The regional system of health risk management in a subject of the Russian Federation

Abstract

Introduction. The article discusses the main organizational and methodological aspects, as well as the stages and results of the creation and functioning of a regional system for managing public health risks posed by adverse environmental factors based on the results of socio-hygienic monitoring. Objective. To elaborate and implement organizational and methodological approaches to developing a regional health risk management system that is adequate to modern threats and challenges to the sanitary and epidemiological wellbeing of the population based on the example of the Sverdlovsk Region and using data of socio-hygienic (public health) monitoring. Materials and methods. Public health monitoring data collected in 89 towns of the Sverdlovsk Region were used to do the cost-effectiveness and cost-benefit analyses of public health risk management measures. Results. Priority tasks and measures for securing sanitary and epidemiological wellbeing of the population are substantiated annually at the regional, municipal, and business entity levels based on the results of a system analysis and using risk assessment techniques. Public health monitoring is the foundation for the created regional system of public health risk management that provides information and analytical support for managerial decision-making. Conclusions. The established priority directions for ensuring sanitary and epidemiological wellbeing of the population have been used to plan targeted programs and budgets of the activities of federal and local government authorities and to inform the population. Based on the findings, we demonstrate the economic efficiency and social effectiveness of achieving key performance indicators on ensuring sanitary and epidemiological wellbeing, reducing health risks, and increasing life expectancy by all management entities. We also propose strategic tasks for the development of the public health monitoring system and implementation of managerial decisions.