About this Journal Publication ethics Editorial Board Editorial Council Editorial Office For the Authors Contacts

News feeds

Journal in Databases


Google Scholar

Google Scholar

For authors' attention

Publication is free of charge

In aims to provide interconnection of publications in international scientific journals using Digital Object Identification - DOI, our editorial office incorporated the journal "Social aspects of population health" into international reference system CrossRef.

Since 2016 DOI will be assigned to all scientific articles published in our journal free of charge.

Also DOI will be assigned to all articles published in 2014 and 2015 free of charge as well
Main arrow Archive of previous Issues arrow ¹3 2014 (37) arrow Evaluating effectiveness of policy measures aimed at reducing mortality from cardiovascular diseases
Evaluating effectiveness of policy measures aimed at reducing mortality from cardiovascular diseases Print
Tuesday, 15 July 2014

A.E. Ivanova1, S.E. Golovenkin2, A.Yu. Mikhailov1
1 - Federal Research Institute for Health Organization and Informatics of Ministry of Health of the Russian Federation, Moscow
2 - Krasnoyarsk State Medical University named after Professor V.F. Voino-Yasenetsky, Ministry of Health of the Russian Federation, Krasnoyarsk

Summary. Need for increasing effectiveness of demographic policy in terms of improved heath and reduced mortality makes the study topic relevant.

The aim of the study is to substantiate criteria for evaluating effectiveness of policy measures aimed at reducing mortality and to determine effects of measures aimed at reducing loss due to diseases of the circulatory system.

Methods and data. The authors used official statistics and survey of patients with diagnosed diseases of the circulatory system (356 patients of 40-60 years) in three Russian regions to evaluate measures aimed at reducing mortality associated with diseases of the circulatory system based upon suggested by the authors specially designed criteria.

The study showed that in general, markers substantiated by the authors indicate effects of measures aimed at reducing loss associated with diseases of the circulatory system.

Results. Statistical markers of effectiveness include the following: formation of a positive trend or increased positive dynamics against the background of implementation of corresponding measures; rapid decrease in mortality from causes that are mainly dependable upon healthcare performance (ischaemic heart disease and cerebrovascular diseases in comparison with “other heart diseases”); increased median age of death from ischaemic heart disease and cerebrovascular diseases; reduced share of “other” and “unspecified” diagnosis in the structure of ischemic heart disease and cerebrovascular diseases; rapid decrease in mortality associated with diseases of the circulatory system in the regions that have initiated implementation of measures as early as at the “pilot” stage of implementation.

According to the social survey, markers include the following: awareness about new measures aimed at developing cardiological care; use of new medical and informational technologies by the informed respondents; positive appraisal of changes in access to and quality of medical care by the respondents.

The analysis also showed that despite clear achievements that prove effectiveness of the implemented measures there are also some problems.

Further detailed analysis of those problems helped to obtain important information necessary for adjusting policy measured aimed at reducing mortality.

Keywords. Effects of policy measures; medical and organizational technologies; markers and criteria of effectiveness.


  1. Andreev E., Kvasha E.A., Har'kova T.L. Mortality and lifetime. In: Population of Russia 2010-2011. 18-19th Annual Demographic Report. Moscow: Izdatel'skij dom Nauchno-issledovatel'skij universitet "Vysshaya shkola ekonomiki", 2013. P. 385-443. (In Russian).
  2. Arhangel'skij V.N. Strategy and direction of Russia’s withdrawal from demographic crisis. Migration in Russia 2000-2012. Anthology in 3 volumes. Vol. 1, part 1. I.S. Ivanov, editor. Moscow: Spetskniga. 2013.P. 126-148. (In Russian).
  3. Arkhangel'skiy V.N., Ivanova A.E., Rybakovskiy L.L., Ryazantsev S.V., et al. On the urgent measures to overcome the consequences of the “demographic hole” in the Russian Federation: Brief version of the report. Moscow: Expert Council at the Government of Russian Federation. 2013. 24 p. (In Russian).
  4. Zemlyanova E.V. Attitude of population and expert community to the measures to reduce mortality in Russian population (literature review). Sotsial'nye aspekty zdorov'ya naseleniya [series online] 2013 [cited 2014 Mar 12]; 31 (3). Available from: http://vestnik.mednet.ru/content/view/479/30/lang,ru/. (In Russian).
  5. Ivanova A.E. Population’s need in longevity and the degree of its implementation. Sotsiologicheskie issledovaniya 2013; (2): 120-128. (In Russian).
  6. Ivanova A.E., Mikhaylov A.Yu. Dynamics and regional features of population mortality in Russia. In: Demographic present and future in Russia. Kolbanov V.F., Rybakovskiy L.L., editors. Moscow: Ekon-inform; 2012.P. 81-136. (In Russian).
  7. Ivanova A.E., Mikhaylov A.Yu. Efficiency of the regional programs on reducing mortality in Russia. “Population health is the basis for prosperity of Russia”, V All-Russian Scientific and Practical Conference with international participation (April 26-27, 2011), Anapa. Conference Proceedings. Anapa: Izdanie filiala RGSU; 2011. P. 151-152. (In Russian).
  8. Ivanova A.E., Sabgayda T.P., Semenova V.G., Zaporozhchenko V.G., Zemlyanova E.V., Nikitina S.Yu. Factors distorting the structure of causes of death in working population of Russia. Sotsial'nye aspekty zdorov'ya naseleniya [series online] 2013 [cited 2014 Mar 12]; 32 (4). Available from: http://vestnik.mednet.ru/content/view/491/30/lang,ru/ (In Russian).
  9. Ivanova A.E., Fedotkina S.A. Specific features of self-saving behavior. In: Development of human potential in Russia from the view of population health. Starodubov V.I., Ivanova A.E., editors . Moscow: Litera; 2012. P. 255-302. (In Russian).
  10. Ivanova A.E., Fedotkina S.A., Yakovleva T.V. Public opinion about the measures of the demographic policy in health promotion and of mortality reduction. Sotsial'nye aspekty zdorov'ya naseleniya [series online ] 2011 [cited 2014 Mar 12]; 17 (1). Available from: http://vestnik.mednet.ru/content/view/255/30/ (In Russian).
  11. Kaygorodova T.V. Influence of social and economic conditions on population health. In: Determination of demographic processes. Moscow: M.V. Lomonosov Moscow State University; 2012. P. 212-226. (In Russian).
  12. Sabgayda T.P. The influence of volumes and financial provision of medical care on preventable mortality in the population of the Russian Federation. In: “Demographic present and future of Russia and its regions” All-Russian Scientific and Practical Conference. 30-31 May 2012. Conference Proceedings. L.L. Rybakovskiy, editor. Issue 2. Moscow: Ekon-inform; 2012. p. 135-139. (In Russian).
  13. Semenova V.G., Evdokushkina G.N. Mortality caused by circulatory diseases as an indicator of implementation of the Federal Program. In: “Demographic present and future of Russia and its regions” All-Russian Scientific and Practical Conference. Conference Proceedings. Moscow. 2012. P. 107-117. (In Russian).
  14. Shkolnikov V.M., Andreev Evgeny, McKee M. et al. Components and possible determinants of the decrease in Russian mortality in 2004-2010. Demographic Research 2013;28 (32): 917-950. (In Russian).

Views: 15348

Be first to comment this article

Write Comment
  • Please keep the topic of messages relevant to the subject of the article.
  • Personal verbal attacks will be deleted.
  • Please don't use comments to plug your web site. Such material will be removed.
  • Just ensure to *Refresh* your browser for a new security code to be displayed prior to clicking on the 'Send' button.
  • Keep in mind that the above process only applies if you simply entered the wrong security code.

Code:* Code

Last Updated ( Wednesday, 16 July 2014 )
Next >
home contact search contact search