Area of the territory and features of the health care system in the arctic zone of the republic of Sakha (Yakutia)
- Authors: Gogolev N.M.1, Burtseva T.E.1,2, Avrusin S.L.3, Melnikova L.N.3, Batilova T.V.3, Chasnyk V.G.3
-
Affiliations:
- North-Eastern Federal University named after M.K. Ammosov
- Yakut Reseach Senter of complex medical problems
- St. Petersburg State Pediatric Medical University, Ministry of Healthcare of the Russian Federation
- Issue: Vol 10, No 4 (2019)
- Pages: 61-66
- Section: Original studies
- URL: https://ogarev-online.ru/pediatr/article/view/18554
- DOI: https://doi.org/10.17816/PED10461-66
- ID: 18554
Cite item
Full Text
Abstract
Implementing major projects for development of the Arctic regions of the Russian Federation and ensuring sustainable economic growth of these regions, the government pays a special attention to the social development and improvement of medical care in remote and hard-to-reach areas of the Russian Arctic. In recent years, research of the people’s health and influencing factors have intensified. The Ministry of Health of the Republic of Sakha (Yakutia) carried out large federal and republican programs to develop the material and technical equipment and ensure appropriate staffing of medical institutions in the Arctic and northern regions. The Republic of Sakha (Yakutia) is one of the most isolated and hard-to-reach regions of Russia, therefore, development of medical care in the Arctic zone is particularly important. The article presents the characteristics of the Arctic zone of the Republic of Sakha (Yakutia), population density 1 km2, distance of settlements from the center. The percent of remote and hard-to-reach settlements in the arctic regions ranges from 38 to 80%. The network of medical institutions with analysis of equipment and staffing is presented in detail. The article reflects the specifics of medical care in the Arctic zone in the context of the territory scale. The identified peculiarities make it necessary to develop differentiated regional mechanisms of implementing the state policy of healthcare development in the regions of the Far North of the Russian Federation. It would be reasonable to consider the possibility of developing a medical care sub-program taking into account the Arctic specifics.
Keywords
Full Text
##article.viewOnOriginalSite##About the authors
Nikolai M. Gogolev
North-Eastern Federal University named after M.K. Ammosov
Author for correspondence.
Email: gogrcemp@mail.ru
MD, PhD, Director. Medical Institute
Russian Federation, 58, Belinsky Street, Yakutsk, 677000Tatiana E. Burtseva
North-Eastern Federal University named after M.K. Ammosov; Yakut Reseach Senter of complex medical problems
Email: bourtsevat@yandex.ru
MD, PhD, Professor, Pediatrics and Pediatric Surgery at the Medical Institute; Head of Laboratory
Russian Federation, 58, Belinsky Street, Yakutsk, 677000; 4 km, Sergelyakhskoe shosse, Yakutsk, 677010Sergey L. Avrusin
St. Petersburg State Pediatric Medical University, Ministry of Healthcare of the Russian Federation
Email: avrusin4@gmail.com
PhD, Associate Professor, Department of Hospital Pediatrics
Russian Federation, 2, Litovskay street, Saint-Peterburg, 194100Larisa N. Melnikova
St. Petersburg State Pediatric Medical University, Ministry of Healthcare of the Russian Federation
Email: laramel@ya.ru
PhD, Associate Professor, Department of Hospital Pediatrics
Russian Federation, 2, Litovskay street, Saint-Peterburg, 194100Tatiana V. Batilova
St. Petersburg State Pediatric Medical University, Ministry of Healthcare of the Russian Federation
Email: strihnin@list.ru
PhD, Associate Professor, Department of Hospital Pediatrics
Russian Federation, 2, Litovskay street, Saint-Peterburg, 194100Vyacheslav G. Chasnyk
St. Petersburg State Pediatric Medical University, Ministry of Healthcare of the Russian Federation
Email: chasnyk@gmail.com
MD, PhD, Dr Med Sci, Professor, Head, Department of Hospital Pediatrics
Russian Federation, 2, Litovskay street, Saint-Peterburg, 194100References
- Кадровые ресурсы здравоохранения Республики Саха (Якутия) за 2016–2018 гг.: Статистический сборник ГБУ ЯРМИАЦ МЗ РС (Я). – Якутск, 2019. – 130 с. [Kadrovye resursy zdravookhraneniya Respubliki Sakha (Yakutiya) za 2016–2018 gg.: Statisticheskiy sbornik GBU YaRMIATs MZ RS (Ya). Yakutsk; 2019. 130 p. (In Russ.)]
- Лясковик А.Ц. Научное обоснование концепции организации медицинской помощи детскому населению, проживающему в регионах Крайнего Севера с низкой плотностью населения: Автореф. дис. … др-а мед. наук. – СПб, 2004. [Lyaskovik AT. Nauchnoe obosnovanie kontseptsii organizatsii meditsinskoy pomoshchi detskomu naseleniyu, prozhivayushchemu v regionakh Kraynego Severa s nizkoy plotnost’yu naseleniya. [disseration] Saint Petersburg; 2004.]
- Тырылгин М.А. Проблемы охраны здоровья населения Крайнего Севера (на примере региона Якутия). – Новосибирск: Наука, 2008. – 303 с. [Tyrylgin MA. Problemy okhrany zdorov’ya naseleniya Kraynego Severa (na primere regiona Yakutiya). Novosibirsk: Nauka; 2008. 303 p. (In Russ.)]
- Часнык В.Г. Профиль патологии в детской популяции Приуральского района Ямало-Ненецкого автономного округа и оценка необходимой периодичности углубленного обследования детей сельских районов // Научный вестник Ямало-Ненецкого автономного округа. – 2003. – № 7. – С. 68–73. [Chasnyk VG. Profil’ patologii v detskoy populyatsii Priural’skogo rayona Yamalo-Nenetskogo avtonomnogo okruga i otsenka neobkhodimoy periodichnosti uglublennogo obsledovaniya detey sel’skikh rayonov. Nauchnyy vestnik Yamalo-Nenetskogo avtonomnogo okruga. 2003;(7):68-73. (In Russ.)]
- Чичахов Д.А. Научное обоснование анестезиолого-реанимационного обеспечения детского населения региона (на примере Республики Саха (Якутия)): Автореф. дис. … д-ра мед. наук. – СПб., 2011. [Chichakhov DA. Nauchnoe obosnovanie anesteziologo-reanimatsionnogo obespecheniya detskogo naseleniya regiona (na primere Respubliki Sakha (Yakutiya). [dissertation] Saint Petersburg; 2011. (In Russ.)]
- Bjerregaard P, Young TK, Dewailly E, Ebbesson SOE. Indigenous health in the Arctic: an overview of the circumpolar Inuit population. Scand J Public Health. 2004;32(5):390-395. https://doi.org/10.1080/14034940410028398.
- Young TK, Chatwood S. Health care in the north: what Canada can learn from its circumpolar neighbours. Can Med Assoc J. 2011;183(2):209-214. https://doi.org/10.1503/cmaj.100948.
- Niclasen B, Mulvad G. Health care and health care delivery in Greenland. Int J Circumpolar Health. 2010;69(5):437-447. https://doi.org/10.3402/ijch.v69i5.17691.
- Anderson KJ. A review of health care reform in the United States and in Alaska. Int J Circumpolar Health. 2010;69(5):424-436. https://doi.org/10.3402/ijch.v69i5.17679.
- Young TK, Fedkina N, Chatwood S, Bjerregaard P. Comparing health care workforce in circumpolar regions: patterns, trends and challenges. Int J of Circumpolar Health. 2018;77(1):1492825. https://doi.org/10.1080/22423982.2018.1492825.
Supplementary files
