REMEDIUM

The process of personnel training for the healthcare system is designed to ensure the availability of high-quality educational services throughout the entire working life. When organizing vocational training, where the key points are active forms and methods of adult education, one should pay attention, among other things, to the psychology of adult trainees: motivation, independent decision-making about the need for training within the framework of their professional activities and interest in the results of their training.

The health of employees is currently considered by companies as a resource that allows them to ensure the growth of productivity, efficiency and competitiveness. It is well known that office workers spend most of their working time in a sedentary state, which contributes to a sedentary lifestyle that increases the risk of developing diseases and disabilities. The gradual decline in cardiorespiratory fitness among adults, along with an increase in the number of non-communicable diseases in developed countries, makes the workplace an important opportunity to promote a healthy lifestyle. Progressive, well-managed, responsible companies are ready to implement employee wellness programs within the framework of corporate social responsibility. Companies have opportunities to develop strategies to encourage employees to take a responsible attitude to their health at the workplace and in the process of performing their official duties.

The healthcare system is an essential part of the social sphere, which effectiveness is determined by many factors, such as the availability and quality of medical services in accordance with the needs of the population, as well as an established management system on the macro and micro levels. Tools aimed at increasing the efficiency and effectiveness of the healthcare system should be focused on both patients and medical personnel, organizations to achieve the best effect. This study examines the positive impact of the introduction of digitalization in the healthcare system using the example of the State Services portal in Moscow and Moscow region.

Primary health care is the most widespread type of medical care. Improving the PHC organization system is a strategic priority for the development of the healthcare system at the regional level, since the impact of PHC on the effectiveness of the entire healthcare system is well known. The Ministry of Health of the Moscow Region summarized and systematized proposals for improving the main processes of primary care in outpatient settings, formed on the basis of experience in the use of lean manufacturing technologies, and introduced organizational and management technology that allows optimizing the management of the regional system of primary health care in outpatient settings — the standard of organization of outpatient care in the Moscow Region (Standard). The standard regulating uniform approaches to the organization of polyclinic activities includes six areas characterizing the main processes of organizing the work of the structural units of the polyclinic (distribution of patient flows, standards of prevention and medical examination, etc.), requirements for employees, equipment and location of offices (registry, diagnostic and treatment rooms,) and, thus, the creation of comfortable conditions for patients (location of offices on the first floor, information, navigation, etc.).

The article presents an analysis of the global long-term care market. The place and role of proactive medical and social patronage in the healthcare and social services systems of the Russian Federation are reflected, aspects of its regulation are presented, as well as its contribution to the achievement of sustainable development goals in the Russian Federation. The features of interdepartmental interaction in the implementation of proactive medical and social patronage in the Russian Federation, including in the city of Moscow, are given. IT solutions for providing proactive medical and social patronage in the countries of the world are considered. It was revealed that significant steps are being taken in the world for the widespread introduction and scaling of successful long-term care practices, the most important of which in the Russian Federation is proactive medical and social patronage, but the professional community has yet to work out a significant pool of issues related to this type of service.

Annotation. Introduction. According to the requirements of legal documents, foreign persons upon arrival in the country within a strictly allotted time must undergo a medical examination on the basis of organizations licensed for this type of activity and be authorized to conduct a mandatory medical examination of foreign citizens. In Kazan, on the basis of the dermatovenerological dispensary, in order to conduct a high-quality and prompt medical examination of foreign citizens, a department was organized, operating in the «single window» mode, upon contacting which foreign citizens can obtain a medical opinion based on the results of laboratory diagnostic tests, examinations by medical specialists. The aim of our research is characteristics of the structure of arriving foreign citizens in the Republic of Tatarstan based on data on foreign citizens who underwent a medical examination in the dermatovenerological dispensary of the city of Kazan for 2018—2022. Materials and methods. In the course of the study, a comparative analysis of the normative documents regulating the issues of medical examination of foreign citizens was carried out. Data from the state information (by geographical principles, age, directions and countries from which the converts originated) system «Electronic Health of the Republic of Tatarstan» on foreign citizens who underwent a medical examination in Kazan for 2018—2022 were analyzed on the basis of the State Autonomous Healthcare Institution «Republican Clinical Dermatovenerological Dispensary of the Ministry of Health of the Republic of Tatarstan named after Professor A. G. Ge. The analysis of the structure of arrived foreign citizens by gender, age, purpose of arrival and countries of origin of the applicants was carried out. The data were processed using Microsoft Excel (USA) and StatTech (Russia). Results. Despite the COVID-19 pandemic, the annual flow of foreign citizens to the Republic of Tajikistan did not stop: in 2018—2022. On the basis of the dermatovenerological dispensary of the city of Kazan, 38,179 people underwent a medical examination, of which 78% were men. The predominant age groups among both women (n = 8539) and men (n = 29,640) over a 5-year period were 18—29 years old (55% and 53% respectively) and 30—39 years old (16% and 24% respectively). A significant proportion of foreign citizens who arrived were labor migrants (32%), students (26%) and persons applying for a residence permit (19%), 21% of persons did not indicate the purpose of their arrival, refugees accounted for only 2%. Labor migrants and persons applying for residence permits were mainly representatives from Uzbekistan and Tajikistan. Students came from Turkmenistan 17.8%, China 13.2%, Egypt 10.6%, Iran 7.9%, Kazakhstan 7.4%, India 7.3% and other countries. In 2022, there is a sharp increase (by 130 times) in the number of students (9947 people), compared to 2021 (76 people) and previous years, which is associated with the introduction of additions to the legal documentation of the requirements for mandatory medical examination by students.

Today, private medical clinics are not uncommon. In every city and almost every locality there are private clinics that provide various kinds of paid medical services, ready to receive patients at any time. The article presents an analysis of the number of licensed private medical clinics in the Russian Federation in the context of federal districts with an emphasis on the Southern Federal District. In addition, in order to identify consumer preferences in the market of medical services provided by private medical clinics over public ones, the author conducted an anonymous questionnaire survey, which was attended by 434 respondents living in the Krasnodar Territory. The respondents' preferences when choosing a medical service are determined, the degree of satisfaction from admission to a private or public medical organization is revealed. The conclusion is made about the high degree of customer orientation of private medical organizations.

The article presents a review of the development of the Russian pharmaceutical market over the past few years in the context of price trends. Analyzed market changes in the crisis periods of Russia's economic: 2008—2009, 2014—2015, 2019—2021, 2022. Their influence is shown on the price of medicines, analyzed an average price's changes and the inflation component. The analysis was carried out in the context of different market segments (prescription and OTC medicines, retail and hospital segment, EDL drugs). The reasons that led to these changes are described.