[Age women health specialities in peri- and postmenopausal period].

Analysis of the health status of 500 women in the period of perimenopause and postmenopause (age groups 44-49 and 50-64 years) living in a region with special climatic and geographical conditions and low population density, as well as a study of 411 460 reasons for seeking medical help, showed the presence at each woman had an average of up to seven somatic abnormalities in the anamnesis (p≤0,005) developing during the aging process. The results of the analysis testify to the need for the post of obstetrician-gynecologist with knowledge of the age-related pathology of women in perimenopause and postmenopause. Knowledge of the aggregates of age-related changes in women's health determines the individual approach to the provision of medical care in the middle and old age, and the necessity of updating the module for training obstetricians and gynecologists in age-related pathology (somatic and gynecological).

[Russian and regional performance indices of local therapists].

AIM: To analyze the statistical indicators of a local therapist's performance in the Russian Federation and its districts in the 2008- 2012 period. MATERIALS AND METHODS: The authors analyzed staffing and understaffing in the federal districts with respect to the Russian Federation, a doctor's actual function and its deviation ratio, staffing of local therapists, secondary employment coefficient, and the total number of physician visits with the ratio of the number of home/polyclinic ones. RESULTS: The staffing of local therapists was steady-state in the country as a whole in the period analyzed. At the same time, there was a decline in staffing. The performance of doctors everywhere is greater than the recommended one since 2009. There was a reduction in the number of visits to local therapists in both the country as a whole and its regions, with more visits being made by rural dwellers. CONCLUSION: The current approach to the standards for the load and number of physicians should determine needs for specialists of this profile and become a major part to solve the problem of delivering available and high-quality primary outpatient care to the population of Russia.