ARPHA Preprints, doi: 10.3897/arphapreprints.e104783
Geoinformation analysis russian health systems: modeling, visualization, analysis
expand article infoVitaly Eshrokov, Alexander Panin, Vladimir Tikunov
‡ Lomonosov Moscow State University, Moscow, Russia
Open Access
Abstract
In the Russian Federation, noticeable differences remain between its constituent entities in the possibilities of obtaining quality medical care for citizens living on their territory. The main tasks of developing the health care system of the country and its regions lie in the plane of demographic trends and the priority solution of the problem of mortality. The state of regional health systems is a determining factor for mortality rates, and mortality is an indicator of the level of development of regional and municipal health systems. In this regard, the creation of an algorithm (method) for assessing the effectiveness of health care systems, provided for in the documents of strategic and territorial planning at all levels, is an urgent scientific problem and is the purpose of the study. The construction of the algorithm was carried out on the basis of multivariate analysis and the method of geoinformation mapping. The authors established criteria for assessing the current state of the health care system of the constituent entities of the Russian Federation and municipalities in the context of the impact on the target socio-economic indicators and mortality rates that correspond to the national goals of the Russian Federation, the targets of the National Healthcare Project and the National Demography Project. A comprehensive analysis of demographic and socio-economic factors made it possible to determine the features of the spatial organization and structure of the healthcare system at the municipal level and the level of constituent entities of the Russian Federation, to develop options for typology of constituent entities of the Russian Federation based on a comprehensive integral indicator that takes into account the influence of medical and non-medical factors. The authors proposed a system of cartographic indicators for evaluating the effectiveness of the spatial organization of the healthcare system at different territorial levels: subjects of the Russian Federation, municipalities and settlements. A series of original cartographic materials has been prepared for each of the levels and assessment indicators.
Keywords
geoinformation methods, multivariate analysis, spatial organization of the healthcare system, strategic planning, territorial planning, typology