SPECIAL ASPECTS OF HEALTHCARE DELIVERY TO THE RURAL POPULATION IN THE KRASNODAR KRAI ON THE EXAMPLE OF KURGANINSKIY DISTRICT

• Main Authors: I. S. LEBEDEVA, M. Yu. TYUNIN, P. V. LEBEDEV
• Format: Article
• Language: Russian
• Published: Ministry of Healthcare of the Russian Federation. “Kuban State Medical University” 2017-09-01
• Series: Кубанский научный медицинский вестник
• Subjects: rural health care; specialized care; primary healthcare; public health issues
• Online Access: https://ksma.elpub.ru/jour/article/view/787
• ISSN: 1608-6228; 2541-9544

Aim. The aim of the study is to analyze special aspects of medical assistance to the rural population of Krasnodar Krai.Material and methods. A study conducted on the basis of the statistics, including information on the achievement of specific targets of socio-economic development of the Kurganinskiy district, analysis of indicative plans for socio-economic development of rural settlement Temirgoevskaya of Kurganinskiy district.Results. The rural health underresourcing was revealed: remoteness of settlements from specialized medical organizations, low staffing level of health institutions by physicians (46.7%), paraprofessionals (72.1%), nonconformity of wages level with the target values (200% from the median wage for the district for doctors while the current value is 165% and 100% for secondary and nursing staff with the current values of 84% and 73% respectively). For leveling the staffing problems in the district a subprogram “Healthcare system staffing”, which is a part of a program “Healthcare development”, a focused program “Medical personnel for rural healthcare”, a program "Zemsky doctor", etc. are implemented. For medical assistance approaching its onsite forms are used and telemedicine network is developing as well.Conclusion. The rate of mortality and increase of life expectancy so far do not meet those necessary to achieve the efficiency factors, although they are showing a positive dynamics. A high level of socio-economic stability of the residents of Kurganinskiy district and Temirgoevskaya settlement can be the factors of health maintenance. Reducing diseases incidence and increasing life expectancy, we provide productivity growth and extension of the working period of those employed in the agricultural sector that ensures the growth of national income and enhancing its well-being.