Health of the population of a stable territory in the context of reforms
https://doi.org/10.31660/1993-1824-2024-4-109-126
Abstract
This article presents the opinions of numerous authors about the essence of sustainable development in its social aspect. It discusses the sustainable development goals defined by the UN and the national targets of the Russian Federation until 2030. The contribution of the healthcare system to achieving sustainable development goals in Russia overall and specifically in the Tyumen region is shown. It is noted that the healthcare re-forms implemented in Russia since 1991 have made a positive impact on the sustainable development of territories. This study includes an analytical assessment of medical and demographic data, obtained by statistical methods from 2017 to 2023 and reflected the effectiveness of the healthcare system in the Tyumen region. Those data are an indicator of territorial sustainability.
Thus, an independent sociological study focused on evaluating the patients' opinions who visited Tyumen clinics in 2019 and 2023. Additionally, this study looked at the results of the final stage of reforms in the healthcare system of Tyumen (digitalization).
Based on the analysis of statistical data and survey results, the following conclusions were drawn: the document flow has improved, a certain level of digitalization in the industry has been achieved; accessibility to medical care, including high-tech services, has increased; a system of primary and secondary prevention and rehabilitation has been established.
The study revealed that the algorithm for providing medical services, including patient surveys, examinations, diagnostic measures, and treatment of detected conditions, is not followed. Diagnostic services under the compulsory medical insurance program are not consistently accessible, therefore patients themself pay for it. Furthermore, the electronic technologies being introduced are not fully utilized and are not always readily accessible.
The conclusions and recommendations provided can serve as a basis for decision-making by local authorities.
About the Authors
N. I. Skok
Industrial University of Tyumen
Russian Federation
Russian Federation
Natalya I. Skok, Doctor of Sociology, Professor at the Department of Marketing and Government Administration
Tyumen
Yu. I. Koltunova
Industrial University of Tyumen
Russian Federation
Russian Federation
Yulia I. Koltunova, Candidate of (Sociology, Associate Professor at the Department of Marketing and Government Administration
Tyumen
I. Ya. Mikhalevich
University of Tyumen
Russian Federation
Russian Federation
Irina Ya. Mikhalevich, Senior Lecturer at the Department of General and Economic Sociology
Tyumen
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Review
For citations:
Skok N.I., Koltunova Yu.I., Mikhalevich I.Ya. Health of the population of a stable territory in the context of reforms. Proceedings from higher educational institutions. Sociology. Economics. Politics. 2024;17(4):109-126. (In Russ.) https://doi.org/10.31660/1993-1824-2024-4-109-126
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