РЕМЕДИУМРЕМЕДИУМ1561-59362658-3534Joint-Stock Company Chicot191710.32687/1561-5936-2026-30-2-144-149Original ArticleЖелезнодорожная медицина России: профессиональные риски, организационные проблемы и направления модернизации (обзор литературы)ГришинаНаталья Константиновнаotdel77@mail.ruМакаровВладимир Юрьевичmakarov7878@gmail.comОгневаЕкатерина Юрьевнаogneva-e@mail.ruГришинаАнастасия Владимировнаgrishina0109nastys@gmail.comНациональный научно-исследовательский институт общественного здоровья имени Н. А. Семашко, г. Москва, Российская ФедерацияКлиническая больница «РЖД-Медицина г. Чита», Чита, РоссияФедеральный медицинский биофизический центр имени А. И. Бурназяна, Москва, РоссияНациональный исследовательский университет «Высшая школа экономики», Москва, Россия04072026214414907072026Copyright © 2026, АО "Шико"2026В статье представлен систематизированный анализ специфики и современного состояния железнодорожной медицины в Российской Федерации. На основе обобщения отечественных и зарубежных исследований рассматриваются ключевые аспекты: исторические предпосылки формирования отраслевой системы здравоохранения; особенности заболеваемости работников, обусловленные комплексом вредных производственных факторов; действующая модель организации медицинской помощи и её нормативное регулирование; выявленные системные проблемы доступности и качества услуг; перспективные направления реформирования. Особое внимание уделено анализу опыта внедрения инновационных организационно-управленческих технологий, которые могут быть адаптированы для модернизации медицинского обеспечения персонала железнодорожного транспорта.health care of railway transport workersoccupational morbiditymedical provision of traffic safetyorganizational technologieshealthcare reformохрана здоровья работников железнодорожного транспортапрофессиональная заболеваемостьмедицинское обеспечение безопасности движенияорганизационные технологииреформирование здравоохранения1.Atkov O. Yu., Tsfasman A. Z. History of railway medicine. Moscow; 2004. 416 p. (In Russ.)2.Kovalev S. P., Yashina E. R., Khodyreva L. A. et al. Organizational aspects of the medical support system for employees of large industrial companies. Remedium. 2022;26(4):325—330. (In Russ.)3.Buryak Yu. Yu. Military sanitary trains of the USSR on the eve and during the Great Patriotic War. Tomsk State University Journal of History. 2021;(71):11—19. 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