Macro-social determinants and public health risks in Russia’s regions

Lebedeva-Nesevrya, N.A.; Цинкер, М Ю; Chigvintsev, Vladimir M.

doi:10.15838/esc/2014.5.35.17

Cited by 2 publications

(1 citation statement)

References 2 publications

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“…Лебедева-Несевря Н. А. и др. [20], используя регрессионный анализ, установили, что стандарти-ность и динамичность взаимодействия факторов, что позволяет концептуализировать данное взаимодействие на нескольких уровнях (индивидуальном, районном, региональной, национальном, международном) и в различных временных рамках.…”

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Dashboard to analyze associations of socio-economic and environmental inequality of regions with health indicators. Guidelines

Zelenina,

Shalnova,

Maksimov

2023

Cardiovasc Ther Prev

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The guidelines describe a dashboard designed to monitor and analyze associations of socio-economic and environmental inequality of regions with health indicators.The guidelines are addressed to managers and employees of health authorities, managers and employees of medical prevention centers, primary care physicians, and also as a teaching material for students of higher medical education institutions, residents and graduate students.

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Dashboard to analyze associations of socio-economic and environmental inequality of regions with health indicators. Guidelines

Zelenina,

Shalnova,

Maksimov

2023

Cardiovasc Ther Prev

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Medical and sociological assessment by physicians of the availability of medical care for chronic diseases in rural healthcare in the region: A cross-sectional focus group study

Eremina

Krom

Субботина

et al. 2023

Sociology of Medicine

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BACKGROUND: Problems with the organization of medical and medicinal care for populations living in rural and remote areas exist in most countries. In the context of Russia, this problem has been discussed in studies over several decades.The doctor as a subject of medicine more often acts as an object of medical and sociological research in the context of their medical (expert) knowledge about the representatives of different social groups of patients. The uniqueness of the research conducted is determined by the focus of the research interest on the social group of doctors in the context of their health problems, i.e., on the study of the personal patient experiences of rural health doctors. AIM: To study the problems of access to medical care by rural health professionals in the region. MATERIALS AND METHODS: Eight heads of departments of district medical organizations of the Saratov region took part in the focus group study. The participants suffered from chronic diseases (for more than 10 years), and two respondents attended a disability group. Following the guidelines of the focus group study, the discussion covered issues of the accessibility of medical care by physicians with chronic diseases in medical organizations of the region and directions for improving access to medical care by healthcare professionals. The data obtained were evaluated according to the standard requirements for the analysis of qualitative data with the support of the discourse analysis methodology. RESULTS: The results highlighted the key issues reflecting the problems of accessibility of medical care to rural healthcare specialists. The empirical material gathered added to the range of problems assumed at the stage of planning and the description of the peculiarities of obtaining medical care by the chosen group of respondentsdoctors in rural healthcare. CONCLUSION: The analysis of the array of respondents opinions of the focus group research allowed several conclusions to be reached. In the context of rural healthcare, access to medical care for physicians has not only an organizational but also a social and geographical context;moreover,the barriers are the staff deficits in rural healthcare, the lack of necessary infrastructure and material and technological backwardness of rural healthcare, the lack of transport provision in the region, and the mentality of the inhabitants of rural areas. In a situation where physicians with chronic health problems need help, the above list of barriers is supplemented by a high level of workload and the specific self-preservation behaviors of representatives of this group.

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Macro-social determinants and public health risks in Russia’s regions

Cited by 2 publications

References 2 publications

Dashboard to analyze associations of socio-economic and environmental inequality of regions with health indicators. Guidelines

Dashboard to analyze associations of socio-economic and environmental inequality of regions with health indicators. Guidelines

Medical and sociological assessment by physicians of the availability of medical care for chronic diseases in rural healthcare in the region: A cross-sectional focus group study

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