Eastern Federal District Research Articles

Благосостояние населения Дальневосточного федерального округа: I кв. 2019 г. – II кв. 2023 г.

Based on statistical, analytical and expert information, monitoring of the socio-economic situation and analysis of social indicators (income, wages, pensions, unemployment, migration, housing) characterizing the standard of living and well-being of the population of the Russian Far East in the period from Q1 2019 to Q2 2023 are presented. Using statistical indicators of Rosstat, a comparative assessment of the welfare index generated for 85 constituent entities of the Russian Federation was carried out, with a focus on the Far Eastern Federal District. It is shown that during the period of active shock impacts, the Far Eastern territories, thanks to state support of labor markets both during the COVID-19 pandemic (2020–2021) and during the period of the influence of international sanctions (2022 – the first half of 2023), largely retained their positions in terms of well-being, despite the fall in real incomes of the population. A slight reduction in the gap between the Far Eastern regions in terms of the welfare index still does not lead to a smoothing out of inequality in the social space of the macroregion

Демографические аспекты развития приграничных муниципалитетов России и Китая в контексте их пограничных политик

The adoption in 2015 of the Concept for the Development of Border Territories in the Far Eastern Federal District was the milestone in the process of identifying Russian border municipalities as a special object of state policy. The purpose of the article is to assess some intermediate results of the implementation of this Concept in the demographic sphere. Based on a comparative analysis of municipal and regional statistics, the author examines the current spatial distribution of the population in the border areas of Russia and China, its dynamics in 2012–2021, as well as the impact of the border policies of the two countries. The study leads to the conclusion that measures to optimize border infrastructure and establish preferential regimes, taken in the Russian Far East since the mid-2010s, could not change the negative trends in the demographic development of border municipalities

Analysis of the rural population total morbidity in the Far Eastern Federal District

Analysis of the rural population total morbidity in the Far Eastern Federal District

ОСНОВНЫЕ АСПЕКТЫ СОЗДАНИЯ ЕДИНОЙ ДАЛЬНЕВОСТОЧНОЙ АВИАКОМПАНИИ ЧЕРЕЗ РАЗВИТИЕ ЕДИНОЙ МАРШРУТНОЙ СЕТИ, ФЛОТА И ЛЕТНО-ЭКСПЛУАТАЦИОННОЙ ИНФРАСТРУКТУРЫ ДАЛЬНЕВОСТОЧНОГО РЕГИОНА

The development of the transport sector and transport infrastructure of the Far Eastern region of the Russian Federation is an important task in the economic strategy of the state. One of the priorities ensuring economic and social growth is to increase the air transport accessibility and aviation mobility of the region through the creation of a single Far Eastern airline. Among the most key aspects, the importance of preparing a unified register of socially significant routes and developing a unified route network of all 6 major airlines in the region, with the development of operational infrastructure, support technical centers, training centers for aviation personnel in Khabarovsk and Yakutsk, was emphasized. By the method of data analysis, the general characteristics of air transportation, comparison of the average Russian indicator of aviation mobility and in the Far East are presented. The elimination of this imbalance is the main goal of creating a single Far Eastern airline based on the principles of "unification", "specialization" and "consolidation". The data on the assessment of the required number of aircraft of domestic production through a single consolidated order are analyzed, which will allow loading the production capacities of domestic manufacturers of modern aviation equipment and completely renew the fleet of all project participants. It is concluded that the successful implementation of the plan to create a single Far Eastern airline will have a multiplicative effect in the qualitative solution of economic and social problems of development, increasing transport accessibility and aviation mobility in the Far Eastern Federal District.

Межрегиональная интеграция и синхронизация циклов деловой активности в российском экономическом пространстве

The article examines the relationship between the degree of interregional integration of Russian regions and the corresponding national-regional business cycles synchronization based on quarterly statistics on the unemployment rate for 2010–2020. The unemployment rate is used as an indicator of the business cycle. To identify lags and leads between both types of cycles for each region, the Brechling econometric model of the regional unemployment rate is used. Regional integration indices, which are proxy indicators of the strength of interregional interactions, are assessed based on a method using regional annual consumer price indices for 25 groups of goods and services. It is shown that the distribution of integration indices across Russian regions from maximum to minimum has the shape of a plateau with a slight slope, ending with a rather sharp decline on the tail of this distribution. The distribution shows that the lowest degree of interregional integration is observed for the regions of the North Caucasian and Far Eastern federal districts. These federal districts are dominated by regions in which business cycles are poorly synchronized with national ones (which have lags or leads in relation to the latter), while for the business cycles of other Russian regions the absence of such lags and leads is more typical. It is also found that the sensitivity of regional unemployment levels to changes in unemployment at the national level is significantly lower for low-integrated regions compared to relatively highly integrated regions

Greenhouse gas balance of Russia: the specifics of the federal districts

The paper is devoted to the analysis of the greenhouse gas balance developed by the authors for the main participating sectors in the context of federal districts based on actual data for 2021. On the one hand, the energy industry is involved, which is the sector of the economy that occupies a leading position in terms of greenhouse gas emissions – up to 80% of total emissions. Greenhouse gas emissions from the main sectors of the fuel and energy complex were estimated: power generation from fossil fuels and production of fuel and energy resources. On the other hand, the volumes of CO2 absorbed by managed forests of the forest fund, which are the main sink of CO2, were calculated, taking into account losses caused by logging, fires and other causes. The calculated estimates of greenhouse gas emissions showed that the main inflow in all subjects of the Russian Federation comes from energy generation: the largest emission is in the Ural, Central and Siberian federal districts. In terms of greenhouse gas emissions, the Siberian Federal District stands out in coal production, and the Urals Federal District in hydrocarbon production. The largest contribution to the absorption of carbon dioxide is made by the Siberian and Far Eastern Federal Districts. The contribution of these districts to the total figure for Russia is almost half. The only federal district with a negative net balance of greenhouse gases, as determined by the study, is the Far East.

Спрос на цифровые навыки в России: региональные различия

This paper examines regional differences in the demand for digital skills based on an analysis of 9 million vacancies posted on the Unified Digital Platform ‘Work in Russia’ in 2018–2022. We examine approaches used in the literature to classify digital skills and using it develop our own classification. The paper studies the advantages and limitations of various indicators of the demand for digital skills. We suggest that the ratio between the share of vacancies requiring digital skills of a certain group in the region and the labor force population should be used as the most appropriate one. The results of the study show that in Russia there is still a significant regional differentiation in the employer’s demand for all selected groups. Differentiation increased with the beginning of the Covid-19 pandemic, and decreased slightly in 2021–2022. We reveal that regions with a higher level of economic development have higher requirements for digital skills. Digital skills are more often required in regions specialized on primary production and less often in agricultural regions. Of the federal districts, a slightly higher level of demand for digital skills is observed in the Ural and Far Eastern federal districts, while a significantly lower level is observed in the North Caucasus federal district

Динамика рынка труда Дальневосточного федерального округа: I кв. 2019 г. – II кв. 2023 г.

The article examines trends in the main parameters of the labor market in general and in the context of subject of the Russian Federation within the Far Eastern Federal District. The range of analyzed indicators characterizing the labor market includes the number of labor force aged 15 years and older, the number of employed and the employment rate, the number of unemployed and the unemployment rate. The analysis period is eighteen quarters: starting from Q1 2019 to Q2 2023. Official publications and operational data of Rosstat were used as information sources. The main attention is paid to changes that occurred in key indicators of regional labor markets under the influence of shock situations (COVID-19 pandemic, partial mobilization in the Russian Federation, sanctions). It is shown that, despite their negative impact, as well as the decrease in the labor force, in the Far Eastern regions the employment rate has stabilized, and the unemployment rate continues to decline

Лесной комплекс Дальневосточного федерального округа: тенденции развития в 2022–2023 гг.

An assessment is made of the impact of ongoing sanctions shocks, as well as internal export restrictions on the national and Far Eastern forest complexes. It is shown that the crisis of 2022 only aggravated the situation previously formed by institutional innovations in the forest regions of the Far East. The crisis did not have a catastrophic impact on the state of timber industry enterprises, which managed to both partially maintain external demand and partially offset the ban on wood exports by supplying the domestic market. In 2023 compared to 2022, despite the increase in profitability from the supply of products to the foreign market as a result of the rising dollar exchange rate, improving conditions in the Chinese market due to the easing of covid restrictions, the negative effect of sanctions shocks (market closures, restrictions in logistics, reduction in imports of equipment and materials) have intensified. As a result, there was an increase in losses of enterprises due to delays in the transportation of timber cargo, an increase in transport costs, the cost and delivery time of imported spare parts, which led to a decrease in production activity in the main forest regions of the Far Eastern Federal District, which has negative social consequences, especially in remote settlements. In conditions of low population density, the development of domestic demand for timber products in the Far East, even with government support, is uncompetitive in comparison with external demand, which is increasingly oriented toward the monopsony Chinese market

Assessment of factors affecting the economic indicators of the fisheries complex of the Far Eastern Federal District: methodical aspects and algorithm of implementation

The purpose of the article is to discuss methodical aspects of the analysis of factors affecting the economic indicators of the fisheries complex of the Far Eastern Federal District.Methods: expert evaluation method, generalization, abstraction, comparative analysis, algorithm.Results: in the course of the study, the authors proposed methodical recommendations for conducting a factor analysis of economic indicators and processes taking place in the fisheries complex; six groups of factors affecting the economic indicators of the fisheries complex of the Far Eastern Federal District are identified. The distribution of assessments of the importance of factors according to natural and resource group, regional and economic, national, macroeconomic, international, market-based, digital economy of the industry, regulation of foreign economic activity is obtained.Novelty: the main components of the author’s methodology including an evaluation algorithm, detailed groups of factors, variability of approaches to the study: express approach, in-depth analysis, allowing to conduct a study of the economic development of the fishery complex of the Far Eastern Federal District with varying degrees of research quality are developed to conduct the research.Practical significance: the results can be used to improve and develop a methodology for analyzing economic processes in the regional fishery complex, to justify the improvement of management mechanisms by the development of the fishery complex.

Using the Sectoral Structure of the Economy to Select Competing Regions (on the Example of the Amur Region)

One of the stages of the statistical study of the competitiveness of a region is the selection of competing regions.Purpose of the study. The purpose of the article is to form a statistical set of regions-competitors based on the sectoral structure of the economy.Materials and methods. As research methods in this article, the method of the main array, factorial, cluster methods, statistical methods are chosen. The statistical data of Rosstat were used for the study. To perform the calculations, the GVA was considered in the structure of Russian National Classifier of Types of Economic Activity2 for 2019. Results. With the help of factor analysis, 19 types of economic activity of the regions were grouped according to similarities and differences. As a result, six factors were formed, each of which collected dependent types of economic activity. The use of cluster analysis made it possible to form groups of regions with a similar sectoral structure of the economy. The study involved 85 regions of the Russian Federation. Cluster analysis made it possible to solve the methodological problem of determining the boundaries of GVA intervals for certain types of economic activity in the selection of competing regions.The paper shows that for the Amur Region, nine regions of the Russian Federation should be considered as competing regions. The regions of this cluster are united by a high share of gross value added by the types of activity “Transportation and storage”, “Public administration”, “Trade”. At the same time, competitors are regions from different federal districts: 70% of the regions of the Far Eastern Federal District, 20% of the Southern Federal District, 10% of the Siberian Federal District. The main results of the study are the following: 1) a high variation of the regions of the Russian Federation in 2019 was revealed by the type of economic activity “Mining” and “Manufacturing”; 2) a grouping of 19 types of economic activity of the regions was carried out using the factor analysis method; 3) a cluster analysis of the regions of the Russian Federation was carried out according to the sectoral structure of gross value added for 2019; five clusters were received. Conclusion. This paper shows that the selection of competing regions must be carried out using the sectoral structure of the region’s economy. Consideration of the region’ specialization is an important requirement of the selection methodology. The advantage of the author’s methodology is its universality, objectivity and reflection of the specialization of the region. As a direction for further research, one should consider determining the specialization of regions using localization coefficients and, on its basis, the formation of a statistical set of competing regions. The presented sample of regions is necessary for assessing their competitiveness.

Туберкулез половых органов мужчин

Tuberculosis of the genitourinary system is still of importance. The observed decrease in the incidence of urogenital tuberculosis is largely due to the inaccuracies of registering this disease.A retrospective cohort comparative non-interventional study of the structure of urogenital tuberculosis in the Siberian and Far Eastern federal districts was carried out. We analyzed statistical reports from 2003 to 2015, which included data for a total of 456 patients, as well as extended questionnaires compiled specifically for this study. In addition, outpatient records of 95 patients with urogenital tuberculosis who were registered at the Novosibirsk Regional Tuberculosis Dispensary by 01/01/2022 were evaluated.An analysis of the structure of urogenital tuberculosis from 2003 to 2015 showed that urinary system was affected in the most of cases (n=314, 68.8%). Tuberculosis of male and female genital organs took the second place (n=101, 22.2%) patients. Generalized urogenital tuberculosis was diagnosed in 41 (9%) patients. From 2003 to 2008, the proportion of renal tuberculosis increased by 12.6%, but then a significant decrease in its proportion was found (82.2% in 2008 vs. 48.6% in 2015 [2 =12.71; =0.0004]). On the contrary, in 2003 the proportion of genital tuberculosis was 18% (n=18) compared to 29.1% (n=3) in 2015 (2 =3.46; p=0.06). In 2015, generalized forms of urogenital tuberculosis were diagnosed in 23 (22.3%) patients, which is approximately 2.5 times more than in 2003 (n=9; 9%) and 2008 (n=7; 6.6%) (2> 6.46; p<0.01). The proportion of prostate tuberculosis ranged from 0 in 2003 and 7.1% in 2008 to 54.2% in 2013. In 2003, tuberculosis of the scrotum was diagnosed in 100% of men with genital tuberculosis, while in 2013 and 2015 its proportion was 25%. In total, scrotal tuberculosis during whole follow-up was diagnosed in 26 patients, which accounted for 41.9% of all male genital tuberculosis. The combination of tuberculosis of the scrotum and prostate also varied significantly from 17.3 to 35.7%. Generalized urogenital tuberculosis was diagnosed with a minimum proportion (1.4%) in 2008, then there was an upward trend with a maximum rate in 2015 (22.3%, 2 =29.38; <0.0001). Among 95 patients with tuberculosis of the urinary and male reproductive system, who were followed by the phthisiourologist of Novosibirsk Regional Tuberculosis Dispensary, 34 (35.8%) had a diagnosis of kidney tuberculosis, 42 (44.2%) had isolated tuberculosis of the male genital organs, and the remaining 19 (20.0%) men had generalized urogenital tuberculosis. In total, HIV infection was detected in 23 (24.2%) patients with urogenital tuberculosis, and among patients with kidney tuberculosis, it was diagnosed in 7 (20.6%) cases compared to 9 (21.4%) cases in those with male sexual tuberculosis. In patients with generalized urogenital tuberculosis, HIV infection was detected almost 2 times more often, namely in 7 (36.8%) cases.Patients with urogenital tuberculosis are under follow-up of urologists for a long time with erroneous diagnoses, and only when the disease becomes irreversible and requires surgical intervention, the pathomorphological study of the surgical material will allow to make a proper diagnosis.

ВОСПРОИЗВОДСТВО НАУЧНЫХ КАДРОВ НА ДАЛЬНЕМ ВОСТОКЕ

Objective of the study is to analyze the state of the system of reproduction of scientific personnel of educational institutions of higher education of the Far Eastern Federal District, as part of a comprehensive study of the personnel potential of the field of science, in order to further develop effective mechanisms for the reproduction of scientific personnel of the Far East. The methodological basis of the research is represented by regulatory legal acts (federal, regional, local significance); materials of reports on the scientific activities of universities of the Far Eastern Federal District for the period 2018-2021, statistical data, including those submitted by universities of the Far Eastern Federal District (statistical observation report “2-science. Information on the implementation of research and development” for the period 2018-2020.); materials of monitoring of educational institutions of higher education for 2020-2021, as well as local documents of 45 universities of the Far East (at the request of the authors) and open information on the official websites of universities. Research results showed a pronounced personnel shortage of young scientists in the Far East, the negative nature of the reproduction of scientific personnel and the weak effectiveness of the existing mechanisms for training highly qualified personnel of the higher school of the Far Eastern Federal District and its scientific sector. In the light of the identified problems and deficits, the author comes to the conclusion that the higher education system of the Far East requires the development of a special approach to the reproduction of highly qualified personnel from among promising employees, for their effective, advanced development, the implementation of competitive projects and the development of science in the Far East. Prospects of the study. These results are part of a comprehensive study of the human resources potential of science and innovation as a key component of the scientific and technological development of the country in the Asia-Pacific region. The results of the study will become the basis for the development of new and transformation of existing mechanisms for the reproduction of scientific personnel adapted to the territorial conditions of the Far East and a conceptual approach to the reproduction of human resources in the field of science, containing the basic principles of personnel formation, development and use, as well as the priorities of personnel policy of the eastern territories of the Russian Federation in the long term. &nbsp;

Joint research of the innovative development and quality of life of region on the example of the Far Eastern Federal District

The subject of the study is the socio-economic system "innovative development of region - quality of life of the population". The aim of the work is to identify the degree of relationship between the innovative development and the standards of living of the population in regions. The study is based on the application of standard methods of data collection and processing, correlation analysis and rating assessment. Official data from statistical collections and official sources of rating assessments of the quality of life and innovative development of regions were used as an information base. The analysis and evaluation were carried out on the example of the regions of the Far Eastern Federal District. The results of the rating assessment by the value of the Russian Regional Innovation Index (RRII) showed the leading positions of Khabarovsk Krai, Primorsky Krai and the Buryatia Republic. The average value of RRII in the Far Eastern Federal District is almost 2 times less than that of the leader — Moscow and is generally characterized by a low level of innovative development. According to the latest data of the Human Development Index (HDI) rating, Russia ranks 52nd among other countries of the world. The results of a comparative assessment of the subjects of the Far Eastern Federal District with the HDI levels of other countries are presented in the article. It was found out that three leaders (Sakhalin Oblast, Khabarovsk Krai and Kamchatka Krai) have higher values of the Quality of Life Index (QLI) than in Russia as a whole, and six regions of the Far Eastern Federal District are characterized by an average level of the quality of life of the population. The results of the correlation analysis showed a moderate degree of relationship between the RRI and the QLI, that allows us to use standard regression formulas for modeling predictive estimates of the impact of innovative development on improving the level and quality of life of the population in regions.

Evaluation of incidence of the adult-onset vitelliform macular dystrophy among patients in Far Eastern Federal District of Russia

BACKGROUND: Adult-onset vitelliform macular dystrophy is one of the pathologic conditions , which successfully masks as age-related macular degeneration.&#x0D; AIM: To assess the incidence of the adult-onset vitelliform macular dystrophy among patients of a major ophthalmological clinic in the Far Eastern Federal District of Russia.&#x0D; MATERIALS AND METHODS: We revealed the cases of adult-onset vitelliform macular dystrophy among 1000 patients aged 40 years and older who addressed for various ocular complaints.&#x0D; RESULTS: Adult-onset vitelliform macular dystrophy was found in 2 male patients aged 43 and 66 years. In the macular area of both eyes of the 1st patient, round yellow lesions in the foveola, local detachment of neuroepithelium, optically dense material deposits on the outer photoreceptor segments were detected (vitelliruptive stage of adult-onset vitelliform macular dystrophy). In the left eye of the 2nd patient, in the foveola, a single round yellow focus of 200 m was found, optically dense vitelliform material was detected between the pigment epithelium and neuroepithelium layers without any signs of choroidal neovascularization (vitelliform stage of adult-onset vitelliform macular dystrophy).&#x0D; CONCLUSIONS: The incidence of adult-onset vitelliform macular dystrophy among patients with various ocular conditions was 0.2%. Morphological changes in the macula consist in presence of deposits of vitelliform material, localized between the neuroepithelium and retinal pigment epithelium layers.

Depopulation trends of rural areas of the Russian Federation according to the Russian Census 2020

Based on the published data of the Russian Census 2020, as well as previous population censuses, the article calculates the dynamics of the rural population in all federal districts and constituent entities of the Russian Federation. The rural population in Russia is rapidly declining both in absolute and relative terms. Analysis of the results of the population censuses of 1959 and 1989 showed that in a period the rural population decreased by 17.1 million people, while the urban population increased by 46.9 million. According to the 2002 and 2020 censuses, the rural population decreased by 1.6 million people, and the share of the rural population in the total population in the period under review decreased from 27 to 25%. From the data obtained, it became clear that the share of the rural population decreased in all federal districts (from -0.7% to -2.9%), with the exception of the Far Eastern Federal District, where the share of the rural population increased by 1.2%. Only in 14 subjects of the federation there is an increase in the rural population in 2010-2020, but here it is also associated with the effects of suburbanization and the development of urban agglomerations, with administrative-territorial changes or increased fertility in some national republics. At the same time, in most regions (38 of those under consideration) there is a spatial contraction of the rural population, of which in 11 subjects of the federation it is of an accelerated nature. The article also presents the author's recommendations for changing the vector of demographic development of rural areas in Russia.

Estimation of Socio-Economic Potential of the Far Eastern Federal District

To implement the strategic plans for national economic growth, it is necessary to develop the Far Eastern Federal District (FEFD), which is a link between Russia and the Asia-Pacific Region (APR). The aim of the work is to analyze and evaluate the main macroeconomic trends affecting the socio-economic development of the Far Eastern Federal District. The shift-share method and empirical analysis of the main macroeconomic indicators of the region were used as the main research methodology. Due to the fact that the foundation for the development of the region is formed by the factors of influence that formed before the coronavirus pandemic and the start of a special operation in Ukraine, the analysis of the Far Eastern Federal District was carried out for the period from 2014 to 2019. The study showed that, in general, the Far East showed positive dynamics in the analyzed period, due to the fact that the growth rates of the district's industries exceeded the national ones, which was ensured both by high external demand for their products and by the positive results of the program for the accelerated development of the Far Eastern Federal District, which had a favorable effect in the areas of specialization of the region. However, industries with a high share of value added are in a crisis situation, which may neutralize the positive trends in the development of the region in the near future, and there are still no favorable changes in the social sphere, which is primarily characterized by a continuing decline in the region's population.

Initial and severe cases of influenza in 2020-2022 and population immunity prior to epidemic season

The purpose of the present work was to evaluate population immunity to influenza and molecular genetic analysis of influenza viruses detected in the Russian Federation over 2020-2022. In this study, 1344 samples of blood serum collected prior to the 2021-2022 flu season in Siberian, Southern, Far Eastern, Volga and Ural Federal Districts were studied. Seropositivity to the A/Victoria/2570/2019 vaccine strain (H1N1) pdm09 was detected in 25% to 31% of samples from the four federal districts, and in 8% of samples from the Far Eastern Federal District. Seropositivity to the A/Cambodia/e0826360/2020 strain (H3N2) was detected in 24% to 37% of the samples. The lowest population immunity was revealed to the influenza B/Washington/02/2019 vaccine strain (Victoria lineage), with &lt; 10% of serum samples reactive to the studied strain. Since March 2020, the worldwide turnover of all seasonal respiratory viruses has sharply decreased, except of rhinoviruses. From March 2020 to June 2021, we have identified six B/Victoria influenza viruses from sporadic cases of influenza. From June 2021 to the end February 2022, the State Research Center “Vector” received 901 samples positive for influenza A(H3N2) virus RNA, two specimens positive for A(H1N1) pdm09 virus RNA, and 17 samples positive for influenza B. All studied A(H3N2) viruses belonged to the 3C.2a1b.2a2 subclade (Bangladesh group). The two verified A(H1N1) pdm09 influenza viruses belonged to the 6B.1A.5a clade. All studied influenza B viruses were assigned to the B/Victoria genetic lineage, and to 1A.3a2 subclade. The genomes of all identified viruses did not contain mutations of the NA gene responsible for drug resistance to neuraminidase inhibitors, or mutations in РA gene responsible for baloxavir resistance. All viruses tested by fluorescence assay were sensitive to oseltamivir and zanamivir. The worldwide frequency of influenza isolates resistant to antineuraminidase drugs does not exceed 1-2% of cases. Hence, oseltamivir and zanamivir provide effective treatment for seasonal influenza.

The Integrative Scale as an innovative method to increase the effectiveness of the Program for Providing Certain Categories of Citizens with Necessary Medicines

Evaluation of the effectiveness of Preferential Medicinal Providing is due to the need for rational pharmacotherapy for patients from certain categories of citizens. There are not enough technologies for such an assessment, which requires their creation and implementation.The purpose of the study. To develop the Integrative Scale for Evaluating the Effectiveness of the Program for Providing Certain Categories of Citizens with the Necessary Medicines on the model of the Far Eastern Federal District as an informative way to establish the effectiveness of the preferential segment of medicinal providing, to show the advantages of this Scale compared to other methods and to propose a set of measures to improve the effectiveness of the Program.Materials and methods. The results of the patient survey, compliance of the structure of purchased medicines with the regulatory framework and clinical recommendations of the Ministry of Health of the Russian Federation regulating Preferential Medicinal Providing were analyzed. The structure of the incidence of patients who were initially and repeatedly recognized as disabled.Results. Based on the analysis of compliance with the most important principles of medicinal providing, a technology for evaluating the effectiveness of the Program has been created that allows the participants of the Preferential Medicinal Providing, doctors, Health care organizers, specialists in the field of medicinal procurement, to carry out rational prescribing and purchase of medicines and it is advisable to allocate financial resources taking into account the priority of vital medicines.Conclusion. The Integrative Scale will contribute to improving the clinical and economic efficiency of the Program and will make a significant contribution to improving and maintenance the quality of life of patients receiving pharmacotherapy in the preferential segment, both at the level of the subject of the Russian Federation and at the level of the national system of Preferential Medicinal Providing.

The Incidence of Osteoarticular Tuberculosis in the Siberian and Far Eastern Federal Districts in 2018-2020

The incidence of osteoarticular tuberculosis in 15 regions of the Siberian and Far Eastern Federal Districts from 2018 to 2020 was assessed. The incidence of osteoarticular tuberculosis and co-infection of osteoarticular tuberculosis with HIV and osteoarticular tuberculosis with hepatitis B/C was analyzed. Variants of osteoarticular tuberculosis with respiratory tuberculosis, variants of tuberculosis sites in the bone articular system and the most typical neurological disorders in those patients were presented.