Общественное Здоровье И Развитие Здравоохранения В Регионах России

Ivanova, Sembrika N.

doi:10.12731/2658-6649-2021-13-2-47-63

Cited by 3 publications

(3 citation statements)

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“…тот «инструментарий», который должен обеспечивать цели и задачи здравоохранения [3]. Помимо результативности, отражающей достижение запланированного результата декларируемой цели сохранения и улучшения здоровья населения, результативность может рассматриваться с экономической и социальной точек зрения, тогда её индикаторами выступают показатели экономической деятельности и результаты социологических исследований [4,5]. Таким образом, оценка результативности системы здравоохранения -актуальная задача, направленная на достижение главной цели улучшения общественного, группового и индивидуального здоровья населения.…”

Section: экология человека | Ekologiya Cheloveka (Human Ecology)unclassified

Performance of management of the health system (on the example of the Arkhangelsk region)

Шелыгин

Ushakova

Zykova

et al. 2023

Ekologiya cheloveka (Human Ecology)

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BACKGROUND:Currently, health care occupies an exceptional place in a socially oriented economy. To assess the effective functioning of the health care system, it is necessary to constantlymonitor performance indicators that allow you to determine the level of saving the health of the population. AIM:Determine the degree of effectiveness of health system management based on a comparative analysis of certain target indicators with their actual values. MATERIALS AND METHODS:An analysis of the indicators contained in the State program of the Arkhangelsk region "Health care development in the Arkhangelsk region" was carried out. The following parameters were chosen as targets: life expectancy at birth; maternal mortality per 1000 live births; infant mortality per 1000 live births; total fertility rate; number of doctors per 10000 population; number of average medical personnel per one doctor. Analysis period: 2010-2020. The study is retrospective, descriptive, not randomized. To calculate the private and integral indicators of regional management performance we used the method proposed by A.V. Pepelyaeva and E.A. Tretiakova. The analysis of dynamic series for the presence of anomalous values (outliers) was carried out by the Irwin method. RESULTS:The main indicators that ensure the level of performance are maternal mortality and availability of doctors. The availability of doctors per 10,000 population was significantly higher than the target indicators over the entire time period by an average of 32.8%. The target indicators of maternal mortality were lower than the actual ones on average by 50.1%, which seems to be due to overestimation of the target indicator. CONCLUSION:Target indicators of health care system performance tend to overestimate against the background of the lack of a clearly defined methodological apparatus for their calculation, which, in most cases, leads to a mismatch between their dynamics and the dynamics of actual indicators, increasing the calculated level of health care system management performance.

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Section: экология человека | Ekologiya Cheloveka (Human Ecology)unclassified

Performance of management of the health system (on the example of the Arkhangelsk region)

Шелыгин

Ushakova

Zykova

et al. 2023

Ekologiya cheloveka (Human Ecology)

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“…В условиях замедленной биодеградации, исследование химического состава донных осадков дает достаточно объективную картину уровня загрязнения водных объектов за длительный промежуток времени. Урегулирование качества окружающей среды базируется на установлении экологически приемлемого воздействия на нее, при котором не происходят нарушения процессов самоочищения вод [3,4,5,7,8,9,12,13,14,17,19,21,30,31].…”

Section: Introductionunclassified

Dynamics of Chemicals in River Bottom Sediments on the Territories Impacted by the Oil Industry

Aleksandrova

Ivanov

Tsyganova

2022

SJLSA

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Background. Two thirds of all oil reserves of the Russian Federation are concentrated on the territory of Western Siberia. Field work, production and distribution of petroleum products at the oil and gas field are the main reasons for the negative impact on the ecosystems of the northern territories. Purpose. The purpose of this study is to evaluate the chemical pollution dynamics of the rivers’ bottom sediments in the Middle Ob region, the region of the Samotlor field. Materials and methods. Based on the chemical analysis of the sediment samples, concentrations and total values of the following chemical elements were determined: manganese, copper, nickel, lead, chromium, zinc, iron sulfate ions, chloride ions, petroleum products, mercury. Based on the results of long-term studies of the chemical analysis dynamics of the bottom sediments in the Ob, Agan, and Vakh rivers, a correlation and regression analysis of the studied indicators was carried out. Results. The results of the correlation analysis suggest the existence of negative and positive correlations in the studied indicators. Regression analysis of the migration of chemical elements in sediment samples during the study period shows significant fluctuations in the total concentration of chemical elements in sediments, but there is a general tendency to decrease their concentration in sediments. Conclusion. Analyzing the ecological state of the studied rivers by the quality of bottom sediments, in general, we can conclude that they are in stable condition. During the study period, there has been a positive dynamics in the concentration of chemical elements in bottom sediments.

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“…Потенциальными загрязнителями водных объектов являются отходы бурения (буровые и тампонажные растворы, буровые сточные воды и буровой шлам), продукты испытания скважин (нефть, газ, минерализованные воды), горюче-смазочные материалы, хозяйственно-бытовые сточные воды, твердые бытовые отходы, ливневые сточные воды с загрязненных территорий [10,[12][13][14][15][16][17][18][19].…”

Section: Introductionunclassified

Quality Assessment of Natural Waters in Territories Impacted by the Oil and Gas Industry

Ivanov

Komissarova

Shcherbakov³

et al. 2022

SJLSA

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Background. The study area is one of the main regions of the Russian Federation, where intensive development and production of hydrocarbons are carried out. They are directly accompanied by a very significant anthropogenic impact on the environment in general, and on water bodies in particular. The article, based on the analysis of chemicals concentration in surface waters, bottom sediments and coastland soil, gives an assessment of water bodies quality on the territory of the oil and gas industry. Purpose. The purpose of the study is to assess the quality of surface waters, benthic ecosystem and coastland soil of water bodies on the territory of oil and gas fields of the Middle Ob region. Materials and methods. On the basis of chemical analysis, concentrations of chemical elements were determined in samples of surface waters, bottom sediments and coastland soil of water bodies. Based on the concentration of chemical elements in a particular environment, the index of surface water pollution was determined by the calculation method, the state of the coastland soil and the benthic ecosystem was assessed. Results. The calculation of the integral assessment of water quality shows that the studied water bodies range from moderately polluted to extremely polluted. Quality deterioration of the benthic ecosystem is observed in most of the studied water bodies. Conclusion. The study of the environmental condition of water bodies by the quality of surface waters, bottom sediments and the coastland soil shows the negative anthropogenic impact of the oil and gas industry on the studied water bodies.

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Общественное Здоровье И Развитие Здравоохранения В Регионах России

Cited by 3 publications

References 0 publications

Performance of management of the health system (on the example of the Arkhangelsk region)

Performance of management of the health system (on the example of the Arkhangelsk region)

Dynamics of Chemicals in River Bottom Sediments on the Territories Impacted by the Oil Industry

Quality Assessment of Natural Waters in Territories Impacted by the Oil and Gas Industry

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