Category: Statistics

Probl Sotsialnoi Gig Zdravookhranenniiai Istor Med. 2026 Jun 27;34(0):422-425. doi: 10.32687/0869-866X-2026-34-s1-422-425.

ABSTRACT

This article examines the demographic resilience of the Republic of Adygea, which faces unique demographic and economic challenges due to its limited territory, distinct ethnocultural composition, and external migration flows. Given the transformation of the labor market driven by digitalization, an aging population, and structural changes in the economy, the region is forced to develop strategies to enhance demographic resilience. The authors analyze factors influencing the stability of Adygeas labor market, assesses current trends in employment, migration, and demographic dynamics, and proposes adaptation mechanisms aimed at mitigating the risk of labor shortages and ensuring economic growth. The studys findings substantiate the need for a comprehensive approach that includes human capital development, stimulating internal migration, and implementing flexible employment models.

PMID:42402129 | DOI:10.32687/0869-866X-2026-34-s1-422-425

Probl Sotsialnoi Gig Zdravookhranenniiai Istor Med. 2026 Jun 27;34(0):378-383. doi: 10.32687/0869-866X-2026-34-s1-378-383.

ABSTRACT

A comprehensive analysis of the situation is needed to effectively address Russias demographic problems. The aging population and low birth rate pose serious challenges for the country. The purpose of the study is to identify and analyze the social determinants that determine the choice of a small family model, followed by the development of recommendations for optimizing the demographic situation in the country.

PMID:42402126 | DOI:10.32687/0869-866X-2026-34-s1-378-383

Probl Sotsialnoi Gig Zdravookhranenniiai Istor Med. 2026 Jun 27;34(0):498-505. doi: 10.32687/0869-866X-2026-34-s1-498-505.

ABSTRACT

The study provides a summary of the main provisions of the Fundamental Scientific Research Program of the Russian Federation for the long-term period (2021-2030), provides its general quantitative characteristics, highlighting the leading areas of knowledge and areas of science. For the field of scientific knowledge «Medical Sciences», a detailed statistical and substantive analysis is provided, as a result of which leaders and anti-leaders are identified in the context of areas and sections of fundamental and exploratory scientific research.

PMID:42402122 | DOI:10.32687/0869-866X-2026-34-s1-498-505

Probl Sotsialnoi Gig Zdravookhranenniiai Istor Med. 2026 Jun 27;34(0):520-525. doi: 10.32687/0869-866X-2026-34-s1-520-525.

ABSTRACT

Ensuring adequate staffing levels for psychiatrists-narcologists and district psychiatrists-narcologists amid the observed shortage of healthcare personnel across all sectors and burnout among medical workers represents one of the primary pathways to improving the performance of psychoneurological services. Analysis of the new order from the Russian Ministry of Health on the «psychiatry-narcology» profile reveals that the document includes certain measures to strengthen preventive efforts by introducing the position of a medical psychologist in the office for the prevention of substance use disorders. However, in our view, certain provisions of the document require revision in the following directions: transitioning to commonly accepted indicators for labor norms in outpatient care, namely statistical data on population size and its contingents; and excluding staffing numbers from the normative provision for ensuring round-the-clock operations of medical personnel.

PMID:42402120 | DOI:10.32687/0869-866X-2026-34-s1-520-525

Probl Sotsialnoi Gig Zdravookhranenniiai Istor Med. 2026 Jun 27;34(0):482-490. doi: 10.32687/0869-866X-2026-34-s1-482-490.

ABSTRACT

The article examines the structural causes of informal employment and corruption practices in public healthcare institutions. Unlike the traditional approach, which views informality as a shadow activity outside of legal institutions, the authors argue that it can be integrated into formal employment as a systemic response to the household budget deficit of healthcare workers. Based on an analysis of a large dataset (wages, hours worked, and staff turnover from 2015 to 2024), they identify and mathematically prove a critical relationship between the deviation of wages from regional averages and the amount of additional work. Results. A direct correlation (r = 0.994; p lt; 0.001) has been established between income deficiency and the necessary intensification of labor. It has been proven that when the physiological limit of working time (1.5-2.0 rates) is reached, the employees survival strategy transforms into an intensive form, namely, the implementation of administrative and professional resources in the informal sector (monetization of status). Conclusions. The paper substantiates that informal payments for access to services (quota VMP, issuance of sick leave) are not a deviation, but a systemically conditioned mechanism for compensating for the reproduction of human capital. Repressive measures to combat the shadow sector will be ineffective without addressing the mathematically proven imbalance in wages.

PMID:42402117 | DOI:10.32687/0869-866X-2026-34-s1-482-490

Probl Sotsialnoi Gig Zdravookhranenniiai Istor Med. 2026 Jun 27;34(0):406-411. doi: 10.32687/0869-866X-2026-34-s1-406-411.

ABSTRACT

This article examines the relationship between coverage by dispensarization (preventive health screening) and qualitative characteristics of employment in the regions of the Central Federal District of Russia. An analysis of statistical data for 2017-2023 is presented, describing the level of participation of the working population in preventive medical examinations and key parameters of employment quality, including working conditions, forms of labour relations, and social protection of workers. It is noted that there is substantial differentiation among the Central Federal District regions both in dispensarization coverage and in employment quality indicators. The study finds that regions with higher employment quality also demonstrate higher participation rates of the working population in dispensarization, supporting the hypothesis that characteristics of labour relations affect accessibility to preventive medical care. Key factors linking employment quality and dispensarization coverage are identified as the formal nature of labour relations, which enables workers to exercise their legally guaranteed right to time off for medical examinations, and employer engagement in creating conditions for staff participation in preventive activities. The article concludes that improving employment quality through strengthening social and labour guarantees and enhancing working conditions can be regarded as an important resource for increasing dispensarization coverage among the working population and, consequently, for improving public health.

PMID:42402115 | DOI:10.32687/0869-866X-2026-34-s1-406-411

Probl Sotsialnoi Gig Zdravookhranenniiai Istor Med. 2026 Jun 27;34(0):460-465. doi: 10.32687/0869-866X-2026-34-s1-460-465.

ABSTRACT

The article presents an analysis of the dynamics in the number of healthcare organizations of various forms of ownership in the Russian Federation for the period from 2009 to 2024. The study was conducted using statistical and analytical methods of time series data processing. Opposite trends in the development of the public and private healthcare sectors have been identified. In the public sector, a reduction in the number of hospital organizations by 27.66% was recorded, alongside a simultaneous increase in the number of outpatient clinics by 23.63%, reflecting the optimization processes in the inpatient sector and the strengthening of primary health care. The private sector demonstrated exponential growth: the number of hospital organizations increased almost fourfold, and outpatient clinics more than doubled. The capacity of private outpatient clinics increased more than fourfold. All identified trends are confirmed by statistical significance. The results obtained indicate the transformation of private medicine into a significant element of the national health protection system, capable of filling the deficit niches of the public sector.

PMID:42402114 | DOI:10.32687/0869-866X-2026-34-s1-460-465

Probl Sotsialnoi Gig Zdravookhranenniiai Istor Med. 2026 Jun 27;34(0):513-519. doi: 10.32687/0869-866X-2026-34-s1-513-519.

ABSTRACT

In the context of contemporary globalization, rural residents frequently encounter multiple barriers when attempting to access timely and high-quality healthcare. This article analyzes factors influencing the accessibility and quality of medical services for rural populations, including geographical isolation, limitations in material, human, and technological resources, and specific features of the socio-economic environment. Special attention is given to vulnerable groups within the rural population-such as women, children and adolescents, persons with disabilities, older adults, and inhabitants of areas prone to natural disasters – for whom restricted access to healthcare has cumulative and long-term effects, adversely impacting both physical and mental health indicators. Based on a systematic review of domestic and international publications from recent years, the study identifies key barriers and enabling factors that can improve access to healthcare in rural settings, including the development of primary healthcare services.

PMID:42402107 | DOI:10.32687/0869-866X-2026-34-s1-513-519

Probl Sotsialnoi Gig Zdravookhranenniiai Istor Med. 2026 Jun 27;34(0):431-435. doi: 10.32687/0869-866X-2026-34-s1-431-435.

ABSTRACT

The quality of healthcare is a complex, interdisciplinary category. Current approaches to assessing quality of life are typically based on statistical data, medical statistics, and subjective assessments obtained through mass population surveys. Using expert surveys as a method not only for assessment but also for a deeper professional understanding of processes occurring in the healthcare system, predicting their consequences, and identifying the causes of changes in public opinion appears most appropriate, particularly for regional healthcare systems. Experts from regional communities are most immersed in issues related to their local context. The research methodology was based on the «structure, process, result» (Donabedian) approach and included a survey of experts from regional professional communities in the regional capital of the Kursk border region (n = 40). The experts included representatives from healthcare management, business, science and education, medical professionals, opinion leaders, and political scientists. The results of the expert survey revealed contradictions in regional healthcare management, which are exacerbated by a significant outflow of professional personnel.

PMID:42402106 | DOI:10.32687/0869-866X-2026-34-s1-431-435

Probl Sotsialnoi Gig Zdravookhranenniiai Istor Med. 2026 Jun 27;34(0):426-430. doi: 10.32687/0869-866X-2026-34-s1-426-430.

ABSTRACT

This article is based on the results of a study analyzing the opinions and perceptions of medical students regarding their future professional activities. The objective of the study was to examine and analyze the attitudes and plans of medical students regarding their chosen profession. The object of the study was the professional attitudes of students in the Faculty of General Medicine. The theoretical methodology of the article is based on a sociological approach to professionalization, taking into account the activity-based and certification approaches. The empirical basis of the study was the results of a sociological survey conducted among 220 medical students in January 2026 (KSMU, Kursk, n = 100; RNRMU, Moscow, n = 75; PSPbSMU, St. Petersburg, n = 45). The study found that young people, typically those who have completed pre-professional school training, consciously choose medical universities. Half of the study participants expressed a willingness to remain in the state healthcare system, with minor regional differences. To create an effective healthcare system capable of adequately responding to the needs of young professionals, it is necessary to develop conditions for retaining young professionals in state healthcare, taking into account the expectations of todays students (unique experience, stability, career advancement, etc.).

PMID:42402105 | DOI:10.32687/0869-866X-2026-34-s1-426-430