header image
   Public Health and Health Care
Home arrow Archive arrow Архив arrow 2017г. №1
2017г. №1 Print E-mail

CONTENTS

HEALTH AND SOCIETY

Sadykhzadeh L.N., Agayeva K.F. Interregional differences of medical-demographic indicators and health care resources.......5

Egiazaryan K.A., Cherkasov S.N., Attaeva L.Zh. The analysis of the social and economic determinants detecting injury rate among adult population in regions of the Russian Federation...........................................................................................8

Atsel E.A., Vafin A.Yu., Salyakhova L.Ya. Evaluation of morbidity rate of circulatory system diseases and primary disease incidence of Tatarstan Republic population in 2005—2014.......................................................................................14

Galiyeva A.M., Vafin A.Yu., Kravchenko I.E. Trends and formation of infectious case rate in the Republic of Tatarstan.........19

PROTECTION OF MATERNITY AND CHILDHOOD

Perepelkina N.Yu., Redyukov A.V., Kalinina E.A. Health indicators of children and adolescents in the Orenburg region (after the results of the 10-year monitoring)............................................................................................................................26

Gaynanova N.N., Chechulina O.V., Zakirova N.R. Outcome of pregnancy and perinatal loss at new criterions of birth..........32

HEALTH OF ECONOMICALLY-ACTIVE POPULATION

Shaikhlislamova E.R., Valeeva E.T., Karimova L.K., Galimova R.R., Galiullina D.M. Long-term analysis of occupational morbidity among mining workers of the Republic of Bashkortostan..............................................................................37

Guimaeva Z.F., Karimova L.K., Guizatullina D.F., Galimova R.R., Gazizova N.R. Influence of working conditions on the formation of chronic non-communicable diseases at workers in factory of synthetic isoprene rubber and diseases’ prevention....................................................................43

ETHICS LEGAL ASPECTS OF HEALTHCARE

Nakhabina M.N., Sogiyainen A.A., Chicherin L.P. Legal aspects of healthcare support to the service women in the conditions of obligatory health insurance................................................................................................................................48

ORGANIZATION AND IMPROVEMENT OF PROTECTION SYSTEM MANAGEMENT OF PUBLIC HEALTH

Chicherin L.P., Nikitin M.V., Shchepin V.O. Development of health resort business as part of health protection of population of Russia.........................................................................................................53

Zudin A.B. Structure of public and private interests in the management of the national healthcare system...............................58

Gadzhiev R.S., Agalarova L.S. Organization of healthcare domiciliary to the rural population and ways of its improvement.......62

Lalabekova M.V., Cherkasov S.N., Berseneva E.A., Meshkov D.O. The factors defining the need in primary healthcare in territories with accommodation of urban population........................................................................................................67

Kalinin A.V., Kiku P.F., Varavina E.A., Guibatulin A.A., Shevchenko I.P., Moreva V.G. Participation of private healthcare institution in the implementation of the basic program of state guarantees of free healthcare to citizens as a model of public-private partnership in healthcare system............................................................................................................71

 

INTERREGIONAL DIFFERENCES OF MEDICAL-DEMOGRAPHIC INDICATORS AND HEALTH CARE RESOURCES

Lala N. Sadykhzadeh, Candidate of Medical Science, Deputy Rector for studies, I.M. Sechenov First Moscow State Medical University, Baku affiliated branch [AZ1141 Baku, G. Jaweed аve., 111]

Kamaliа F. Agayeva, Candidate of Medical Science, assistant of Social hygiene and healthcare management sub-faculty of A. Aliyev Azerbaijan Physicians’ Continuing Education Institute [AZ1022 Baku, Tbilissky Ave., 3165 quar.; а ]

Abstract. The study determines the importance of interregional differences of medical-demographic indicators for reforming of health care services. The study has been realized in five administrative regions of Azerbaijan (Absheronsky, Shekinsky, Gakhsky, Ismayillinsky, Agdashsky). These regions have been chosen as they were included to the list of pilot regions by Health Ministry of Azerbaijan for healthcare services reforming. Main medical-demographic indicators of regions have been used. Regions can be divided into three groups: big (population ≥160 thousand persons) — Absheronsky and Shekisky, middle (population — 80—160 thousand persons) — Ismayillinsky and Agdashsky, small (population ≤ 80 thousand persons) — Gakhsky. The fertility rate varies in the range of 11,9—21,6‰. The relatively high birth rate is observed in (≥17,9‰) Shekinsky and Ismayillinsky regions, low birth rate is observed in Absheronsky region (≤13,2‰). The mortality rate varies over a wide range (3,8—8,4‰). The low mortality rate is observed in Absheronsky region, a high mortality rate is observed in Gakhsky region. Trends of mortality rate are weakly expressed. More evident interregional differences are due to bed population ratio (7,9—8,0 beds per 10 thousand people in Absheronsky region and 5 times more in Shekinsky region). Interregional differences due to characteristics of demographic processes and health care service resources are clearly seen on the example of pilot regions in realization of reforms program. Positive dynamics of medical-demographic indicators (a high level of natural growth of population) are not associated with adequate changes in resource provision of health services.

Key words: inter-district distinction, medico-demographic indexes, healthcare resources.

 

THE ANALYSIS OF THE SOCIAL AND ECONOMIC DETERMINANTS DETECTING INJURY RATE AMONG ADULT POPULATION IN REGIONS OF THE RUSSIAN FEDERATION

Karen A. Egiazaryan, Candidate of Medical Science, Associate Professor of traumatology, orthopedics and military surgery sub-faculty of Pirogov Russian National Research Medical University [117997 Moscow, Ostrovityanova str., 1; ]

Sergey N. Cherkasov, Doctor of Medical Sciences, head of public health studying department, principal researcher of N.A. Semashko National Research Institute of Public Health [105064 Moscow, Vorontsovo Pole str., 12, bld. 1; ]

Leyla Zh. Attaeva, Candidate of Medical Science, the applicant for degree of Doctor of Medical Sciences of N.A. Semashko National Research Institute of Public Health [105064 Moscow, Vorontsovo Pole str., 12, bld. 1; ]

Abstract. Injury prevention is multi-component problem therefore the integrated risks assessment of increase in injury rate is necessary in the territory with mass population. Such risks are determined by the external and internal environment of jurisdiction and are called determinants. Identification of determinants and their accounting is important when planning a complex of actions for injury rate prevention.

Key words: social and economic determinants, injury rate prevention, territorial differences.

 

EVALUATION OF MORBIDITY RATE OF CIRCULATORY SYSTEM DISEASES AND PRIMARY DISEASE INCIDENCE OF TATARSTAN REPUBLIC POPULATION IN 2005—2014

Evgenia A. Atsel, Candidate of Medical Science, Associate Professor of therapy, geriatrics and family medicine sub-faculty of KSMA, affiliated branch of FSBEI APE «Russian Medical Academy of Continuing Professional Education» of Health Ministry of the Russian Federation [420012 Kazan, Mushtari str. 11; ]

Adel Yu. Vafin, Candidate of Medical Science, Associate Professor of management in health care sub-faculty of FSBEI HE «Kazan State Medical University» of Health Ministry of the Russian Federation [420012 Kazan, Butlerov str., 49]

Lilia Ya. Salyakhova, Candidate of Medical Science, Associate Professor of management in healthcare sub-faculty of FSBEI HE «Kazan State Medical University» of Health Ministry of the Russian Federation [420012 Kazan, Butlerov str., 49; ]

Abstract. The purpose of the study was the evaluation of morbidity rate of the circulatory system diseases and primary incidence of Tatarstan Republic population in 2005—2014. The analysis and evaluation of data of reporting statistical forms number 30, 47 and operational reporting data of Health Ministry of Tatarstan Republic, State Statistics Committee of Tatarstan Republic, SAHI «Republican Medical Information Analytical Center» have been made. 3910 items of information were analyzed in total. We used the methods of statistical series analysis and linear regression. We found that the indicators of morbidity rate and incidence have sinuous disposition with periods of decline and growth. The results show the moderate decrease trend in primary incidence of the circulatory system diseases in Tatarstan Republic. Predictable indicator has the trend of increase (R2=0,63; р=0,05). At the same time, the average rate of decrease of average quantity in 2011 and 2012 has constituted 33,6%. Negative rate of increase of index of primary incidence for circulatory system diseases is revealed (except for myocardial infarction). The average growth rate is 16,2%.

Key words: diseases of the circulatory system, disease, cerebrovascular diseases.

 

TRENDS AND FORMATION OF INFECTIOUS CASE RATE IN THE REPUBLIC OF TATARSTAN

Alsu M. Galiyeva, Full-time PG student of management in health care sub-faculty of FSBEI HE «Kazan State Medical University» of Health Ministry of the Russian Federation [420012 Kazan, Butlerov str., 49; ]

Adel Yu. Vafin, Candidate of Medical Science, Associate Professor of management in health care sub-faculty of FSBEI HE «Kazan State Medical University» of Health Ministry of the Russian Federation [420012 Kazan, Butlerov str., 49]

Irina E. Kravchenko, Doctor of Medical Sciences, Assistant Professor of infectious diseases sub-faculty of FSBEI HE «Kazan State Medical University» of Health Ministry of the Russian Federation, the chief non-staff infectiologist of HM of the Russian Federation in the Volga Region [420012 Kazan, Butlerov str., 49; ]

Abstract. The article represents the study of the trends and formation of infectious case rate in the Republic of Tatarstan in 2005—2015. The analysis was made on the basis of official data of Federal Service for Supervision of Consumer Rights Protection and Human Welfare in the Russian Federation and in the Republic of Tatarstan. The high level of infectious case rate in urban areas and lowest one in rural areas, increased incidence among children have been detected. The most relevant infectious diseases are: acute respiratory infections, HIV-infection, chronic viral hepatitis, acute intestinal infections and HFRS. The results indicate the need of development of the new programs for the prevention and treatment of infectious diseases and optimization of infectious service at the level of the region.

Key words: infectious case, the prevalence of infectious diseases.

 

HEALTH INDICATORS OF CHILDREN AND ADOLESCENTS IN THE ORENBURG REGION (after the results of the 10-year monitoring)

Natalia Yu. Perepelkina, Doctor of Medical Sciences, Professor, head of public health and healthcare department №2 of SBEI HPE «Orenburg State Medical Academy» of Health Ministry of the Russian Federation [460000 Orenburg, Sovetskaya str., 6; ]

Alexander V. Redyukov, Candidate of Medical Sciences, Senior lecturer of the public health and healthcare sub-faculty № 2 of SBEI HPE «Orenburg State Medical Academy» of Health Ministry of the Russian Federation [460000 Orenburg, Sovetskaya str., 6]

Ekaterina A. Kalinina, Candidate of Medical Sciences, Ass. Professor of public health and healthcare sub-faculty №2 of SBEI HPE «Orenburg State Medical Academy» of Health Ministry of the Russian Federation [460000 Orenburg, Sovetskaya str., 6; ]

Abstract. The characteristic of health of the children’s and teenage population of the Orenburg region is presented in article. The number of children was enlarged by 7,5%, and teenagers’ number was reduced by 42,8% in the region in 2006—2015. 2015 was characterized by the lowest coefficient of the infantile mortality which made 6,8 on 1000 live births. It is found that indicators of case rate of children of 1 year of life, and also primary and general case rate of children aged from 1 year to 14 years over the analyzed period have been decreased in the region. Decrease of case rate of socially important diseases as tuberculosis and malignant neoplasms was found. At the same time the case rate of syphilis and gonococcal infection among the teenage population was raised. Decrease of disability among the children’s population is registered in the Orenburg region. The alienations and disorders of behavior (36,2%), diseases of nervous system (20,8%) and congenital anomalies (15,4%) prevail in structure of disability of children (aged up to 17 years).

Key words: demographics figures, morbidity, indicators of disability, children, adolescents.

 

OUTCOME OF PREGNANCY AND PERINATAL LOSS AT NEW CRITERIONS OF BIRTH

Nailya N. Gaynanova, leading specialist of TR HM, Assistant Professor of obstetrics, gynecology and reproductive medicine sub-faculty of KSMA, affiliated branch of FSBEI APE «Russian Medical Academy of Continuing Professional Education» of Health Ministry of the Russian Federation [420012 Kazan, Butlerov str., 36]

Olga V. Chechulina, Doctor of Medical Science, Professor, head of obstetrics, gynecology and reproductive medicine sub-faculty of KSMA, affiliated branch of FSBEI APE «Russian Medical Academy of Continuing Professional Education» of Health Ministry of the Russian Federation [420012 Kazan, Butlerov str., 36; ]

Nailya R. Zakirova, Candidate of Medical Sciences, Associate Professor of SAHI «Republican Medical Information and Analytical Center»

Abstract. Gestational age of 22—27 weeks deserves special attention, because of the Order of Ministry of Health and Social Development of the Russian Federation dated 27.12.2011 № 1687 «About medical criteria of the birth, the form of certificate of birth and the procedure of issuance» from January 1, 2012 pregnancy loss from 22 to 27 completed weeks of gestation in Russia refers to premature birth. The problem of premature birth has the great social importance. Premature birth of sick baby is psychological trauma for the family. This is also the problem of healthcare system, as there is the high cost of the care of premature infants, high frequency of disability, especially among babies with extremely low birth weight.

Key words: birth, premature birth, abortion, late abortion, birth criteria, the outcome of pregnancy, babies with extremely low body weight, perinatal mortality, stillbirth rate.

 

LONG-TERM ANALYSIS OF OCCUPATIONAL MORBIDITY AMONG MINING WORKERS OF THE REPUBLIC OF BASHKORTOSTAN

Elmira R. Shaikhlislamova, Candidate of Medical Sciences, Senior Researcher of FBRI «Ufa Occupational Health and Human Ecology Institute» [450106 Ufa, Kuvykin str., 94; ]

Elvira T. Valeeva, Doctor of Medical Science, Head of workers’ health protection department of FBRI «Ufa Occupational Health and Human Ecology Institute» [450106 Ufa, Kuvykin str., 94; ]

Liliya K. Karimova, Doctor of Medical Science, Professor, Chief Researcher of FBRI «Ufa Occupational Health and Human Ecology Institute» [450106 Ufa, Kuvykin str., 94; ]

Rasima R. Galimova, Candidate of Medical Sciences, Senior Researcher of FBRI «Ufa Occupational Health and Human Ecology Institute» [450106 Ufa, Kuvykin str., 94; ]

Dinara M. Galiullina, Physician of therapeutic department of Occupational Medicine Clinic of FBRI «Ufa Occupational Health and Human Ecology Institute» [450106 Ufa, Kuvykin str., 94]

Abstract. We have analyzed occupational morbidity among mining workers of the Republic of Bashkortostan within the period of 35 years. Diseases caused by physical factors (45,8%), physical overloads and overstraining of certain organs and systems (32,9%) depending on etiological factors rank first in the structure of occupational morbidity among miners. Diseases caused by exposure of industrial aerosols have constituted 13,9%, chemically induced diseases — 7,4%. Almost half of occupational pathologies have been detected among workers of two occupations — excavator operator and drift miner.

Key words: occupational diseases, mining industry, structure, dynamics, working conditions.

 

INFLUENCE OF WORKING CONDITIONS ON THE FORMATION OF CHRONIC NON-COMMUNICABLE DISEASES AT WORKERS IN FACTORY OF SYNTHETIC ISOPRENE RUBBER AND DISEASES’ PREVENTION

Zulfiya F. Guimaeva, Candidate of Medical Sciences, Assistant Professor of clinical pharmacology and therapy sub-faculty of PCEI SBEI HPE «Bashkir State Medical University» [450000 Bashkortostan Republic, Ufa, Lenin str., 3; ]

Liliya K. Karimova, Doctor of Medical Science, Professor, Chief Researcher of FBRI «Ufa Occupational Health and Human Ecology Institute» [450106 Ufa, Kuvykin str., 94; ]

Dina F. Guizatullina, Candidate of Medical Sciences, physician of neurology department of Occupational Pathology Clinic of FBRI «Ufa Occupational Health and Human Ecology Institute» [450106 Ufa, Kuvykin str., 94]

Rasima R. Galimova, Candidate of Medical Sciences, Senior Researcher of FBRI «Ufa Occupational Health and Human Ecology Institute» [450106 Ufa, Kuvykin str., 94]

Nailya R. Gazizova, Head of therapeutic department of Occupational Pathology Clinic of FBRI «Ufa Occupational Health and Human Ecology Institute» [450106 Ufa, Kuvykin str., 94]

Abstract. Cause-effect relations between occupational factors and indicators of the health of workers. The most important factors of production that contributes to the development and progression of chronic non-communicable diseases are the working area air pollution by harmful substances, industrial noise, adverse micro-climatic conditions and the severity of labor. Priority pathology in rubber manufacturing workers are circulatory diseases (52%), diseases of the musculoskeletal system (37.5%), diseases of the ear and mastoid process (16.5%) and diseases of the nervous system (7.6%). The high level of production conditionality for the formation of diseases of the musculoskeletal system (RR-2,3; EF-56%) and the average rate for hypertensive disease (RR = 1,7; EF = 42%) were found. Preventive health recommendations to ensure safe working conditions, health preservation and increase of working ability were worked out on the basis of the study.

Key words: working conditions, factory of synthetic isoprene rubber, chronic non-communicable diseases.

 

LEGAL ASPECTS OF HEALTHCARE SUPPORT TO THE SERVICE WOMEN IN THE CONDITIONS OF OBLIGATORY HEALTH INSURANCE

Marina N. Nakhabina, Deputy manager (on clinical-expert work) of policlinic № 14 of branch № 4 of N.N. Burdenko General Clinical Hospital [141091 Moscow area, Korolev, Trofimov str., 13; ]

Alexander A. Sogiyainen, Candidate of Medical Sciences, manager of policlinic № 14 of branch № 4 of N.N. Burdenko General Clinical Hospital [141091 Moscow area, Korolev, Trofimov str., 13; ]

Leonid P. Chicherin, Doctor of Medical Science, Professor, FSBRI «N.А. Semashko National Research Institute of Public Health» of RAMS, [105064 Moscow, Vorontsovo Pole str., 12, bld. 1; ]

Abstract. The article presents the analysis of modern legal features of healthcare support of service women in the conditions of obligatory health insurance (hereinafter OHI) in treatment-and-prophylactic institutions of Health Ministry of the Russian Federation. The modern aspects of healthcare support of service women in healthcare institutions of Defense Ministry of the Russian Federation, peculiarities of military-medical examination, the right of reimbursement for healthcare services provided to service women during pregnancy, during and after childbirth.

Key words: healthcare support, maternity leave, obligatory health insurance, service women.

 

DEVELOPMENT OF HEALTH RESORT BUSINESS AS PART OF HEALTH PROTECTION OF POPULATION OF RUSSIA

Leonid P. Chicherin, Doctor of Medical Science, Professor, FSBRI «N.А. Semashko National Research Institute of Public Health» of RAMS, [105064 Moscow, Vorontsovo Pole str., 12, bld. 1; ]

Mikhail V. Nikitin, Doctor of Medical Science, Candidate of Economic Sciences, Professor, deputy director of Health Resort Center «Vulan» of FSBI «Russian Scientific Center of Medical Rehabilitation and Balneology» of Health Ministry of Russia [121099 Moscow, New Arbat str., 32; ]

Vladimir O. Shchepin, Corresponding Member of RAS, MD, Professor, deputy scientific director of FSBRI «N.A. Semashko National Scientific Research Institute of Public Health» [105064 Moscow, Vorontsovo Pole str., 12, bld. 1; ]

Abstract. The complex analysis of the current situation with the organization of health resort link as essential upward potential of efficiency of all system of public health protection of the Russian Federation is presented in the article. The main methods of social and hygienic and medical-organizational research are applied: statistical, content analysis, expert evaluation, analytical, etc. Conceptual framework, resources of health resort institutions, reserves of increase in efficiency of their activities are considered after the example of pediatric service.

Key words: population, children, teenagers, health protection, health resort care, health improvement, standard legal support.

 

STRUCTURE OF PUBLIC AND PRIVATE INTERESTS IN THE MANAGEMENT OF THE NATIONAL HEALTHCARE SYSTEM

Alexander B. Zudin, Candidatе of Medical Sciences, Director of Institute of Biomedical Problems of FSAEI HPE «Russian University of Peoples ‘ Friendship» [117198 Moscow, Miklukho-Maklay str., 6; ]

Abstract. Structure of public and private interests in the management of national healthcare system is considered in the article. We used the methods: literature review, theoretical analysis method, system analysis method, classification, quantitative and qualitative methods of sociological research. Comparative study of models of functioning of public health services depending on the degree of state intervention has been made. Brief conclusions: the issue of payment for medical services, the presence of private interest in health care has no clear answer and is discussed for a long time. The need of state regulation of the private sector in healthcare and the comparison of its interests with public needs became actual only in the XX century. Diverse international experience shows the important role of the private sector in the functioning and development of health care. Many experts in the field of management point to the fact that the higher the level of state regulation, the less incentive the entrepreneurs to implement their plans.

Key words: national healthcare system, management, interests.

 

ORGANIZATION OF HEALTHCARE DOMICILIARY TO THE RURAL POPULATION AND WAYS OF ITS IMPROVEMENT

Rashid S. Gadzhiev, Doctor of Medical Science, Professor, head of public health and healthcare sub-faculty of FSBEI HE «Dagestan State Medical University» [367000 Republic of Dagestan, Makhachkala, Lenin sq., 1]

Louisа S. Agalarova, Doctor of Medical Science, Associate Professor of public health and healthcare sub-faculty of FSBEI HE «Dagestan State Medical University» [367000 Republic of Dagestan, Makhachkala, Lenin sq., 1; ]

Abstract. Results of the capacity’s study and nature of outpatient care domiciliary according to 2 435 visits made by primary care physicians are presented. The study was conducted in 2014—2015 on the basis of 4 rural practices of 2 rural districts of the Republic of Dagestan. The method of expert evaluation studied the quality of domiciliary healthcare in 445 cases. The major part of patients (80,1%) with diseases of the respiratory system, circulatory system, musculoskeletal system and diseases of the digestive organs was seen in practice of primary care physicians and general practitioners during outpatient visits. The patients with respiratory diseases, infectious and parasitic diseases (84,0%) were seen in practice of primary care physicians. Medical diagnostic work at general practitioners has constituted 32,2%, at primary care physicians — 37,1%, at pediatricians — 31,8%; and preventive maintenance has constituted 20,6%, 15,2% and 27%. Guideline to improve the accessibility, capacity and quality of home care to the rural population was worked out on the base of the findings.

Key words: home care, visit, general practitioner, primary care physician, pediatrician.

 

THE FACTORS DEFINING THE NEED IN PRIMARY HEALTHCARE IN TERRITORIES WITH ACCOMMODATION OF URBAN POPULATION

Marina V. Lalabekova, Public relations and educational activity vice-rector of N.I.Pirigov RSRMU [117997 Moscow, Ostrovityaninov str., 1; ]

Sergey N. Cherkasov, Doctor of Medical Science, principal researcher of N. A. Semashko National Research Institute of Public Health [105064 Moscow, Vorontsovo Pole str., 12, bld. 1; ]

Evgenia A. Berseneva, Doctor of Medical Science, Head of department of the higher and additional professional education of FSBRI «Semashko National Research Institute of Public Health» [105064 Moscow, Vorontsovo Pole str., 12, bld. 1; ]

Dmitry O. Meshkov, Doctor of Medical Science, head of sector of coordination of scientific researches of FSBRI «Semashko National Research Institute of Public Health» [105064 Moscow, Vorontsovo Pole str., 12, bld. 1; ]

Abstract. The article reviewed pressing issues of territorial planning of primary healthcare capacity. The analysis was carried out concerning two territorial types differing by proportion of urban population, availability of health care and primary incidence. The highest need in primary healthcare was observed among the population in age group – more than 50 years living in city in the territories with the high primary incidence. These trends don’t depend from gender. Planning of capacity of healthcare is reasonable taking into account territorial features.

Key words: primary healthcare, territorial planning, standard rates of need in health care.

 

PARTICIPATION OF PRIVATE HEALTHCARE INSTITUTION IN THE IMPLEMENTATION OF THE BASIC PROGRAM OF STATE GUARANTEES OF FREE HEALTHCARE TO CITIZENS AS A MODEL OF PUBLIC-PRIVATE PARTNERSHIP IN HEALTHCARE SYSTEM

Andrey V. Kalinin, Doctor of Medical Science, Professor, director of FSBRI «G.P. Somov Scientific Research Institute of Epidemiology and Microbiology» [690087 Vladivostok, Sel’skaya str., 1; ]

Pavel F. Kiku, Doctor of Medical Science, Professor, chief of public health and preventive medicine sub-faculty of Biomedicine School of FSAEI HPE «Far Eastern Federal University» [690950 Vladivostok, Sukhanov str., 8; ]

Elena A. Varavina, Candidate of Medical Sciences, physician of SBHI «Regional Clinical Hospital № 2» [690105 Vladivostok, Russkaya str., 55; ]

Alexander A. Guibatulin, Director of «Pain Management Clinic» [690091 Vladivostok, Avrorovskaya str., 5]

Irina P. Shevchenko, Senior Lecturer of FSBEI HE «Pacific Medical University» [690106 Vladivostok, Ostryakov avе., 2]

Valentina G. Moreva, Candidate of Medical Sciences, Associate Professor of public health and preventive medicine sub-faculty of Biomedicine School of FSAEI HPE «Far Eastern Federal University» [690950 Vladivostok, Sukhanov str., 8; ]

Abstract. The article presents legal aspects and problems of the participation of private healthcare institutions in the implementation of regional programs of state guarantees of free health care to citizens at the expense of the system of mandatory health insurance as a form of public-private partnership in the Russian Federation. Participation of private healthcare institutions in the implementation of the provision of free health care program of state guarantees to the population allows use available material and human health resources more efficient, optimize the network of public institutions and increase the accessibility of quality medical services, including specialized ones. Public-private partnership in the health care system is a promising form of investment, the possibility for the population to receive treatment with innovative technologies that yesterday were used exclusively abroad.

Key words: public-private partnership, compulsory health insurance, contract, civil-legal relations.