[The system of criteria and indicators of accessibility of laboratory diagnostic in the Subject of The Russian Federation].

The modern health care is characterized by constant increasing need in laboratory tests. The quality and accessibility of laboratory diagnostics becomes one of key determinants of social well-being in aspect of maintaining population health. The purpose of the study is in developing system of criteria and indicators of accessibility of laboratory diagnostics applicable in organization of health care at the level of the Subject of the Russian Federation. The methods. The study was carried out based on principles of system approach. The methodological approach developed by Professor O. Yu. Alexandrova was applied. The analytical research methods (analysis, synthesis) were implemented. The results and discussion. The set of criteria, including three groups of measurable indicators, applicable in the field of laboratory diagnostics was developed. The original approach to determine time indicators of laboratory tests accessibility was proposed. The system can be applied as organizational technology permitting to establish specific requirements for laboratory diagnostics accessibility at the level of the Subject of the Russian Federation. These requirements can be included in local normative legal acts. The conclusions. The developed system of criteria and indicators of laboratory diagnostics accessibility can be used in development of medical care system that meets the best of characteristics and needs of particular Subject of the Russian Federation.

[The telemedicine and digital technologies in education programs of training medical personnel of higher qualification].

The article considers application of telemedicine and digital technologies in educational programs of training medical personnel in residency and graduate school for the Russian health care system. The possibilities of telemedicine and digital technologies that currently are in use for remote medical care, consultations of medical workers by qualified medical specialists and for training and re-training of medical personnel are investigated. The key topics of modern health care are improvement of system of training medical manpower, personalization of medical care in health care, individualization of professional orientation in the process of continuing medical education and current methods of information environment management in health care sector. The conclusion is made that owing to new technologies,such innovations as telemedicine, artificial intelligence, medical decision-making systems, remote platforms of patient health monitoring and other modern inventions are implemented into health care. The purpose of the study is to examine impact of transformational processes in higher medical education in epoch of digitization.

[The review of the book "The Destiny of Scientist. The Academician Oleg Prokopievich Schepin" by R. V. Korotkih].

The review considers the book "The Destiny of Scientist. The Academician Oleg Prokopievich Schepin" by R. V. Korotkih that is based on studying of wide range of sources and publications. The author presents main periods of life and creative work of Oleg Prokopievich Schepin, the Academician of the Russian Academy of Sciences. The book by its style is notable for its simplicity and easiness. It is oriented to wide audience of readers. The purpose of the author is obvious - to share about outstanding personality being in contact with whom enriches spiritually, creatively and makes life more interesting and many-sided. Furthermore, the book reveals creative development of prominent scientist who greatly inputted into formation and consolidation of public health and health care and development of international cooperation in medicine. The author of the book, Raisa Vasilievna Korotkih, more than 20 years worked with academician O. P. Schepin and largely relied on accounts of Oleg Prokopievich himself. The author succeeded to present portrait of not only scientist, founder of eminent scientific school but great politician, organizer, health care administrator, pedagogue, leading specialist in the field of national and international health care, eminent public figure.

[The World Health Organization: Project of novels in the field of controlling international medical sanitary regulations].

The article considers draft of new edition of the International Health Regulations. The possible risks associated with changing of the document are evaluated from perspective of member countries, in whose territories occur or supposedly occur emergency situations in field of public health having international importance.

[The health control of employees in digitization conditions].

The article considers issues of health management of employees at workplace in conditions of globalization and digitalization of society, causing need to revise the labor relations. Under impact of global trends in field of digital technologies, transformation occurs concerning working environment and labor safety measures, contributing to development of new forms of interaction between employee and employer and employment models as well. The ongoing changes in society and global changes in labor market require to investigate new labor conditions, formation of system of knowledge about directions and perspectives for development of labor relations and human resources management. Nowadays, because of spreading of COVID-19 morbidity, increased attention is paid to health of employees and measures targeted to preventing morbidity are intensified. The need to work in new conditions dictates topical issues for scientific research in coming years: development of theory of new labor economy, investigation changes in paradigm of quality of labor life, well-being at workplace in conditions of digitalization of economy and formation of new employment model, digital generation of workers and new challenges in human resources management.The purpose of the study is to explore issues of health management of employees at workplace in conditions of globalization and digitalization. The implemented study permitted to conclude that problems of socio-psychological nature occurring in labor sphere in conditions of active transition to digital economy are complicated by increasing instability of labor relations and occurrence of new social economic and psychological risks at workplace that negatively effect on health and well-being of employees.

[TO THE QUESTION OF IMMUNOPROPHYLAXIS OF PERSONS PARTICIPATING IN THE PROVISION OF MEDICAL CARE IN THE CONDITIONS OF COVID-19].

Immunoprophylaxis is one of the pressing health problems. The safety of those involved in the provision of medical care acquired particular importance during the period of the introduction of the high alert regime. Regulatory norms determine the need for the prevention of infectious processes, including among this group of workers. However, at the moment there are not fully regulated organizational and legal aspects, including the issue of vaccination against coronavirus infection caused by the SARS-CoV-2 virus.

[The health issues in self-appraisal of workers of industrial production and social sector].

The article considers issues of health, safety and well-being of working citizens in such sectors of economy having great importance for every state such as production and social sphere. The problem of health preservation and working place safety is actual for working population all around the world, going beyond interests of individual citizens and their families and playing primary role in issues of labor safety and productivity, competitiveness and development of enterprises, stability of national economy sectors. The actuality of the study is conditioned by the fact that human resources and labor market are key institutional factors impacting the level of state socioeconomic development and determining health status of working citizens. In Russia, the issues of support by employers safe working conditions in various spheres of national economy to contribute to preservation of their employees health, to occupational diseases prevention ultimately determine both labor productivity at particular enterprise and development and stability of national economy as a whole. The study of self-assessment of health status of workers in industrial production and social sphere was carried out on the basis of results of survey implemented in September 2020 among medical personnel of the Municipal Hospital No. 11 of the city of Ryazan and employees of the oil refining plant - JSC Ryazan Oil Refinery. The analysis of the study results permitted to conclude that, in answering question about health status assessment, workers of social sphere consider themselves to be healthier than workers in industrial production.

[The comparative analysis of mandatory and voluntary medical insurance in national and international practice].

Nowadays, the formation and development of medical insurance system of citizens attracts attention of experts in the medical field and the insurance market. The possibilities of using foreign practice in the formation and organization of medical insurance, including improving of models of financing health care system in foreign countries and implementation of mechanisms of resource support of health care industry tested in world practice, deserve interest of researchers in order to enhance financial institutions of national system of mandatory and voluntary medical insurance. In Russia and foreign countries, the mandatory medical insurance policy allows citizens insured in mandatory medical insurance system, to undergo examination and receive treatment in medical organizations in amount established at the state level. In Russia, popularity of the voluntary medical insurance policy depends on medical care quality in the mandatory medical insurance system and volume of services guaranteed within the framework of mandatory medical insurance.

[Making management decisions of oncopathology prevention based on monitoring of disease dynamics and trends].

The article deals with results of comparative analysis of the dynamics and trends of the incidents of malignant neoplasms in the population of the Moscow region. The Central Federal district and the Russian federation as a whole according to Rosstat data for 2009-2018. It was established that in Moscow region in comparison with other territories, the level and growth rates of the incidence of malignant neoplasms were lower. In the structure of the incidence of malignant neoplasms, the first rank places are occupied by breast, skin, lung, colon and prostate cancer. Attention is drawn to the fact that over the entire period of observation, the indicator of the number of people under medical supervision in the Moscow region was consistently higher than in the Russian Federation and the Central Federal district. Over the period of 2012-2018, the share of malignant neoplasms of the first stage of the spread of the tumor process increased by 23.4% in the region, and the share of stages III and IV decreased (by 16.9% and 12.3%, respectively).The increase in the number of newly detected malignancies seems to be due to increased diagnostic capabilities in recent times.

[The disproportions of personnel support of medical sphere].

The article discusses such issues of current state of staffing in medical sector as availability of health care system specialists, training programs for applicants to medical educational organizations and post-graduate programs for specialists, professional motivation and job prospects for graduates, prospects for development of medical education and training. In addition to professional sphere, modern health care system is also a market for medical services, which, according to expert estimates, is about 10 trillion US dollars per year. The participants in the field of medical services are not only organizations that provide medical care, but also manufacturers of medical equipment and medications. The medical sphere can't to effectively develop isolated from social structure. The staffing in medical field requires, along with professional motivation and job prospects in order to attract specialists in the field of medicine, and provide social support for their retention. The students entering medical university need decent salary after graduation and favorable conditions for further progression in professional field.

[The role on medical education in implementation of program "Zemstvo doctor"].

The article presents the results of study concerning improving medical care quality in rural areas. The purpose was to investigate the characteristics of medical personnel training in the framework of the "Zemstvo Doctor" program. The activities of the University were analyzed concerning implementation of professional training of medical personnel and including continuing medical education. To achieve this goal, efficiency of educational programs development considering contribution of the "Zemstvo doctor" program implementation was evaluated. The study was carried out in 2013-2019 on the basis of the Medical Institute of Belgorod State National Research University. The structured interview was applied as methodology of collecting primary data. The fact of decreasing of medical profession prestige that occurs against the background of implementation of the state program "Zemstvo Doctor" was established. The overcoming of this situation is necessary to improve medical care quality in rural areas. The focusing on existing regional features of medical care support and taking into account characteristics of health of population are required. In this respect the key factor is the training of rural physicians to employ high-tech technologies, including digital simulation and telecommunications equipment. The relevance of the state program "Zemstvo Doctor" is obvious, but the medical education system has no official instructions concerning the need of correcting educational programs. The efficiency of changes applied to educational programs was determined by subjective assessment of the need and the clinical experience of physicians-lecturers who are involved in resolving scientific and practical problems of health care in rural areas.

[The development of organization and provision of medical preventive care of patients with chronic dermatitis].

The diseases of skin and subcutaneous tissue, despite the constantly improving methods of their diagnosis and treatment, continue to widespread in the population of the Russian Federation. Consequently, it is relevant to develop evidence-based measures of improving dermatological medical care for the population. The purpose of study is to develop and substantiate proposals for improving specialized medical care of patients with chronic dermatitis in megalopolis. The questionnaire survey of 412 patients with chronic dermatitis, residing in Moscow, and 197 dermatovenerologists from Moscow state medical institutions was carried out. The measures of improving dermatological medical care were proposed. The study identified lacking of adequate provision of therapeutic and preventive medical care of patients with chronic dermatitis and their relatively low medical activity. The article substantiates proposals for improving of organization and provision of dermatological medical care, provided by medical and organizational activities for patients and doctors. To select the optimal strategy for patients with chronic dermatitis, the appropriate algorithm was developed that included four consecutive stages: initial examination of patient; patient records filling in with data of additional laboratory diagnosis; prescription of drug and non-drug therapy; conducting of preventive courses of drug therapy and prescription of SPA-treatment. The results of study inputted into identification of risks associated with provision of specialized medical care in area of Dermatovenerology and medical activity of patients including subsequent development of proposals for their elimination.

[The handling and using of medical research data].

The results of scientific research can be trusted when initial data is processed properly. To watch out quality of data is the most important in those research studies that provide their results to Russian health care officials for management decision-making that effect medical care support on national scale. The financial support of science within the framework of public contracts turns out less efficient when deductions are based on unreliably collected, altered or omitted information. When electronic systems are applied in data collection, they are to meet definite requirements. There are several international documents defining requirements to electronic systems collecting and processing information in medical scientific research. In the Russian Federation, such requirements are absent. The solution of this problem is in gradual implementation of common international standards into practice of collecting research data initially through researchers' training and then through Russian regulatory documentation amendment.

[The public-private partnership in medical services market].

The article considers the types of public-private partnership in the medical services market. Nowadays, health care is recognized all over the world as one of the most investment attractive platform for development of public-private partnership. The investments of private capital into medical services sector represent global trend conditioned by implementation of innovative treatment methods, technique support of medical clinics, improvement of quality of medical services, formation of new institutional structure in health care. The alterations like that make it necessary to attract financial resources, including at the expense of private investments entry. Thus, in modern economic conditions, issues of considering possibilities of public-private partnership projects in medical services market are actual in Russia.

[The problems of planning scientific research in medicine].

The publication activity is one of main criteria of assessment of scientific activity of individuals and organizations. The results publications in serious scientific journal is considered as confirmation that study is properly planned, implemented and statistically processed. The inconsistency of research planning and presentation of results in Russia to international requirements is major cause of preventing publication in prominent international editions. to overcome this problem is possible through graduate implementation of international standards initially through education of national researchers and then through development of national standard documentation related to scientific research.