At the St. Petersburg International Economic Forum, Nelly Naigovzina, Deputy Head of the Analytical Center, spoke about the interrelations between medical and demographic indicators and methods of project and process management in the Russian health care.
The expert participated in the sessions "Health Care National Project. Fight Against Noncommunicable Diseases in Force " and "Transformation of Health Care: How Will Modern Technology Change Life?”
Ms. Naigovzina said that the implementation of the vascular program within the priority national Health project in 2008-2012 had additionally saved more than 138 thousand lives of patients with circulatory disorders and reduced mortality caused thereby by 11.8%. She said that this trend was expected to continue in the future, and by 2024 the figure would be 23.4% (450 per 100 thousand people), thus additionally saving more than 204 thousand lives.
However, the mortality caused by other factors had increased during this period, the expert noted.
"An analysis of the mortality dynamics by the example of diseases of the nervous system and international comparisons have revealed that an increase in the mortality of the population caused by diseases of the nervous system is also observed in other countries," said Ms. Naigovzina. "Thus, the rate of change of the average Russian indicator exceeds the rate of change in Germany and Australia." This requires a detailed analysis and increased attention to this issue, especially in connection with a certain decrease in the rate of morbidity and disability of the population.
"We need a balance between project and process management in health care, an analysis of the dynamics of all causes of morbidity and mortality," states the expert.
The formation of agglomerations, geostrategic territories and the development of rural areas on a modern technological platform pose a new challenge to the spatial development of health care. In this context, the expert considers it appropriate to conduct an additional medical and economic assessment of the development of high-tech sector of cancer care. First, in 30 regions with a population of up to 1 million people and aggregate population of 18.4 million people.
Integration with multidisciplinary medical centers is considered as one of the options, which will remove administrative barriers faced by patients, concentrate high-tech equipment and advanced diagnostic and treatment technologies in the base specialized organizations at the level of federal districts. The growth zones thus formed will stimulate further changes. "The cancer health service can become a model for the elaboration of digital technologies, removing bureaucratic obstacles," said Ms. Naigovzina. Introduction of new technologies requires expanding the role of development institutions in health care and the range of financing instruments.
The expert also noted a change in human behavior patterns in relations with the health care system. She clarified that formation of a partnership model along with paternalistic one was in progress. "An active citizen, being aware of the high value of own health, sharing the philosophy of biohacking, independently forms the trajectory of interaction with the health care system," explained Ms. Naigovzina. "It is necessary to study human behavioral models, in particular using Big Data, to predict human behavior and form a timely and adequate response on the part of the health care system."
Under these conditions, the key issue is the new competencies of health care workers, which are ahead of their advanced training schedule in relation to changes in the technological cycle in health care.
Photo from the website of the St. Petersburg International Economic Forum.