ISSN 2071-8594

Russian academy of sciences

Editor-in-Chief

Gennady Osipov

S. I. Matorin, A. B. Petrovsky, S. V. Pronichkin, M. Yu. Sternin, G. I. Shepelev Approaches to Defining Scientific Priorities in Healthcare and Medicine: Russia Experience

Abstract.

Most countries use their own procedures for decision-making, collecting and analyzing information to determine scientific priorities in medicine. The paper describes the system of organization and management for healthcare and medical science in Russia. The procedures for forming scientific priorities in medicine in the post-Soviet period are described. The necessity of applying modern methods in the selection of scientific priorities is substantiated.

Keywords:

healthcare, medicine, scientific priorities, decision making.

DOI 10.14357/20718594200304

PP. 32-47.

References

1. Almgren G. Health care politics, policy, and services: A social justice analysis paperback. New York: Springer, 2018. 346 p.
2. Knickman J., Elbel B. Health care delivery in the United States. New York: Springer, 2018. 469 p.
3. Matorin S.I., Petrovsky A.B., Pronichkin S.V., Sternin M.Yu., Shepelev G.I. Podkhody k opredeleniyu nauchnykh prioritetov v zdravookhranenii i meditsine: zarubezhniy opyt [Approaches to defining scientific priorities in healthcare and medicine: foreign experience] // Trudy Instituta sistemnogo analiza Rossiyskoy akademii nauk [Proceedings of the Institute for System Analysis of the Russian Academy of Sciences]. 2019. V. 69. No. 3. P. 68-79.
4. Matorin S.I., Petrovsky A.B., Pronichkin S.V., Sternin M.Yu., Shepelev G.I. Podkhody k opredeleniyu nauchnykh prioritetov v zdravookhranenii i meditsine: opyt SSSR [Approaches to defining scientific priorities in healthcare and medicine: the USSR experience] // Iskusstvenniy intellekt i prinyatiye resheniy [Artificial intelligence and decision making]. 2020. No. 3. P. 22-31.
5. Kaminsky I.P., Ogorodova L.M., Patrushev M.V., Chulok A.A. Meditsina budushchego: vozmozhnosti dlya proryva skvoz’ prizmu tekhnologicheskogo prognoza [Medicine of the future: opportunities for a breakthrough through the prism of technological forecast] // Forsayt [Foresight]. 2013. V. 7. No. 1. P. 14-27.
6. Deryabin N.I. Strategicheskiye prioritety razvitiya kiberneticheskoy meditsiny v informatsionnom obshchestve XXI veka [Strategic priorities for the development of cybernetic medicine in the information society of the XXI century] // Rossiya: tendentsii i perspektivy razvitiya [Russia: trends and development prospects]. 2017. No. 12-1. P. 823-829.
7. Ulumbekova G.E. Zdravookhraneniye Rossii: 2018–2024 gg. Chto nado delat’? [Russian Health: 2018–2024. What to do?] // ORGZDRAV: Novosti. Mneniya. Obucheniye.Vestnik Vysshey shkoly organizatsii i upravleniya zdravookhraneniyem [ORGZDRAV: News. Opinions. Training. Bulletin of the Graduate School of Health Organization and Management]. 2018. No 1(11). P. 1-16.
8. Starodubov V.I., Kurakov F.A., Kurakova N.G., Tsvetkova L.A., Polyakova Yu.V. Otsenka obosnovannosti vybora prioritetnykh napravleniy v oblasti biomeditsiny v natsional’nom proyekte “Nauka” [Assessment of the choice validity of the priority directions in the field of biomedicine in the national project “Science” // Khirurgiya [Surgery]. 2019. No 6. P. 119-124.
9. Problemy i prioritety razvitiya sistemy zdravookhraneniya v sub”yektakh Rossiyskoy Federatsii [Problems and priorities of the development of the healthcare system in the constituent entities of the Russian Federation]. – Available at: https://static-2.rosminzdrav.ru/system/attachments/attaches/000/026/626/original/
10. Galieva A.M., Vafin A.Yu., Kravchenko I.E. Vliyaniye resursnogo obespecheniya infektsionnoy sluzhby regiona na pokazateli infektsionnoy zabolevayemosti naseleniya [The impact of resource support of the region’s infectious services on indicators of the infectious morbidity of the population] // Kazanskiy meditsinskiy zhurnal [Kazan Medical Journal]. 2017. V. 98. No. 2. P. 233-238.
11. Kurochka V.K., Tsarkov A.N. Ot meditsiny segodnyashnego dnya do personalizirovannoy meditsiny budushchego [From medicine of today to personalized medicine of the future] // Izvestiya Instituta inzhenernoy fiziki [News of the Institute for Engineering Physics]. 2016. No. 4(42). P. 79-82.
12. Chudakov S.Yu., Gafonov B.V. Personalizirovannaya preventivnaya meditsina v Rossii: vzglyad v budushcheye [Personalized preventive medicine in Russia: a look into the future] // Standarty i kachestvo [Standards and quali-ty]. 2018. No. 7. P. 86-90.
13. Dedov I.I. Personalizirovannaya meditsina [Personalized medicine] // Vestnik Rossiyskoy akademii meditsinskikh nauk [Bulletin of the Russian Academy of Medical Sciences]. 2019. V. 74. No. 1. P. 61-70.
14. Kuznetsova O.Yu., Frolova E.V., Moiseeva I.E., Pleshanova Zh.V. Okazaniye meditsinskoy pomoshchi detyam v obshchey vrachebnoy praktike [Providing medical care to children in general medical practice] // Rossiyskiy semeyniy vrach [Russian Family Doctor]. 2006. No. 3. P. 4-8.
15. Gilvanov V.A., Minaicheva N.E., Lebedev I.A., Filatov V.N. Patsiyentoriyentirovannaya model’ okazaniya meditsinskoy pomoshchi kak instrument povysheniya kachestva lechebno-diagnosticheskogo protsessa [Patient-oriented model of medical care as a tool to improve the quality of the diagnostic process] // Vestnik Severo-Zapadnogo gosudarstvennogo meditsinskogo universiteta im. I.I. Mechnikova [Bulletin of the I.I. Mechnikov North-West State Medical University]. 2014.V. 6. No. 4. P. 71-74.
16. Perepelkina N.Yu., Pavlovskaya O.G., Kalinina E.A. Dinamika sostoyaniya zdorov’ya naseleniya Orenburgskoy oblasti [The dynamics of the health status of the population of the Orenburg region] // Orenburgskiy meditsinskiy vestnik [Orenburg Medical Bulletin]. 2014. No 2(6). P. 60-63.
17. Sharafutdinova N.Kh., Polunina V.V., Mustafina G.T., Sharafutdinov M.A., Pavlova M.Yu. Nekotoryye aspekty zabolevayemosti gorodskikh i sel’skikh zhenshchin po dannym dispanserizatsii [Some aspects of the incidence of urban and rural women according to the clinical examination] // Vestnik Rossiyskogo universiteta druzhby narodov. Seriya: Meditsina [Bulletin of the Russian University of Peoples’ Friendship. Series: Medicine]. 2017. No 3. p. 366-373.
18. Ivanova A.Yu., Dolgalev I.V. Formirovaniye riska smertnosti v zavisimosti ot povedencheskikh faktorov (kureniye, potrebleniye alkogolya) po rezul’tatam 27-letnego prospektivnogo issledovaniya [The formation of mortality risk depending on behavioral factors (smoking, alcohol consumption) according to the results of a 27-year prospective study] // Kardiovaskulyarnaya terapiya i profilaktika [Cardiovascular therapy and prevention]. 2017. V. 16. No. 5. P. 40-45.
19. Shabalin V.N., Shatokhina S.N. Vliyaniye sotsial’noy sredy na formirovaniye psikhicheskogo zdorov’ya pozhilogo cheloveka [The influence of the social environment on the formation of the mental health of an elderly person]. // Ul’yanovskiy mediko-biologicheskiy zhurnal [Ulyanovsk medical biological journal]. 2018. No. 3. P. 124-132.
20. Pyankova A.I., Scherbakova E.M., Vasin S.A. Mikroperepisi naseleniya Rossii: proshloye, nastoyashcheye i budushcheye [Microcensuses of the Russian population: past, present, and future] // Demograficheskoye obozreniye [Demographic Review]. 2018. V. 5. No. 2. P. 61-102.
21. Trifonova N.Yu., Plavunov N.F., Boyko Yu.P., Gal’ I.G. Printsipy upravleniya kachestvom meditsinskoy pomoshchi [The principles of quality management of medical care] // Zdravookhraneniye Rossiyskoy Federatsii [Health of the Russian Federation]. 2015. V. 59. No. 2. P. 4-7.
22. Shishkin S.V., Sheiman I.M., Abdin A.A., Boyarsky S.G., Sazhina S.V. Rossiyskoye zdravookhraneniye v novykh ekonomicheskikh usloviyakh: vyzovy i perspektivy. Doklad Natsional’nogo issledovatel’skogo universiteta “Vysshaya shkola ekonomiki” [Russian healthcare in the new economic conditions: challenges and prospects. Report of the National Research University “Higher School of Economics”]. Moscow.: NIU VSHE, 2016. – Available at: https://www.hse.ru/data/2016/06/21/1116116168/
23. Sadykova Yu.Zh. Sovremennyye tendentsii v zdravookhranenii Rossii: spad ili razvitiye [Modern trends in healthcare in Russia: recession or development] // Statistika i ekonomika [Statistics and economics]. 2017. No. 3. P. 105-113.
24. Lindenbraten A.L., Gorbunkov V.Ya., Panchenko I.A. Voprosy effektivnosti vnedreniya trekhurovnevoy sistemy okazaniya meditsinskoy pomoshchi v Rossiyskoy Federatsii [Issues of the effectiveness of implementing a three-level system of medical care in the Russian Federation] // Vestnik Roszdravnadzora [Bulletin of Roszdravnadzor]. 2019. No 6. P. 36-40.
25. Evdokimov D.V. Standartizatsiya i ekspertiza kachestva meditsinskoy pomoshchi: o chem svidetel’stvuyet opyt obyazatel’nogo meditsinskogo strakhovaniya [Standardization and expertise of the medical care quality: What does the experience of mandatory medical insurance testify on] // Problemy standartizatsii v zdravookhranenii [Problems of standardization in healthcare]. 2007. No. 11. P. 48-52.26. Starodubov V.I., Son I.M., Pikhotsky A.N. Stanovleniye i razvitiye sistemy obyazatel’nogo meditsinskogo strakhovaniya v Rossii [Formation and development of the system of compulsory medical insurance in Russia] // Meditsina katastrof [Disaster medicine]. 2010. No. 2(70). P. 25-28.
27. Melnik N.A., Safonova N.S. Obyazatel’noye meditsinskoye strakhovaniye: sovremennye realii, problemy i perspektivy razvitiya [Mandatory medical insurance: modern realities, problems and development prospects] // Nauchnyy vestnik: finansy, banki, investitsii [Scientific bulletin: finance, banks, investments]. 2016. No. 3(36). P. 77-84.
28. Martov S.N. Problemy razvitiya obyazatel’nogo meditsinskogo strakhovaniya v Rossiyskoy Federatsii [Problems of development of compulsory medical insurance in the Russian Federation] // Finansy i kredit [Finance and credit]. 2018. V. 24. No. 9(777). P. 2120-2136.
29. Tavrovsky V. M., Gusev A. V. K chemu dolzhna privesti informatizatsiya zdravookhraneniya: popytka sproyektirovat’ budushcheye [What should healthcare informatization lead to: an attempt to project the future] // Vrach i informatsionnye tekhnologii [Doctor and information technologies]. 2011. No 5. P. 60-75.
30. Stein K. Rol’ natsional’nykh informatsionnykh sistem zdravookhraneniya i elektronnogo zdravookhraneniya (e-health) v prinyatii resheniy: klyuch k realizatsii politiki «Zdorov’ye-2020» i tseley ustoychivogo razvitiya [The role of national health information systems and e-health in decision-making: the key to implementing the “Health 2020” policy and goals of sustainable development // Voprosy organizatsii i informatizatsii zdravookhraneniya [Issues of health organization and informatization]. 2018. No. 3(96). P. 74-78.
31. Indikatory nauki: 2018. Statisticheskiy sbornik [Science indicators: 2018. Statistical collection]. Moscow: NIU VSHE, 2018. 320 p.
32. Pokazateli deyatel’nosti aspirantury v Rossii. Doklad Natsional’nogo issledovatel’skogo universiteta “Vysshaya shkola ekonomiki” [Performance indicators of graduate school in Russia. Report of the National Research University “Higher School of Economics”]. Moscow: NIU VSHE, 2019. a. Available at: https://indicator.ru/humanitarian-science/
33. Perkhov V.I., Lyutsko V.V. Makroekonomicheskiye raskhody na zdravookhraneniye v Rossii i za rubezhom [Macroeconomic spending on healthcare in Russia and abroad] // Sovremennyye problemy zdravookhraneniya i meditsinskoy statistiki [Modern problems of healthcare and medical statistics]. 2019. No 2. P. 334-345.
34. Zdravookhraneniye v Rossii. 2017. Statisticheskiy sbornik [Health care in Russia. 2017. Statistical collection]. Moscow: Rosstat, 2017. 170 p.
35. Otchet o rezul’tatakh ekspertno-analiticheskogo meropriyatiya “Otsenka effektivnosti raskhodovaniya v 2018-2019 godakh sredstv federal’nogo byudzheta, napravlennykh na razvitiye material’no-tekhnicheskoy bazy detskikh poliklinik i detskikh poliklinicheskikh otdeleniy meditsinskikh organizatsiy, okazyvayushchikh pervichnuyu mediko-sanitarnuyu pomoshch” [Report on the results of the expert-analytical event “Assessing the effectiveness of spending in 2018-2019 of the federal budget funds aimed at developing the material and technical base of children’s clinics and children’s outpatient departments of medical organizations providing primary health care”] // Byulleten’ Schotnoy palaty Rossiyskoy Federatsii [Bulletin of Accounts Chamber of the Russian Federation]. 2020. No. 2. Zdravookhranenie [Health].
36. Shishkin S.V. Reforma finansirovaniya rossiyskogo zdravookhraneniya [Reform of Russian healthcare financing]. Moscow: IEPP, 2000. 444 p.
37. Starodubov V.I., Kurakova N.G. Mekhanizmy, prioritety i ob”yemy finansovogo obespecheniya nauchnykh issledovaniy dlya zdravookhraneniya v Rossii i SSHA [Mechanisms, priorities and volumes of financial support for scientific research for healthcare in Russia and the USA] // Menedzher zdravookhraneniya [Healthcare manager]. 2015. No. 8. P. 37-48.
38. Prikaz Federal’nogo agentstva nauchnykh organizatsiy ot 30.03.2018 № 157. Ob otnesenii nauchnykh organizatsiy, podvedomstvennykh Federal’nomu agentstvu nauchnykh organizatsiy, vypolnyayushchikh nauchno-issledovatel’skie, opytno-konstruktorskie i tekhnologicheskie raboty grazhdanskogo naznacheniya, k sootvetstvuyushchey kategorii nauchnykh organizatsiy [Order of the Federal Agency of Scientific Organizations dated 30.03.2018 No. 157. On the classification of scientific organizations subordinate to the Federal Agency of Scientific Organizations performing research, development and technological work for civil purposes, to the corresponding category of scientific organizations].
39. Postanovleniye Pravitel’stva RF ot 05.11.1997 № 1387. O merakh po stabilizatsii i razvitiyu zdravookhraneniya i meditsinskoy nauki v Rossiyskoy Federatsii [Decree of the Government of the Russian Federation dated 05.11.1997 No. 1387. On measures to stabilize and develop health care and medical science in the Russian Federation].
40. Postanovleniye Pravitel’stva RF ot 15.04.2014 № 294. Ob utverzhdenii gosudarstvennoy programmy Rossiyskoy Federatsii “Razvitie zdravookhraneniya” [Decree of the Government of the Russian Federation dated 15.04.2014 No. 294. On approval of the state program of the Russian Federation “Development of healthcare”].
41. Postanovleniye Pravitel’stva RF ot 26.12.2017 № 1640. Ob utverzhdenii gosudarstvennoy programmy Rossiyskoy Federatsii “Razvitie zdravookhraneniya” [Decree of the Government of the Russian Federation dated 26.12.2017 No. 1640. On approval of the state program of the Russian Federation “Development of healthcare”].
42. Ukaz Prezidenta RF ot 06.06.2019 № 254. O Strategii razvitiya zdravookhraneniya v Rossiyskoy Federatsii na period do 2025 goda [Decree of the President of the Russian Federation dated 06.06.2019 No. 254. On the Strategy for the Development of Health Care in the Russian Federation for the period until 2025].
43. Postanovleniye Pravitel’stva RF ot 07.12.2019 № 1610. O Programme gosudarstvennykh garantiy besplatnogo okazaniya grazhdanam meditsinskoy pomoshchi na 2020 god i na planoviy period 2021 i 2022 godov [Decree of the Government of the Russian Federation dated 07.12.2019 No. 1610. On the Program of state guarantees of free medical assistance to citizens for 2020 and for the planning period 2021 and 2022].
44. Boychenko V.S., Petrovsky A.B., Pronichkin S.V., Sternin M.Yu., Shepelev G.I. Granty v nauke: nakoplenniy potentsial i perspektivy razvitiya. Pod red. A.B. Petrovskogo. [Grants in science: Accumulated potential and development prospects. Ed. by A.B. Petrovsky]. Moscow: Poly Print Service, 2014. 444 p.
45. Larichev O.I. Verbal’niy analiz resheniy [Verbal decision analysis]. Moscow: Nauka, 2006. 181 p.
46. Petrovsky A.B. Gruppovoy verbal’niy analiz resheniy [Group verbal decision analysis]. Moscow: Nauka, 2019. 287 p.
47. Larichev O.I., Petrovsky A.B., Shepelev G.I. et al. Prognoz vazhneyshikh napravleniy fundamental’nykh issledovaniy i ozhidayemykh rezul’tatov. Otchet o NIR [Forecast of the most important areas of basic research and expected results. Research report]. Moscow: ISA RAS, 1999.
48. Larichev O.I., Minin V.A., Petrovsky A.B., Shepelev G.I. Rossiyskaya fundamental’naya nauka v tret’yem tysyacheletii [Russian fundamental science in the third millennium] // Vestnik Rossiyskoy akademii nauk [Bulletin of the Russian Academy of Sciences]. 2001. V. 71. No. 1. P. 13-18.
49. Grebenyuk A.Yu., Kaminsky I.P., Kistenev Yu.V., Patrushev M.V., Psakhye S.G., Sokolov A.V., Chulok A.A. Prognoz nauchno-tekhnologicheskogo razvitiya Rossii: 2030. Meditsina i zdravookhranenie [Forecast of scientific and technological development of Russia: 2030. Medicine and healthcare]. Moscow: NIU VSHE, 2014. 244 p.
50. Petrovsky A.B., Pronichkin S.V., Sternin M.Yu., Shepelev G.I. Informatsionno-logicheskaya model’ natsional’nogo nauchno-tekhnologicheskogo potentsiala [Information-logical model of the national scientific and technological potential] // Iskusstvenniy intellekt i prinyatie resheniy [Artificial intelligence and decision making]. 2018. No. 4. P. 3-19.