Анализ региональных особенностей, влияющих на организацию и оказание медицинской помощи в ХМАО-Югре

Abstract

Purpose of the study: assessment of the features of the geographical location, climatic conditions, economic development, demographic situation, affecting the organization of medical care in the Khanty-Mansi Autonomous Okrug-Yugra. Materials and research methods: statistical materials from the annual collection “Health of the population of the Khanty-Mansi Autonomous Okrug-Ugra and the activities of medical organizations” and data of statistical reporting on the incidence of the population from the “Medstat” program were used. The analysis used indicators such as population density, the proportion of small peoples of the North, the availability of medical care, the proportion of the able-bodied population, indicators of the economic development of the Khanty-Mansi Autonomous Okrug-Yugra. Results. The conditions for the organization and provision of medical care on the territory of the Khanty-Mansi Autonomous Okrug-Yugra are determined by the geographic location of the area, equated to the regions of the Far North, the difficult climatic conditions that negatively affect human health, a significant proportion of the visiting population, poorly adapted to the conditions of the North, a combination of developed urban agglomerations (with a developed healthcare infrastructure) and sparsely populated areas, a significant length of the territory of the Khanty-Mansi Autonomous Okrug-Yugra, problems of transport infrastructure and low transport accessibility of remote areas.The above determine the need for approaches in planning medical care that are not typical for the constituent entities of the Russian Federation (for example, the territory of the Central Federal District). These approaches require increased costs for organizing a network of medical institutions and resource and staffing of medical care to the population, which is quite feasible taking into account the economic situation of the Khanty-Mansi Autonomous Okrug-Yugra. Conclusion. Factors affecting the organization and provision of medical care, and the health of the population of the Khanty-Mansi Autonomous Okrug-Yugra, should be attributed to the harsh climatic conditions, environmental factors associated with the extraction of minerals (oil and gas). Climatogeographic and social conditions are a risk factor for alcoholization of the population, the presence of natural focal diseases. Features of the economic development of the Khanty-Mansi Autonomous Okrug-Yugra requires increased costs for organizing a network of medical organizations, resource and staffing.