Introduction. The World Health Assembly in resolution WHA69.1 defined the essential public health operations (EPHO) as the most cost-effective, comprehensive and sustainable ways of improving population health and reducing the burden of disease. In recent years Russia has been actively working to introduce a system for motivating people to lead healthy lifestyles into the medical prevention system. A special place is given to the regions. Moscow as an independent region of the Russian Federation has a great potential in this field. However, for the effectiveness of health system planning and public health promotion measures at the national, regional and municipal levels, more clarity is needed on the issue of EPHOs. Objectives. To study the main characteristics of EPHO list and results of its application in the countries of the world as a tool of public health system construction on the level of a city. Materials and methods. A content analysis of World Health Organization documents, scientific publications of foreign and domestic authors, country reports on the development of EPHOs lists and evaluation of POPs implementation was performed. Results. The list of EPHOs varies from country to country because of different national priorities, demographics, financial resources, etc. The European Region's list of ten EPHOs describes elements inside and outside the public health system. The list of EPHOs is used as a tool for analyzing public health systems or organizations at the national and local level. Discussion. More conceptual clarity is needed for public health systems planning and public health advocacy, as well as adaptation of the EPHO assessment tool to the context of Moscow. Conclusion. The structure of the EPHOs list included in the instrument of WHO Regional Office for Europe can reflect the public health landscape in Moscow and be used as a tool for investigation of public health systems or organizations at the city level and can contribute to the elaboration of the unified city public health policy and establishment of integrated public health services.
Purpose. Many aspects of the health care system effective functioning depend on the level of trust in it. The purpose of this work is to study and summarize the research of native and foreign scientists on the topic of trust in the health care system in order to identify the context and methodological approaches to the study of trust. Materials and methods. The author used in the review the method of systematic review of publications based on strict criteria for selecting publications of individual homogeneous original studies. The search was carried out in the bibliographic databases PubMed, Google Scholar. The author included in the review articles that mentioned trust in the health system as part of their research objectives or questions. No reports published in peer-reviewed literature were analyzed. Results and discussion. There are three positions to consider trust from: trust in the personality of a medical worker (interpersonal); institutional trust in medical organizations; trust in the health care system as a whole (systemic). Several studies have looked at trust in the context of public trust in health care. Within the health care system, there are processes of transfer of trust from an individual to an institution and back. Institutional trust has a significant impact on the formation of interpersonal trust. No causal relationship has been established about the impact of trust on treatment outcomes, and patient distrust of healthcare providers can have detrimental health consequences. The degree of trust in the health care system is different in various categories of citizens. Conclusion. The review revealed that there is no sufficiently accurate, theoretically substantiated and empirically verified definition of trust; trust studies are scattered and built around different definitions. The terms are used interchangeably between studies with the same focus and are not clearly defined and distinct. A variety of tools used to measure trust, the use of different concepts, a significant variation in the choice of the subject and object of empirical research, different methodological foundations of research make it difficult to compare and generalize research data, therefore, for further understanding, study, assessment and conduct of empirical research, a theoretical basis of trust is needed.
Introduction. Monitoring is an important tool for managing the epidemic of noncommunicable diseases. The insufficiency of the measures taken to create and strengthen national systems of epidemiological surveillance for noncommunicable diseases is recognized. In this regard, the search and development of rapid and cost-effective approaches to monitoring risk factors for noncommunicable diseases continues. Objective. To explore an approach to developing a national monitoring system for risk factors for noncommunicable diseases based on population health surveys in some countries of the world. Materials and methods. A content analysis of the documents of the World Health Organization, open data, scientific publications, regulations and reports of countries (India, USA, European countries, including Belgium and Finland) on the study of public health and risk factors for non-communicable diseases was carried out. Results. The possibility of incorporating elements of a monitoring study into population health surveillance systems that already exist at the national level is an important advantage for developing approaches to monitoring risk factors for noncommunicable diseases. In this regard, the World Health Organization's STEPS stepwise approach to risk factor surveillance has evolved. National population health surveys that include risk factor monitoring can be divided into health surveys and health surveys. There are also separate national studies (surveys and surveys) that focus on several behavioral risks or individual risk factors. Some monitoring systems that measure progress towards global noncommunicable disease targets also additionally cover late issues and emerging risk factors. Discussion. The studied international experience of national systems of research on public health and epidemiological surveillance of noncommunicable diseases indicates trends towards standardization and unification of tools for monitoring risk factors for noncommunicable diseases.
The purpose of the study. The purpose of this work is the exploration and generalization of scientific researches on walkability to determine its advantages as an element of public policy in human-centered cities. Over the past fifty years, the world community has actively discussed the issue of healthy and sustainable urban development planning, which has gained particular relevance with the recent World Health Organization publication of the “Healthy Cities: An Effective Approach to a Rapidly Changing World” concept (2020). One of the Healthy Cities approach goals is to promote healthy urban planning and design centered on human well-being (unlike prevalent in the past vehicle orientation), and the main component of such planning is pedestrianization or walkability. The systematic reviews and meta-analyses reporting method (PRISMA) were used in the review. The search was carried out in the bibliographic databases Elibrary, PubMed, MEDLINE, Scopus, Google Scholar. The study of the structure, types, and relationship between pedestrianization and the type of urban planning revealed the global advantages of creating walkable areas, such as maintaining the physical, mental and social health of citizens, increasing social capital, and improving the city’s ecological and economic atmosphere. Conclusion. Thus the promoting walkability was concluded to be a public policy as a relatively simple and highly effective way to benefit in the short, medium, and long term. This fact ultimately makes pedestrianization one of the most important tools for healthy urban planning and design.
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