scholarly journals The population dynamic in Russian municipal formations from 2010 to 2018

2019 ◽  
Vol 30 (3) ◽  
pp. 59-77 ◽  
Author(s):  
Valery V. Patsiorkovskiy ◽  
Yuriy A. Simagin ◽  
Dzhamilya D. Murtuzalieva

During the period from the end of 2010 and up to the beginning of 2018, after a long pause, we saw an increase in the population of the Russian Federation. Meanwhile, on most of the country’s territory the population has not ceased to decline in recent years. This is very apparent when analyzing the demographic situation on the level of first order municipalities – city districts and municipal areas. Indexes of natural population growth during recent years have exceeded values from the first decade of the 21st century. However, in 80% of municipalities a negative dynamic is evident compared to 2010, primarily due to natural decline. Natural decline is often accompanied by a negative balance in the migratory flow of the population. As a result, depopulation in certain cases reaches catastrophic proportions – at over 2% each year. This article examines peculiarities in the differentiation of natural population increase and migratory flow of Russia’s population by city district, municipal area, and broken down by territory (as in by federal district). It was revealed that negative trends are more inherent to municipal areas than they are to city districts. The most complicated situation with indexes of death rate and birthrate can be observed in municipalities of the Central, North-West and Privolzhsky Federal Districts. Mostly due to an intense migratory outflow, the population is decreasing in many municipal formations of the Far Eastern Federal District. As was the case in previous decades, the most favorable demographic situation can be observed in the North Caucasian Federal District. Meanwhile its municipal formations are gradually approaching the rest of Russia in terms of population birthrate and death rate indexes. Though this trend is of ambiguous nature, since, on the one hand, it evens out the excessive interregional socio-economic differentiation we see in Russia, while on the other it has a negative effect on the country’s demographic development in general. The migratory outflow of the population from the majority of North Caucasian municipal formations narrows the foundation for this region’s demographic development in the future.

MedAlliance ◽  
2021 ◽  
Vol 9 (1) ◽  
pp. 91-101

Introduction. Prior to detailed review of the North- West Federal District (NWFD) pulmonology service per- formance during the COVID-19 pandemic, it is especial- ly worthwhile to evaluate its human resourcing in the prepandemic period of 2015–2019, since the perfor- mance of pulmonology service largely depends on its staffing, moreover in conditions of restructuring and decreased number of pulmonology bedspace in hospi- tals. Мethods. In the course of the study, the authors have analysed human resourcing data for pulmonology profile within the state healthcare system in NWFD for the period of 2015–2019. The results were statistically processed and data analysis carried out using Micro- soft Office Excel and SPSS software. Results . In the state healthcare system medical institutions of the NWFD throughout 2015–2019, the number of regular pulm- onologists’ positions fluctuated unrhythmically. The number of pulmonologists (MDs) in NWFD grew 0.82% during the period of 2015–2019, for comparison, in the Russian Federation the growth for the same period was 32.08%. The number of operating pulmonology depart- ments remained practically the same, but the number of occupied positions constantly changed. Practically all the pulmonologists in the NWFD have a specialist certi- ficate, but the share of doctors with qualification grade remains insufficient, and is on the decrease. Statistical analysis demonstrated significant positive Pearson cor- relation between the number of pulmonologists and general respiratory incidence (0.74 р=0.04), mortality (0.756 р=0.003), and the number of occupied pulmo- nology bedspace (0.619 р=0.024). Conclusion. Today, pulmonology service human resourcing review is to be conducted taking into account respiratory morbidity and mortality and the need for pulmonology services among the general population. Currently, there is no sci- entifically justified regulatory framework for the deve- lopment of the pulmonology service in NWFD regions, while the work of such services depends very much on the regional budgets and medical services’ tariffs. The development and fast implementation of such compre- hensive measures as salaries’ increase, adequate social support, regular residential and non-residential courses of continuous medical education, professional networ- king, etc. will allow to maintain and holistically develop the human potential of the NWFD pulmonology service.


2015 ◽  
Vol 9 (2) ◽  
pp. 14-22 ◽  
Author(s):  
Антон Мосалев ◽  
Anton Mosalev

The Article presents an analysis of the role of the media sector in the structure created by the placement of tourist routes in the subjects of the Russian Federation. The sample size was 6000 routes in all federal districts of Russia. The problem of poor service provided by the hotel services in Russia is one of the major problems hindering the development of domestic tourism. Value for money and sometimes do not match. Part of the situation could have saved the increasing competition with the hotels listed in the international circuit, which created its own rules of corporate culture, high standards of service, clearly defined for each category of hotel (in terms of stardom). However, this does not justify a revision of its marketing strategy of independent hoteliers. It is also important to pay attention to accommodation, similar to hotels and other accommodation facilities. They are also well represented in the tourist market. According to the author, the low level of service in accommodation facilities is determined not so much by the reluctance of management to improve it, as the structure of demand from tourists and tour operators, to create a product. Most of the routes, which include the need to accommodate tourists, implemented on average, in the area the day — two. At the same time, tourists do not stay in accommodation facilities for a long time and continue your route on. This circumstance serves as an incentive to change the quality of services. Moreover, the article stipulates that personal and other accommodations are well represented in the routes of major federal districts like Central, Ural, Siberia, Far East. Accommodation in hotels more common routes in the North- West, Volga, the Crimea and North Caucasian Federal District. Accommodation facilities, in this case, are the operators of the individual passive format services. However, this strategy cannot be used by all players of the hospitality industry in all federal districts. The specificity of the regions and their remoteness from each other, the price level in the field must be limiting conditions in which hoteliers could develop. It is therefore proposed that the need to actively offer ideas own hiking tour operators or actively interact with them, attracting all new, including the unorganized tourist flows.


2019 ◽  
Vol 21 (2) ◽  
pp. 188-190
Author(s):  
V S Skripov ◽  
N V Semenova ◽  
L V Kochorova ◽  
A A Shvedova ◽  
I I Chekhonadsky

The results of the telemedicine advisory center, organized on the basis of the Bekhterev Psychoneurological Research Institute, for the semi-annual period (from October 2018 to March 2019). The center provides scheduled consultations on the profiles of «psychiatry» and «psychiatry - narcology». Consultations are organized through the circulation of documents in the system developed by the Ministry of Health of Russia and the All-Russian Center for Disaster Medicine «Protection». For half a year of work of the telemedicine center from the subordinate regions (Southern, North-Western, North-Caucasian and Volga federal districts) 76 requests for consultations were received. More than half (57,9%) of patients requiring telemedicine consultation were women. The largest number of requests for telemedicine consultations came in February 2019. It has been established that the Southern Federal District showed the greatest interest in consultations with the use of telemedicine technologies, the number of their requests was 35,5%, and the smallest number of requests came from the North-West Federal District. 88,2% of all complaints were in the «psychiatry» profile, 11,8% - «psychiatry - narcology». 90,9% of women and84.4% of men received counseling on the «psychiatry» profile. 30,2% of requests were returned to doctors for revision, due to the lack of completeness of the documents provided. At the end of the consultation, a medical report is sent to the attending physician, which indicates recommendations for the further management of the patient. Recommendations on the need for additional examinations and the appointment of drug therapy received 52,8% of patients, respectively.


2020 ◽  
Vol 22 (2) ◽  
pp. 149-152
Author(s):  
K. S. Klyukovkin ◽  
L. V. Kochorova ◽  
M. V. Okulov ◽  
S. A. Kozhin

The results of studying the opinions of anesthetists-resuscitators on topical issues of the implementation of their professional activities are presented. A total of 450 doctors were interviewed in St. Petersburg and 450 doctors in other regions of the North-West Federal District. It was found that 68,8% of anesthetists-resuscitators received specialized training in anesthesiology-resuscitation immediately after graduating from a medical university and work by vocation. At the same time, their professional activity is associated with increased workload (about a third of specialists work with workloads of up to80-90 hours a week), including psycho-emotional work (57,4% of respondents experience constant stress, 45,6% have chronic diseases, resulting from professional activities). The main directions of optimizing the conditions of their activity, doctors call both financial (raising wages, equipping with modern medical equipment), and organizational measures (optimizing the balance of work and rest, reducing the load). 61% of doctors working in St. Petersburg would not want to change jobs, in other regions only 27,6% of respondents would not want to change anything, and 15,5% plan to change their medical specialty. Among the positive aspects of their work, doctors unanimously noted the factors of emotional comfort: the ability to help people, a good work team, and a convenient work schedule. Doctors consider tension and fatigue, wage mismatch with the workload, and lack of legal protection as negative sides. Given the high degree of commitment of resuscitation anesthetists to their profession, adaptation to difficult conditions, the main efforts should be directed to measures to attract and retain medical personnel, optimize the required volumes and forms of advanced training, introduce a system of psychological adaptation of specialists to working conditions, development of legal support measures for doctors.


2019 ◽  
Vol 5 (4) ◽  
pp. 144-151
Author(s):  
N. Ermakova ◽  
Sh. Kharbedia ◽  
D. Zaslavsky

The article is devoted to the assessment of such indicators of the availability of dermatological care as the provision of the population with medical personnel and cots. In 2015–2017, in the North–West Federal District, in comparison with the average Russian indicators, there is a higher provision of doctors with dermatovenereologists and a lower provision with dermatovenereologic beds. The negative dynamics of indicators allows judging about the decrease in the availability of dermatovenereologic aid to the population of the North–Western Federal District.


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