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Friday, 19 May 2017

DOI: 10.21045/2071-5021-2017-54-2-3

Zhaboeva S.L.
Kazan State Medical University of the Ministry of Health of the Russian Federation, Kazan

Contacts: Svetlana L. Zhaboeva, e-mail: This e-mail address is being protected from spam bots, you need JavaScript enabled to view it
Information about author:
Zhaboyeva S.L., http://orcid.org/0000-0001-8739-9437
Acknowledgments.The study had no sponsorship.
Conflct of interests. The authors declare no conflict of interest.

Abstract. The study is substantiated by the necessity to find new solutions for the existing medical and social problems: health deterioration and population aging, rise in socially important pathologies and premature mortality in working ages.

Against the background of ongoing transformations one of the ways to change current situation is active implementation of the ôhealth centeredö paradigm and a concept of ôuniversal preventive environmentö in health care, shifting accents to preventive programs.

The study purpose was to conduct a comparative performance evaluation of state and private medical facilities while implementing preventive programs in the elderly and old ages.

Methods: sampling study of outpatient adult care seeking in state and private medical facilities in 2009-2014. Comparative analysis of the existing preventive technologies was implemented based on expert appraisal.

The study results. The analysis showed consistently low level of preventive care seeking in state medical facilities versus increased visits to private medical facilities with significantly higher share of preventive visits in private medical facilities over the period under study (2000-2014).

According to expert appraisal state medical facilities struggle through deficient financial, time and human resources as well as organizational and managerial defects.

Conclusions: optimal arrangement of working hours of specialists and service component turned out to be major factors affecting patientsĺ choice of private medical facilities.

Physicians of private medical facilities spend more time on diagnostics, treatment and preventive counseling.

Private medical facilities are more likely to increase preventive care delivery to adult population. This gives grounds for developing personified prevention at private medical facilities integrating them into population preventive programs.

Keywords: performance evaluation of medical facilities; preventive programs; development strategy; material and technical resources; qualified personnel.


  1. Andreeva O.V., Saitgareeva A.A., Budarin S.S., Volkova O.A. K voprosu otsenki kachestva upravleniya resursami [To the issue of assessing the quality of resource management]. Obshchestvennoe zdorov'e i zdravookhranenie 2015; (2):50-56. (In Russian).
  2. Arpent'eva (Minigalieva) M.R. Kognitivnye funktsii i narusheniya v razvitii etikh funktsiy u pozhilykh lyudey [Cognitive functions and disorders in the development of these functions in the elderly]. Uspekhi gerontologii 2015; 28 (1):189-194. (In Russian).
  3. Bezdenezhnykh A.V., Sumin A.N. Sarkopeniya: rasprostranennost', vyyavlenie i klinicheskoe znachenie [Sarcopenia: prevalence, detection and clinical significance]. Klinicheskaya meditsina 2012; (10):16-23. (In Russian).
  4. Vafin A.Yu., Khayrullin I.I. K voprosu o povyshenii effektivnosti deyatel'nosti meditsinskoy organizatsii [On the issue of improving the efficiency of health care facility]. Obshchestvennoe zdorov'e i zdravookhranenie 2015; (1):67-76. (In Russian).
  5. Denisov I.N., Kunitsyna N.M., Proshchaev K.I., Fesenko V.V., Varavina L.Yu, Fesenko E.V., et al. Osobennosti mediko-sotsial'noy effektivnosti meditsinskoy pomoshchi pozhilym lyudyam v gosudarstvennykh i chastnykh uchrezhdeniya zdravookhraneniya [Features of medical and social efficiency of health care for the elderly provided in public and private health facilities]. Sovremennye problemy nauki i obrazovaniya [Online] 2012 [cited 2017 Feb 10]; (4): 79. Available from: https://science-education.ru/pdf/2012/4/6912.pdf. (In Russian).
  6. Kichataya O., Matevosyan S., Kurilo I., Porunova T., Bocharova K., Gubarev Yu. Mal'nutritsiya i drugie geriatricheskie sindromy [Malnutrition and other geriatric syndromes]. Vrach 2015; (6): 38-40. (In Russian).
  7. Moroz I.N. Fizicheskiy i psikhologicheskiy komponenty zdorov'ya pozhilykh i ikh udovletvorennost' okazaniem mediko-sotsial'noy pomoshchi [Physical and psychological components of the elderlyĺs health and their satisfaction with medical and social care]. Uspekhi gerontologii 2014; 27 (4):678-683. (In Russian).
  8. Organizatsiya okazaniya pervichnoy mediko-sanitarnoy pomoshchi v Respublike Tatarstan. Problemy. Puti resheniya [Organization of primary health care in Republic of Tatarstan. Challenges. Ways of solution]. Kollegiya Ministerstva zdravookhraneniya Respubliki Tatarstan [Online] [cited 2016 Oct 13]. Available from: http://minzdrav.tatarstan.ru/rus/doklad.htm?page =3&pub_id=202075/. (In Russian).
  9. Proshchaev K.I., Il'nitskiy A.N., Panikar V.I., Fesenko V.V., Krivetskiy V.V., Varavina L.Yu., et al. Klinicheskaya epidemiologiya sindroma narusheniy peredvizheniya u lyudey starcheskogo vozrasta [Clinical epidemiology of the syndrome of movement disorders in people of old ages]. Fundamental'nye issledovaniya 2012; (7-2):381-384. (In Russian).
  10. Saidov S.S., Dubynina E.I., Tkachev P.V. Gipomobil'nost' i rasprostranennost' osnovnykh geriatricheskikh sindromov s pozitsii mediko-sotsial'noy pomoshchi [Hypomobility and prevalence of the main geriatric syndromes from the position of medical and social care]. Vestnik Vserossiyskogo obshchestva spetsialistov po mediko-sotsial'noy ekspertize, reabilitatsii i reabilitatsionnoy industrii 2014; (3): 27-31. (In Russian).
  11. Trifonova N.Ju., Tkachjov P.V. Harakteristika komponentov kachestva geriatricheskoj pomoshhi v uchrezhdenijah razlichnoj formy sobstvennosti [Characteristics of the quality components of the geriatric care in various ownership facilities]. Vestnik Vserossiyskogo obshchestva spetsialistov po mediko-sotsial'noy ekspertize, reabilitatsii i reabilitatsionnoy industrii 2015; (1): 50-53. (In Russian).
  12. Frailty in Older Adults-Early Identification and Management. British Columbia Ministry of Health. [Online] [cited 2017 Feb 10]. Available from: http://www2.gov.bc.ca/assets/gov/health/practitioner-pro/bc-guidelines/frailty_fullguideline_2015.pdf.
  13. Robinson S.M., Jameson K.A., H. E. Syddall MSc H.E., Dennison E.M., Cooper C., Sayer, A.A. Clustering of Lifestyle Risk Factors and Poor Physical Function in Older Adults: The Hertfordshire Cohort Study. Journal of the American Geriatrics Society 2013; 61 (10):1684-1691.
  14. World population ageing 1950ľ2050. Executive Summary. New York: United Nations population Division. 2001. 46 ­. [Online] [cited 2016 Feb 01]. Available from: http:// http://www.un.org/esa/population/publications/ worldageing19502050/

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