hospitals // Health Policy. 2019. No. 123(8). P. 773-781. doi
Шишкин С. В., Темницкий А. Л. Роль аттестации медицинских работников в повышении трудовой мотивации // Вопросы государственного и муниципального управления. 2019. № 2. C. 141-167. 
Vlassov V. Quality improvement in hospitals in the Russian Federation, 2000-2016: a systematic review // Health Economics, Policy and Law. 2020. Vol. 15. No. 3. P. 403-413. doi
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. Series WP8 "Государственное и муниципальное управление". 2019. No. WP8/2019/01.