Public health in the region: experience of an integral assessment

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Abstract

Introduction. The article considers the category “public health” as the main value of people’s life, an element of human potential, a resource for socio-economic development. This category acts as an integral expression of individual levels of health and characterizes the viability of societies and their reproductive potential.

The purpose of the study. The main goal of the study was to create a method for assessing the state and trend in public health of the appropriate rank, taking into account the emergent properties of the socio-ecological-economic system of the regional level. Authors create an appropriate research algorithm and test it on the example of a number of key regions of the Russian Federation.

Material and methods. The starting materials research was based on information from Federal State Statistics Service (Rosstat) and regional statistical reference books. The processing of the collected data and the subsequent calculation of the trend in public health was`made by using indicative and index approaches, the method of summary indicators and the model of randomization of uncertainty used in the case of information deficit.

Results. Based on the collected and processed materials from the republics of Sakha (Yakutia), Karelia and Komi, the regions of Arkhangelsk (with the separation of the Nenets Autonomous Okrug) and Murmansk, certain differences in the state and trend in indicators were revealed. Nevertheless, in general, a steady trend of positive growth in the state of public health was established in all named regions in 2001–2019.

Discussion. The most favourable situation has developed in the Murmansk region, the Arkhangelsk region and the Komi Republic held second — third place, the Republic of Karelia is in fourth and the Nenets Autonomous Okrug is fifth. The trend of the state and dynamics of public health connected to the difference in the habitat of the population.

Conclusion. The conclusions obtained in the article can be used in the field of health management, in particular in the development of documents for strategic spatial planning of development and territorial organization of the healthcare sector at the level of regions of the Russian Federation and municipal districts.

Contribution of the authors:
Chistobaev A.I. — research concept and design, writing and editing the text.
Dmitriev V.V. — research concept and design, writing and editing the text, statistical data processing.
Semenova Z.A. — collection and processing of material, list of literature.
Grudtcyn N.A. — collection and processing of material, writing and editing the text, list of literature.
Ogurtsov A.N. — collection and processing of material, statistical data processing.
All authors are responsible for the integrity of all parts of the manuscript and approval of the manuscript final version.

Acknowledgment. The study had no sponsorship.

Conflict of interest. The authors declare no conflict of interest. 

Received: April 15, 2021
Accepted: September 07, 2021
Published: June 28, 2022

About the authors

Anatoly I. Chistobaev

St. Petersburg State University, Institute of Earth Sciences

Author for correspondence.
Email: chistobaev40@mail.ru
ORCID iD: 0000-0003-3341-9214

Honored Scientist of Russia, Honorary Professor of SPbSU, Doctor of Geographical Sciences, Professor of the Department of Regional Policy and Political Geography of the Institute of Earth Sciences, St. Petersburg, 199178, Russian Federation.

e-mail: chistobaev40@mail.ru

Russian Federation

Vasiliy V. Dmitriev

St. Petersburg State University, Institute of Earth Sciences

Email: fake@neicon.ru
ORCID iD: 0000-0003-3849-1186
Russian Federation

Zoya A. Semenova

St. Petersburg State University, Institute of Earth Sciences

Email: fake@neicon.ru
ORCID iD: 0000-0001-8477-2427
Russian Federation

Nikolai A. Grudtcyn

St. Petersburg State University of Telecommunications

Email: fake@neicon.ru
ORCID iD: 0000-0003-0961-0596
Russian Federation

Alexander N. Ogurtsov

St. Petersburg State University, Institute of Earth Sciences

Email: fake@neicon.ru
ORCID iD: 0000-0002-4011-0250
Russian Federation

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