Analysis of public health infrastructure and medical prevention in the Russian Federation in the period 2013–2022

The main strategic element of the system being formed, designed to solve preventive tasks at the regional and mu­nicipal level, has become Center for Public Health and Medical Prevention (COSiMP). The article provides an analysis of the activities of the COSiMP for the period 2013–2022 in the Russian Federation and offers recommendations for its improvement. Materials and methods. The analysis includes the structure of the COSiMP; material and technical equipment; dynamics of personnel training in the context of individual categories, sociological research, number and staffing, funds received for preventive work with the population, circulation of publications published by the COSiMP; mass work and advisory and recreational activities of the Center. The data on the activities of the COSiMP were an­alyzed according to the reporting form No. 70 for the period 2013–2022. The specifics of the COSiMP activity were assessed by calculating the median value of the indicator for the corresponding year, as well as the percentage of changes in this indicator against another period. Results. The total number of structural divisions in the COSiMP has changed slightly: from 560 in 2013 to 547 in 2022. After the reform of the medical prevention system carried out by the Ministry of Health of Russia in 2020, public health and medical prevention centers with a fundamentally different structure were formed in the regions. During the period 2013–2022, a slight increase in full-time positions in the CSIMP was revealed from 3720 to 3771, respectively. From 2013 to 2022, the number of trained students increased by 31.7%, but the number of trained physicians decreased by 45.3%. Conclusion. During the studied period, the COSiMP underwent serious changes. The growth in the number of programs and projects implemented by the Cen­ters, the impressive volume of mass work carried out shows the demand for these medical organizations. However, the statistical form used to collect the necessary information about the activities of the COSiMP has been de-actual­ized to date and does not comply with the main provisions of the acts regulating the activities of these organizations.

1. Federal project «Strengthening public health» // Ministry of Health of the Russian Federation. URL: https://minzdrav.gov.ru/poleznye-resursy/natsproektzdravoohranenie/zozh (Accessed: 15.11.2023).

2. Order of the Ministry of Health of the Russian Federa­tion № . 597n dated August 19, 2009 «On the organi­zation of health centers for the formation of a healthy lifestyle among citizens of the Russian Federation, including the reduction of alcohol and tobacco con­sumption» (Registered 25.09.2009 № 14871). – // Garant: – URL: https://base.garant.ru/12169847/?ysid=lp1mmn2x56860640828 (Accessed: 15.11.2023).

3. Order of the Ministry of Health of the Russian Feder­ation № 106n dated February 19, 2020 «On Amend­ments to the Nomenclature of Medical Organizations Approved by Order of the Ministry of Health of the Russian Federation № 529n dated August 6, 2013» (Registered 24.03.2020 № 57825). – // Official publi­cation of legal acts: – URL: http://publication.pravo.gov.ru/document/0001202003250008?ysclid=lplmtityih301613295 (Accessed: 15.11.2023).

4. Order of the Ministry of Health of the Russian Fed­eration № 1177n dated October 29, 2020 «On Ap­proval of the Procedure for organizing and imple­menting the prevention of non–communicable diseases and carrying out measures to form a healthy lifestyle in medical organizations» (Regis­tered 03.12.2020 № 61245). – // Official publication of legal acts: – URL: http://publication.pravo.gov.ru/Document/View/0001202012030043?ysclid=lp1mxuc0vg412689030 (Accessed: 15.11.2023).

5. Strengthening public health and medical prevention. Guidelines for Public Health and Medical Prevention Centers / Kontseva A. V., Kalinina A. M., Ivanova E. S., Drozdova L. Yu., Gambaryan M. G., Gorny B. E., Karam­nova N. S., Kulikova M. S., Letnikova L. I., Lopatina M. V., Nikulin V. N., Popovich M. V., Rakovskaya Y. S., Ryba­kov I. A., Semenova N. V., Tokarev S. A., Tokareva M. V. – M.: FSBI «NMIC TPM» of the Ministry of Health of Rus­sia, 2021. – 296 p.

6. Order of the Ministry of Health of the Russian Feder­ation dated August 6, 2013 No. 529n «On approval of the nomenclature of medical organizations» (Reg­istered 13.09.2013 № 29950). – // Guarantor: – URL: https://base.garant.ru/70453400/?ysclid=lp1n4csu7a431942357 (Accessed: 15.11.2023).

7. Salagai O.O., Sakharova G.M., Antonov N.S., Nikiti­na S.Yu., Stadnik N.M., Starodubov V. I. Assessment of the prevalence of behavioral risk factors and their impact on the health of the adult population in the Russian Federation // Questions of statistics. 2023;30(2):72–86.