[The prevalence of emotional burning-out syndrome of medical workers in the Russian Federation: Systematic review and meta-analysis].

The burnout is a syndrome that occurs as a result of chronic stress at workplace that is extremely difficult to successfully manage. Many epidemiological studies concerning professional burnout of health care workers were already implemented in Russia. The purpose of the study was to assess overall burnout prevalence rate among health care workers practicing in Russia. We carried out systematic review of original publications in Russian and English though from eLibrary/ MEDLINE/PubMed, Cochrane and Google Scholar databases. Out of 408 results obtained during primary databases search, 61 publications were selected with range of burnout prevalence from 4.2 to 96.7%. Out of them 29 publications that applied the Maslach Burnout Inventory technique as burnout assessment tool to implement meta-analysis were selected. The meta-analysis included data of 5 497 participants. At that, total prevalence rate of burnout among health care workers made up to 61% [95% CI; 52-69%]. Thereby, burnout syndrome is to be considered as important problem of the national health system that requires standardized approach in assessing, diagnosing and monitoring.

[The self-evaluation of health by individuals older than able-bodied age].

Health status is one of the most valuable parameters of assessing well-being of elderly generation. It is advisable to study attitude of individuals older than able-bodied age to their own health as instrument adding to awareness of diseases or their symptoms, data concerning psychological and social well-being, degree of satisfaction with their own capabilities. Thus, in conditions of population aging, studying health self-assessment to determine prognosis of life and health of the elderly is of special actuality.

[On the issue of evaluation of quality and efficiency of intersectorial interaction under palliative medical care support].

The article presents the original system of indices for comprehensive assessment of level of intersectorial collaboration in palliative medical care support of population. The system was developed on the basis of and considering requirements of normative legal acts of the Russian Federation. The proposed indices can be applied in analysis of functioning and subsequent optimization of medical institutions network and social service institutions in the subjects of the Russian Federation, including involvement of non-profit organizations and public associations.

[The mortality of individuals older than able-bodied age because of consequences of external causes effect].

The analysis of mortality because of external causes in persons older than able-bodied age in the Russian Federation permitted to determine their high level and significant contribution into formation of age profile of mortality of persons of older age groups. The comparison of mortality rates from injuries, poisoning, and some other consequences of external causes effect in persons older than 65 years in the Russian Federation and the European countries was carried out. The high mortality due to external causes of persons older than able-bodied age in the Russian Federation emphasizes vulnerability of this age group of population and is characterized by increased victimization.

[The methodology of calculation of indices of provision of population with beds of palliative medical care].

The enhancement of organization of palliative medical care to increase life quality of terminally ill patients is one of directions of development of health care system. To elaborate measures of improving accessibility and quality of palliative medical care, it is necessary to apply single unified methodology of calculating indices and criteria. One of them is provision of bed capacity. The purpose of the study is to elaborate methodology of calculating control indices of provision population with beds to render palliative medical care. The indices are calculated on the basis of statistical processing of monitoring corresponding data in the subjects of the Russian Federation.

[The comparative characteristic of approaches to monitoring and evaluation of morbidity of psoriasis in the Russian Federation and the countries of the European region].

The psoriasis is chronic inflammatory dermatitis that is accompanied by severe damage of skin and musculoskeletal system and affects functions of other organs and systems. The epidemiological data concerning prevalence and morbidity of psoriasis all over the world varies significantly. The article presents comparative characteristic of approaches to monitoring and evaluation of psoriasis morbidity in the Russian Federation and in the countries of the European region. The differences were revealed such as absence both of indices to evaluate quality of life of patients with psoriasis and specific population epidemiological studies in national system of monitoring and evaluation of the Russian Federation.

[The Evaluation of External Business Processes in Export of Medical Services in the Russian Federation].

The study objective is to develop classification and to characterize main business processes (production relationships) arising during development of export of medical services in the Russian Federation. METHODS: The study was based on information derived from publications off- and on-line, analysis and evaluation of regulatory legal acts, structuring processes of interaction between elements of organizational system. RESULTS: The classification and characteristics of 59 major external business processes arising in process of developing the export of medical services as part of interaction of subject pairs represented by government organizations, business structures and foreign citizens are proposed. The individual regulating documents also were considered. INTERPRETATION: The proposed structured forms of interaction between subjects participating in export of medical services will help developing new or improving existing regulatory legal acts needed for effective implementation of this process.

[The characteristics of mortality of population older that able-bodied age in the Russian Federation in 2012-2018].

The positive trend of decreasing mortality of elderly population in all countries of the European Region in 2000-2015 was observed. In the Russian Federation the mortality of elderly population decreased up to 3,798.3 per 100 000 population in the 2018, i.e. on 14% lower as compared with 2012 (4424.6), and on 45% lower as compared with corresponding indices in 1998 (6877.0 per 100 000 population). The purpose of the study is to identify characteristics of mortality and to compare with foreign data of mortality of population older than able-bodied age in the Russian Federation. The standardized indices of mortality in 2012-2018 were analyzed. The gender characteristics of mortality levels were established. The main causes and the structure of main causes of death were presented. The comparison of mortality rates. The contribution of particular age groups into total mortality of population of the Russian Federation over the years was described.

[The characteristics of morbidity of population older than able-bodied age in the Russian Federation in 2012-2018].

The indices of population health exhibit tendency to deteriorate with age. The high level of morbidity, prevalence of chronic diseases, polymorbidity, atypical course of disease, continuous rehabilitation period, frequent complications and exacerbations are specific for individuals over able-bodied age. The purpose of study is to analyze dynamic, structure and characteristics of morbidity of population over able-bodied age in the Russian Federation. The study established specific features in dynamics and structure of morbidity of elderly population during 2012-2018. They are associated with high prevalence of cardiovascular diseases, diseases of musculoskeletal system and connective tissue. Furthermore, there is variety in morbidity rates of neoplasms, endocrine, nutritional and metabolic diseases, mental and behavioral disorders, diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism, diseases of the eye and adnexa, diseases of ear and mastoid process and also symptoms, signs and abnormal clinical and laboratory findings, not classified in other rubrics. The analysis of indices of primary and common morbidity of pneumonia in elderly population of different regions of the Russian Federation was carried out.