M.V. Avdeeva^1,2, Yu.V. Lobzin^1,2, V.S. Luchkevich ^2
1 Research Institute for Children's Infections, St. Petersburg
² North-Western State Medical University named after I.I. Mechnikov, St. Petersburg

Abstract. The article deals with the current issues related to application of insurance principles to healthy lifestyle promotion and public protection from chronic noncommunicable diseases.

The aim of the study was to develop regressive mathematical model to predict demands for medical and economic resources of the healthcare system for care delivery, depending on health status and risk factors of noncommunicable diseases.

Methods. Data on 2007 patients and on their health status and structure of the risk factors from the registration forms #025-TsZ/u “Health Center Record” of the City polyclinic #109 was analyzed. The study also used methods of situational and regressive and mathematical modeling.

Results and scope of application. Analysis of the process approach to the organization of preventive work within the federal system of health centers helped to develop a tool to control risk factors of noncommunicable diseases. This tool is based on the formation among the population a self- perceived need for self-control over risk factors, which is extremely important in the context of high morbidity and mortality from noncommunicable diseases. According to the analysis of public health and Program of state guarantees of medical care we developed a predictive regressive mathematical model to determine demand for medical and economic resources to ensure prevention, diagnosis, treatment and rehabilitation of chronic noncommunicable diseases and their complications. The model is enhanced with the «SCORE» scale, which allowed for its adjustment to the risk management of behavioral and medical risk factors of noncommunicable diseases.

Conclusions. The new approach to develop a responsible attitude towards your own health management allows for controlling risk factors of chronic noncommunicable diseases.

Keywords: disease risk factors; risk management; protection of public health; compulsory health insurance; prevention of noncommunicable diseases.

References

1. Avdeeva MV, Lobzin YuV, Luchkevich VS. Legal and regulatory framework for socially significant noncommunicable diseases primary prevention. Medicinskoe pravo 2014; (2): 35-40 (in Russian).
2. Baranovsky GV, Badyukov VF. Risk management of the health system. Global'nyj nauchnyj potencial 2013; (9): 103-106 (in Russian).
3. Bozoeva EI. Problems of health financing system of compulsory health insurance. Mnogourovnevoe obshhestvennoe vosproizvodstvo: voprosy teorii i praktiki 2013; (1): 89-91 (in Russian).
4. Kucherenko VZ, Suchkov AV. Risks to health and safety concerns of the patient in medical practice. GlavVrach 2011; (3): 11-18 (in Russian).
5. National clinical guidelines. Moscow: Russian Scientific Society of Cardiology: 2010. 592 ð. (in Russian).
6. Address to the Federal Assembly. 2012 December 12, The Kremlin, Moscow. [Internet]. [cited 2014 Mar 12]. URL: http://www.kremlin.ru/news/17118 (in Russian).
7. On the limiting value base for calculating insurance premiums to the state non-budget funds from January 1, 2014: Decree of the Government of the Russian Federation 2013 November 30 ¹1101. Rossiyskaya Gazeta. (in Russian).
8. Order of the Ministry of Health and Social Development of the Russian Federation of 2009 August 19 ¹597í «On the organization of the health centers to promote healthy lifestyle among citizens of the Russian Federation, including the reduction of alcohol and tobacco consumption». Rossiyskaya Gazeta. The Federal issue ¹5007. 2009 September 30 (in Russian).
9. Starodubov VI, Dvornikov AS, Shevchenko AG, Lopakov KV. Prospects for early detection of disease in a survey of Internet users about their attitudes toward prevention. Social'nye aspekty zdorov'ja naseleniya [series online] 2011 [cited 2014 Mar 12]; 19 (3). URL: http://vestnik.mednet.ru/content/view/300/30/lang,ru/ (in Russian).
10. Federal Law of 2010 November 29 ¹326 «On Compulsory Health Insurance in the Russian Federation». Rossiyskaya Gazeta. The Federal issue ¹5353. 2010 December 3 (in Russian).
11. Federal Law of 2009 July 24 ¹212 «On the insurance premiums to the Pension Fund of the Russian Federation, the Social Insurance Fund of the Russian Federation, the Federal Compulsory Medical Insurance Fund and territorial health insurance funds». Rossiyskaya Gazeta. The Federal issue ¹4961. 2009 June 28 (in Russian).
12. Federal Law of 2011 November 21 ¹323 «On the basis of health protection in the Russian Federation». Rossiyskaya Gazeta. The Federal issue ¹5639. 2011 November 23 (in Russian).

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.
Name:
E-mail
Comment:
Code:*