Open AccessPromising measures to reduce the mortality in Russia: an analytical review
Author(s) -
О. С. Кобякова,
В. И. Стародубов,
Daria Khaltourina,
V. A. Zykov,
T. S. Zubkova,
Elena S. Zamiatnina
Publication year - 2021
Publication title -
zdravoohranenie rossijskoj federacii
Language(s) - English
Resource type - Journals
eISSN - 2412-0723
pISSN - 0044-197X
DOI - 10.47470/0044-197x-2021-65-6-573-580
Subject(s) - medicine , scopus , health care , disease , vaccination , intensive care medicine , medline , medical emergency , environmental health , pathology , political science , law , economics , economic growth , immunology
The purpose of the study was to identify promising measures to reduce mortality in Russia. Methods used included analysis of systematic reviews from PubMed, Web of Science, Scopus, and Google Scholar. Results. Many reasonable measures for reducing mortality in Russia include promoting healthy behaviour (tobacco control, alcohol control, support for healthy diet, physical activity) and preventing death due to external causes. It is necessary to increase the effectiveness of disease management, including arterial hypertension, hypercholesterolemia, diabetes mellitus, cardiovascular accidents, hepatitis C, HIV. This could require intensifying digital transformation of health care, implementing modern teamwork approaches to the patient’s treatment and follow-up with greater involvement of nurses and other personnel. In terms of screening, it is essential to expand coverage and introduce modern, effective screening methods for colorectal cancer, cervical cancer, and neonatal screening. It is necessary to expand vaccination against Covid-19, vaccination of the elderly from Pneumococcus, and adolescents from HPV. Prevention of mortality from external causes should include sets of measures targeted at the prevention of suicides, traffic accidents, fires, drownings, etc., in addition to alcohol control measures. Finally, increasing health care financing, including medication provision, can bring additional years of life. Conclusions. Russia has significant potential to implement new measures to reduce the mortality rate.