Regional Authorities Research Articles

Подходы к выбору индикаторов региональной бюджетной безопасности (на примере арктических регионов России)

The article deals with the approach to selection of regional budget security indicators in order to develop a system of parameters to assess the regional budget security. The approach is based on the principle of identifying the interests of economic agents. The satisfaction level of regional authorities, economic entities, and population is considered as a budget security indicator. The express analysis based on the materials from the Arctic regions of Russia indicated an imbalance of interests of economic agents, which is further confirmed by the decline in regional and population welfare due to reduction in regional product volume redistributed through budgets and by the decrease in businesses financial results in context of the changing world economy conditions. Balance of economic interests will be achieved by the increase in budget revenues and per capita incomes.

PROBLEMS OF ELIMINATING LEGAL CONFLICTS OF LEGISLATION REGARDING PUBLIC ADMINISTRATION ACTIVITIES IN THE FIELD OF HEALTH PROTECTION

Introduction. The relevance of the topic lies in the fact that the problem of legal conflicts regarding the activities of public administration in the field of health care is extremely important for any legal democratic society that is in the process of building or reforming its state system. The issue of collisions becomes especially important in the context of the reform of the administrative system and public administration in Ukraine, which has been going on for ten years, as well as in the conditions of bringing the legal framework into compliance with the requirements of martial law and European integration processes. Legal disputes can lead to inconsistencies in legislation, delays in decision-making, and even legal confusion, which is unacceptable in wartime. Understanding how to overcome legal conflicts can lead to faster and more efficient governance, especially between authorities in different countries and regions. This ensures not only better coordination, but also protection of the rights of citizens who may suffer from unclear legislation. The aim of the study. Identify and characterize conflicting points in the current legislation that regulate the activities of public administration in the field of health care. Materials and methods. In the course of conducting an in-depth study on the regulatory and legal regulation of the activities of the public administration in the field of health care, as a result of which 250 workers in the field of health care were interviewed, which confirm the imperfection of the current legislation in the field of health care. The results showed that the majority of medical workers do not support making any amendments to the legislation – 86% of them, 2% – support the global change of the current legislation, 2% refrained from answering. Results and discussion. The authors comprehensively define legal disputes in the field of healthcare as legal contradictions that arise due to subjective or objective reasons or errors during the implementation by patients of their rights and obligations due to the adoption of legal acts containing conflicting norms. In addition, legal disputes have the following features. First, they depend on the national legal system and, accordingly, on the legal regulation in the field of health care. Secondly, the sphere of public medical legal relations, in which legal disputes most often arise, is the question of medical significance. Thirdly, legal disputes most often arise when regulating typical issues, such as establishing the quality and efficiency of the provision of medical services; management of medical teams; possession, use and disposal of communal property. Conclusions. the proposed reforms of public administration in the field of health care have the potential to further guarantee the realization of everyone's right to health care. Summarizing the key directions of solving legal conflicts in the field of health care, the following tasks can be identified: 1) state guarantees of free medical care for socially vulnerable population groups; 2) introduction of adequate health care financing and an effective system of mandatory health insurance; 3) creation of conditions for the free development of entrepreneurship in the field of health care and formation of the basis for competition between medical institutions and formation of the basis for fair competition between health care institutions; 4) improvement of the country's legislation in the field of health care in accordance with international legal standards; 5) create optimal conditions for healthy childbirth, primarily in terms of living conditions, education and nutrition; 6) implement an active demographic policy aimed at increasing the birth rate and reducing the mortality rate; 7) ensure the ability to meet the needs of the population, primarily in the sphere of health care, education and nutrition.

Low-Budget Households in the Conditions of Digitalization in US Regions

The digitalization of the economy and society of the highly developed countries, along with technological improvements in production and social relations, introduces a number of significant problems associated with the widening income gap and the flow of the economically active population from the knowledge economy to the “traditional activity” sectors. The subjective expression of this process in the 21st century Low Budget Families, an increase in the share of which has been observed in the United States during the period of increased digitalization and reindustrialization, starting in 2010. The growth trend of Low Budget Families in the United States has an intra-country spatial nature, quantitatively and qualitatively different both at the level of subregions and individual states of the country. The regional aspects of the relationship between the growth of the share of Low Budget Families, depending on the level of digitalization of the economy and society, reflected through the corresponding “complex index”, considered in the article, find empirical confirmation, generally characterized by a direct dependence and causality associated with the release of an increasingly significant number of labor potential from the advanced sectors of the economy. The problem of the flow of economically active citizens, who represent the basis of Low Budget Families in which the level of official income, taxes, consumption and savings is declining, is being solved differently in different US states. Based on a comparison of the criteria for identifying Low Budget Families, a priority for the authorities of various regions of the country, a general “spatial picture” of polarization of subregions and states is formed based on the share of Low Budget Families, depending on the level of digitalization and the choice of directions of state regional policy to smooth out the negative problems of inequality and hidden employment, caused by the digital transformation of social relations.

FROM THE “RIGHT GERMAN” TO THE “KALININGRAD PHILOSOPHER”: IMMANUEL KANT IN COMMEMORATIVE PRACTICES AND MEMORY POLICY IN THE KALININGRAD REGION (SOVIET PERIOD)

One of the key problems of the state historical policy in the Kaliningrad region during the Soviet period was related to the attitude to the local pre-war historical and cultural heritage, it was partly the memory of the life and activities of the outstanding philosopher and educator Immanuel Kant. The purpose of this article is to identify the prerequisites, factors and stages of integration of Kant’s name and image into the regional culture of memory and commemorative activity. The scientific novelty of the study is determined by the fact that the commemoration of the philosopher is first considered throughout the Soviet period of the region’s history. In the first post-war decade, the key condition for the formation of Kant’s commemoration traditions in the young Soviet region was ensured, that is, his tomb was preserved and taken under state protection in the mid-1950s. It became a place of attraction for Kaliningrad residents and guests of the city. In the 1960s–1970s, the philosopher’s grave was included in excursion routes and tourist guides, respect for his memory was used as an argument in the propaganda system, a tradition of scientific study of Kant’s heritage was formed in the region, and Kaliningrad State University became a center of such research. Under strict restrictions on the study and popularization of pre-war history, Kantian topics were perceived by a part of local intelligentsia as an allowed opportunity to share the “secrets” of the German past of the Kaliningrad land. At the same time, the position of regional authorities was characterized by contradictions, and initiatives to commemorate the philosopher were repeatedly met with resistance instigated by the regional committee of the CPSU. In the years of perestroika Kant’s image was perceived as a “bridge” connecting epochs and cultures. The work on the preparation of restoring the monument to the philosopher began, the plans of the regional branch of the Soviet Culture Fund included a “Kantian” programme of events, Kant became a character in the first popular narratives about the prewar history of the region. The process of integration of the “outstanding ‘fellow countryman’”, “Kaliningrad philosopher” into the regional culture by the end of the Soviet period was considerably accelerated.

Community-engaged flood mitigation and ecological restoration on a university campus

Abstract Urban flooding is a major climate change risk that can be mitigated with green infrastructure such as tree plantings and restored naturalised buffers along watercourses. The creation and maintenance of green infrastructure projects for climate change adaptation provides opportunities for community partnerships and programming with co-benefits for human well-being and biodiversity. Here we present findings of action research on a flooding adaptation and education that was implemented on an urban higher education institution’s campus in partnerships within the university and with local Indigenous peoples, the regional conservation authority, the municipal government, and the public library. Through participatory workshops, we applied bioengineering and mixed planting methods to restore a creek bank. Using a combination of oral storytelling, digital media, and visual art that integrated perspectives across disciplines and knowledge systems, we situated our creek restoration project within a framework of environmental justice, emphasising specific acts of stewardship to improve watershed health and advance reconciliation. We produced digital resources and outreach materials to disseminate lessons from the project into the community and to support similar flooding adaptation efforts at local and global scales. Our project demonstrates how incorporating partnerships into the design and implementation of nature-based solutions can build cross-cultural ecological knowledge, forge important on and off-campus relationships, and create place-based opportunities for students to take direct and measurable action on climate change.

Financial Reporting, Tracking, and Analysis Practices Effect on Financial Performance of Commercial State Corporations in Kenya

In Kenya, legislative acts by parliament establish state corporations to promote social and economic progress. The state corporations advisory committee has identified eight distinct categories of these entities, which include financial, commercial, industrial, regulatory, public universities, training and research, service, regional development authorities, as well as tertiary education corporations. Out of the 33 state corporations in commercial and manufacturing category, 18 fall under manufacturing while 15 are commercial-oriented and therefore by their operational nature expected to make profits or operating surplus. The study focused on the fifteen (15) profit-making state corporations. Most commercial state corporations are in a state of perennial loss-making. Their financial performance trend between 2016-2020, shows that out of the 15 corporations in the commercial sector, only four (26.67%) are sustainable from their operations. This leaves over 73.33% of them struggling to survive and have to depend on government funding to address their liquidity challenges. This study sought to assess the impact of financial reporting and analysis on the financial performance of commercial state corporations in Kenya. The study assumed a descriptive study design. The study used a census procedure since all fifteen State Corporations under the commercial category were studied. Data was analysed using descriptive and inferential statistics. The inferential statistics results indicate that financial reporting and analysis have a positive and statistically significant effect on financial performance of commercial SOEs. The study found that improved financial performance was observed upon conducting periodical operational budget estimations, capital project estimations, periodical cash flow projections, and comparison of actual costs and budget variance analysis. The management and finance department to ensure that financial reporting processes are strengthened to enhance accuracy, openness, and compliance with governing requirements.

Biopolitical Strategies in Media Discourses: Responses to the COVID-19 Pandemic in Russia, Germany, and France

The objective of this study is to conduct a comparative analysis of how media outlets in Russia, France, and Germany reported on events during the COVID-19 pandemic. The analysis was carried out in three stages: comparing the actors of biopolitics, examining the ideologemes of biopolitics, and analyzing the spheres in which biopolitics were implemented. The theoretical and methodological framework of this study is grounded in Michel Foucault's theory of biopolitics, Edward Herman and Noam Chomsky's propaganda model, and Didier Bigo's concept of (in)securitization. Texts related to the COVID-19 pandemic were categorized into four «waves» (January 2020 – March 2022) and retrieved using the keywords «pandemic», «covid», and «coronavirus» from the archives of «Rossiyskaya Gazeta», «Kommersant», «Novaya Gazeta», «Le Figaro», «Le Monde», «Le Parisien», «Süddeutsche Zeitung», «Die Zeit», and «Die Tageszeitung». The total volume of analyzed material amounts to 67.62 million words. The results reveal that state power consistently emerges as a key subject of biopower and biopolitics across all the media studied, following Foucault's traditional framework of biopower subjects. This includes a focus on the actions and decisions of government officials and institutions. Additionally, the study found that all examined media outlets participated in promoting vaccination campaigns orchestrated by the governments of Russia, Germany, and France, indicating a widespread alignment with state-led biopolitical strategies.The analysis also shows that the insecuritization of public life during the pandemic affected various sectors including social relations, the economy, healthcare, and education. Media discourse in all three countries highlighted these areas of impact, often framing them within the broader context of public and existential security.Furthermore, the study identifies notable differences in how the media in each country portrayed biopolitical themes. In Russia, media coverage placed a strong emphasis on the central government's role, while in Germany, there was a more pronounced delineation between federal and regional authorities. In France, media outlets often focused on the personal leadership of President Emmanuel Macron. Despite these differences, there were shared themes across all three countries, such as the emphasis on the importance of vaccination and the portrayal of government measures as necessary for public safety.

Authoritarian responsiveness online: social media strategy of Russian regional governance centers

ABSTRACT This article is dedicated to authoritarian responsiveness and feedback mechanisms that autocratic regimes exploit to keep citizens loyal, using the example of Russia. The study aims to describe how the Russian government uses online feedback mechanisms in political communication. I focus on the activities of the Regional Governance Centers, i.e. project management offices designed to establish communication between authorities and citizens. This communication system represents a proactive approach where authorities initiate engagement with citizens rather than passively receiving complaints. I analyze the content of VK communities operated by these project management offices, where they report how the authorities solve citizens’ problems initially indicated by citizens on social media. The explorative text analysis shows that Regional Governance Centers mostly report on how authorities process citizens’ complaints and solve problems indicated by them. They also promote live Q&A sessions with regional and local authorities and advertise financial support that different groups of citizens can get from the government. Posts containing information about how to communicate directly with officials, warnings about bad weather conditions, information about financial assistance from the government, and self-promotion of these Regional Governance Centers are the most popular in getting user reactions.

Managerial style as an indicator of the nature of interaction between regional authorities and the population

The article presents an analysis of respondents' perception of the regional management style as a factor characterizing the managerial communication system. Based on the secondary conceptualization of empirical data (6021 field documents) obtained in 2019-2020 in 12 regions of the Russian Federation during a self-filling questionnaire based on a quota sample calculated for each region according to Rosstat, the author conducted a study of the relationship between respondents' characteristics of the regional management style with agreement with it, concern about the shortcomings of the regional management system and assessments the work of the vertical of power from the federal to the local levels. The author identified a number of patterns, based on which it was concluded that groups of respondents who define the regional management style differently agree with it to varying degrees, demonstrate concern about the shortcomings of the characterized management system in different ways and evaluate the final result of the activities of the power and management vertical. Respondents who define the management style as authoritarian and clan-based tend to be more concerned about the shortcomings of the management system for the most part than respondents who characterize the management style as democratic, collegial, liberal or vague. Respondents who define the management style as authoritarian tend to evaluate the final result of the work of authorities at all levels lower than respondents who believe that the management style is democratic, collegial or uncertain.

Efficiency of regional export support measures and their influence on investments

Regions are active participants of foreign economic activity, with their contribution to the total export being significant. Therefore, data analysis of the volume and structure of exports and investments is important for determining the efficiency of support measures and for elaborating a further development strategy. A review of scientific sources demonstrates the role of investment and government support in stimulating exports. This article examines the efficiency of regional export support measures and their correlation with investments. Statistical data on exports, investments, and government support measures from 2012 to 2022 is compared. The research demonstrates the performance of the Irkutsk Region Export Support Center in the following spheres: in supporting exporters in concluding export contracts, in stimulating export activities of small and medium-sized enterprises, in engaging new exporters in foreign economic activities, as well as in promoting export diversification. Data on the increase in the share of nonresource, non-energy goods in the structure of the region exports confirms the efficiency of the undertaken supporting measures. The performance of the Export Support Center indicates its increasing popularity and efficiency. Moreover, the increasing number of exporters and the volume of export contracts demonstrates the positive impact of supporting measures on the export sector development and regional economy competitiveness. After considering the three main drivers of economic performance, i.e., consumer demand, exports, and investment, it can be concluded that the regional authorities use levers of influence over the latter two factors.

Reviving health mediation during the COVID-19 crisis and beyond: an implementation study in deprived neighbourhoods of Marseille, France.

In 2020, during France's COVID-19 response, healthcare professionals from a hospital and an association initiated health mediation interventions in Marseille's vulnerable neighbourhoods, funded by the regional health authorities. This mixed method research evaluates the CORHESAN program that lasted until June 2022. We examined CORHESAN documents and reports, conducted interviews, and analysed activity data, comparing it to the COVID-19 hotspots identified on a weekly basis at the neighbourhood level, using generalised linear mixed models (GLMMs). CORHESAN was implemented by a team of up to nine health mediators, six private nurses hired on an ad hoc basis, supervised by a general coordinator and two part-time medical and nursing coordinators. Multiple partnerships were established with shelters, associations, social-housing landlords and local institutions. The team accompanied 6,253 people affected by COVID-19 or contact in the practical implementation of their isolation and contact tracing. Of the 5,180 nasopharyngeal samples for RT-PCR and 1,875 for antigenic testing: 12% were taken at home and 27% in partner facilities in the targeted neighbourhoods; 32% were taken from symptomatic patients and 30% in the context of contact tracing; and 40% were positive. Multiple awareness sessions on prevention methods and distributions of personal protection kits and self-diagnostic tests were conducted in the streets, in shelters, in associations or at home. A total of 5,929 doses of COVID-19 vaccine were administered in a walk-in vaccination centre, at temporary street vaccination posts, during operations at partner facilities, or during home-visits to patients with limited autonomy. GLMMs showed that the intervention significantly targeted its testing interventions in neighbourhoods with socioeconomic disadvantage and/or past under-testing (adjusted odds ratio (aOR), 2.75 [1.50-5.00]) and those with high hotspot level (aOR for level-3 versus level-0, 1.83 [1.24-2.71]). The pandemic emphasised the potential of health mediation interventions to address health disparities. Building on this, a new program began in July 2022, aiming at enhancing cancer screening and vaccinations in deprived areas of Marseille. Evaluations are ongoing to assess its activities and impact, and provide evidence to future implementation initiatives.

The (un)sustainability of rural tourism travel in the Global South: A social practice theory perspective

AbstractRural tourism transport provision makes sustainable travel challenging as evidenced by studies in the Global North. However, the nature of socio‐environmental challenges is different in the Global South, necessitating attention on resolving these different problems. Social practice theory (SPT) allows greater understanding of travel by considering the interplay between transport form and availability, the tourists' competences to make use of the provision, and the meanings associated with using it. Drawing from 31 semi‐structured interviews with tourists and destination stakeholders, this paper aims to explore and understand tourists' rural travel practices in Bali through a SPT lens to identify sustainable travel opportunities. Destination transport provision has evolved to meet residents' needs for travel and income generation, shaping the options for tourists. Motorbike and car‐rental allow tourists to achieve holiday needs and overcome travel limitations. Regional authorities need to address rural tourism provision deficiencies to tackle socio‐environmental sustainability in rural travel.

Establishment of a multisite umbrella cohort study protocol to describe the epidemiology and aetiologies of acute undifferentiated febrile illness in Latin America

IntroductionAcute undifferentiated febrile illnesses (AUFIs) impose a large burden in the tropics. Understanding of AUFI’s epidemiology is limited. Insufficient diagnostic capacity hinders the detection of outbreaks. The lack of interconnection...

The characteristics of medical technical task working out as a factor of successful implementation of project of public-private partnership in health care

The application of mathematical modeling approaches based on factual demand of the population of territories in setting of medical and technical tasks makes it possible to significantly optimize costs of construction and equipping primary health care objects. This is confirmed by both corresponding calculations and results of analysis. This operation is oriented both on structural divisions of regional executive authorities responsible for setting of medical and technical tasks, and on investment companies implementing projects in health care.

The potential of public organizations in creating conditions of healthy aging for sustainable demographic development of the Russian regions

The article considers issues of potential of public organizations to develop conditions for healthy aging in order to ensure sustainable development of Russian regions differing in their socio-economic, socio-cultural and demographic characteristics. It is established that individual approach is to be applied in developing and implementing measures, since elderly Russians constitute very heterogeneous social demographic group, characterizing by differences in age, health condition, social, economic and professional status, life motivation, family/single/nursing type of residence, etc. It is indicated that work will require time, financial expenses and labor costs. The achievement of sustainable development of Russian regions depends on ability and readiness of regional and municipal authorities, public and commercial organizations and entire population. It is determined that age-related stigmatization and ageism can not be overcame through decisions made by persons of power. No less significant is public opinion, determining position of employers, physicians, teachers and other specialists on whom healthy longevity of population depends. The conclusion is made that present demographic changes are a predictor of development of position of state authorities and public opinion that needed attention is to be paid to promoting of healthy aging, to expending necessary financial, infrastructural, informational and human resources. Only in this case Russian regions can count on social dividends that will follow preliminary comprehensive investments into developing conditions for healthy aging of local residents.

The metamorphoses of denationalization of 1993. Report-I. The market fight for medications import

In the history of the Russian pharmaceutical market the year of 1993 became the year of formation of rules of market relations and changing under them of market landscape. The significant segment of state-centralized purchases moved under responsibility of regional authorities and their health care authorities. At that, powers of three former state organizations being occupied with purchases of imported medications were distributed between new state companies of Ministry of Health and commercial organizations and firms that entered pharmaceutical market. This diversity rather soon gave rise to competitive fight for budget funds and experiments of Government with market regulation. The traces of these clashes and attempts to make market regulated can be found in Ministry of Health archives and journal publications. The Report I reveals circumstances of entrance of Ministry of Health into market relationships and its acquisition of market player identity.

Churches and Monasteries in Northern Transylvania in Planning Documents and in Tourism Development Projects Financed by European Funds

Churches and Monasteries in Northern Transylvania in Planning Documents and in Tourism Development Projects Financed by European funds. In the present paper we studied the manner in which county and regional authorities from Northern Transylvania view churches and monasteries located in this area as tourist landmarks. In order to do that, we analyzed the county and regional policies and strategies and looked for projects addressing cultural heritage in the area that were financed by European programmes. While highlighting the diverse tourism potential of the religious buildings, the counties’ development strategies also recommended the preservation and rehabilitation of the historical monuments and promoting them in an integrated manner, as parts of cultural and/or religious routes. These objectives have been realized mostly with the help of the European funds – more than 40 churches were renovated and more than 80 have been promoted using REGIO and INTERREG funds, and wooden churches in Maramureș and Sălaj counties and medieval churches in Satu Mare County were included in thematic routes. Moreover, the creation and promotion of more cultural tourism routes is one of the main objectives of the Romania’s National Recovery and Resilience Plan, adding more value to the region’s tourism potential. Keywords: cultural heritage, tourist routes, European funds, churches, Northern Transylvania.

Sacred Buildings of Kramatorshchyna in the Conditions of Russian Aggression of 2022–2024: Losses and Ways of Recovery

The state of the sacred buildings in the Kramatorsk district of Donetsk region, on the eve and during the full-scale Russian military aggression of 2022–2024 is investigated in the article. The main aspects of the history of temples’ building in Kramatorshchyna during the late 20th – early 21st centuries are described. In particular, it is emphasized that during the specified period, the active revival of the Holy Mountains Lavra of the Holy Dormition has taken place; its churches of St. Nicholas, St. Dormition, and St. Pokrovsky, etc. have been restored. At the same time, the famous Lavra sketes are renewed: in the villages of Adamivka, Bohorodychne, Dolyna, Tetianivka and the city of Sviatohirsk. The active process of building churches has continued in the other villages and towns of the district. It is noted that, on the eve of the Russian invasion on February 24, 2022 into Ukraine, the sacred architecture of Kramatorshchyna has been related primarily to the Holy Mountains Lavra. It has been the core of its cultural and touristic potential. The data on damaged and destroyed churches for the period of 2022–2024 is collected and systematized in the article. It is found out, in particular, that 43 religious objects have been damaged during this time. Most of them belong to the Orthodox-Christian jurisdiction, although we also have destruction of Protestant and Islamic religious architecture, etc. It is ascertained that the main part of the shrines damaged in the spring of 2022, mainly in May, is situated on the territory of Sviatohirsk and Lyman communities. It is emphasized that this phenomenon is connected with active hostilities for the localities of Lyman, Sviatohirsk and the Siverskyi Donets river. It should be mentioned, that not only sacred buildings of Sviatohirshchyna and Lymanshchyna are affected, but also of Kostiantynivska, Kramatorska, Slovianska, Mykolaivska, Oleksandrivska and Druzhkivska communities. In general, it is stated that the full-scale war has caused irreparable losses to the religious buildings of the Kramatorsk district. It is noted also in the article, that the restoration of destroyed churches depends entirely on the further nature and development of hostilities. On the other hand, measures aimed at eliminating their consequences have already been carried out in the vast majority of temples those received light and are medium damaged. Finally, the issue of taking into account objects of sacred architecture that have historical and cultural value is raised. It is emphasized that the local authorities of Donetsk region and other oblasts of Ukraine now face the urgent task of identifying and registering objects of cultural heritage. The identified problem has prospects for further research on materials from other raions of Donechchyna and the regions of Ukraine.

ЭПИДЕМИОЛОГИЧЕСКИЙ АНАЛИЗ РАКА МОЛОЧНОЙ ЖЕЛЕЗЫ И ОСОБЕННОСТИ ОКАЗАНИЯ МЕДИЦИНСКОЙ ПОМОЩИ ЖЕНЩИНАМ В ЧУКОТСКОМ АВТОНОМНОМ ОКРУГЕ

Relevance. Breast cancer is one of the first places among all types of oncological pathology both in the Russian Federation and around the world. At the same time, over the past decade there has been a significant increase in the incidence of this pathology; the average annual growth rate in the Russian Federation reached up to 1.72%, which is a very worrying sign. The aim of the study is analysis of the morbidity and mortality rates from breast cancer in the female population of the Chukotka Autonomous Okrug, as well as identification of the features of medical care and prevention of identified malignant neoplasms of the breast in the study area. Materials and methods. The analysis was carried out on the basis of information materials from the Unified Interdepartmental Information and Statistical System, the Federal State Statistics Service, and documents from regional executive authorities in the field of healthcare. Statistical indicators of morbidity and mortality from malignant breast diseases in women from 2011 to 2021 (per 100,000 population) were studied; the results obtained in the region were compared with those in the Russian Federation as a whole. To assess the general and annual trend, its degree of reliability, a trend line was constructed and the value of the approximation coefficient R2 was calculated, which in all cases turned out to be acceptable. The results of the study. Morbidity and mortality from malignant neoplasms of the breast in women living in the Chukotka Autonomous Okrug differed significantly from the national average. The annual changes in the region had quite sharp fluctuations. However, in general, the trend line did not have sufficient positive characteristics. In addition, higher morbidity and mortality rates in the region, compared with the national average, can be considered a negative point.

ЭПИДЕМИОЛОГИЧЕСКИЕ АСПЕКТЫ И ОСОБЕННОСТИ ОКАЗАНИЯ МЕДИЦИНСКОЙ ПОМОЩИ НАСЕЛЕНИЮ ПРИ ЗЛОКАЧЕСТВЕННЫХ НОВООБРАЗОВАНИЯХ ДЫХАТЕЛЬНОЙ СИСТЕМЫ В РЕСПУБЛИКЕ КОМИ

Relevance. Epidemiological studies of oncological diseases of the respiratory system show that this nosological form is one of the leading causes of death among all other pathologies detected in most regions of the Russian Federation and around the world. Over the past decade, there has been a significant increase in the incidence of this pathology. The aim of the study is analysis of morbidity and mortality rates among the population of the Komi Republic, identification of features of medical care and prevention of malignant neoplasms of the respiratory system in the studied area. Materials and methods. The analysis was carried out on the basis of information materials from the Unified Interdepartmental Information and Statistical System, the Federal State Statistics Service, and documents from regional executive authorities in the field of healthcare. Statistical indicators of morbidity and mortality from cardiovascular diseases from 2011 to 2021 (per 100,000 population) were studied; the results obtained in the region were compared with those in the Russian Federation as a whole. To assess the general and annual trend, its degree of reliability, a trend line was constructed and the value of the approximation coefficient R2 was calculated, which in all cases turned out to be acceptable. The results of the study. Regional indicators differed from the national average - morbidity and mortality from malignant neoplasms of the respiratory system in the Komi Republic is significantly higher than the average in Russia. In dynamics over the past 10 years, mortality from malignant neoplasms of the respiratory system in the region tends to decrease, but less noticeable in comparison with the average in the Russian Federation. The incidence among women has not changed much, and among males has decreased compared to 10 years. The detection rate of malignant neoplasms in the early stages in the Komi Republic is significantly lower compared to the Russian Federation. The conclusion was made about the need to develop the regional program "Fight against cancer", its continuous improvement and exchange of experience with other regions.