Introduction. The staffing of healthcare organizations is renewed through the influx of personnel aimed at reducing both the quantitative and qualitative deficits of medical specialists. Insights into the progression of these processes, along with their positive and negative aspects, can be gained by examining the socio-demographic characteristics of the workforce. A corresponding analysis, including a dynamic assessment over the period from 2019 to 2023, has been conducted using the example of medical personnel employed in the capital of Russia. Purpose. The analysis of the processes of updating medical personnel based on socio-demographic changes that have occurred in the medical staff of the capital's medicine over the horizon of five years. Materials and Methods. The empirical basis of the study is statistics from the Moscow Healthcare Department, as well as information from a sample questionnaire survey conducted in 2023. Respondents included medical specialists employed in organizations under the Moscow Healthcare Department (answers from doctors were used). Statistical and analytical data processing methods were used for data analysis. Results. During the analyzed five-year period, the influx of young professionals into Moscow’s healthcare organizations surpassed the growth seen in previous years. This influx contributed to an increase in the number of medical personnel, helped offset the retirement of doctors of pre-retirement and retirement age, and overall facilitated a rejuvenation of the staff. Conclusion. The analysis has shown that the rapid involvement of young specialists in Moscow’s healthcare sector significantly mitigates the quantitative shortage of medical personnel. However, to address the quality deficit, the experience of seasoned doctors remains a vital component of high qualifications, which younger professionals currently lack. Therefore, it is essential to enhance collaboration between young and experienced doctors, particularly in primary care settings.

Background. Ensuring access to health care is a priority area of development in Russian healthcare. Introducing new organizational technologies along with eliminating medical staff shortages is important to improve access to health care. Doctors provide care at consultations, so they are the polyclinic’s most valuable resource. Therefore, doctors' working time is lost and access to health care is limited when patients fail to show up without canceling an appointment. Purpose. To ensure access to health care by eliminating the loss of doctors' working time due to patient no-shows. Materials. The authors used the results of a facility-based experiment and the data from the Unified Medical Information System (EMIAS) on the number of people who made an appointment with doctors of various specialties at a city polyclinic during one calendar year and the number of people who did not show up for an appointment later. Methods. The authors carried out a facility-based experiment and applied analytical, sociological, and statistical methods. Results. The percentage of people who pre-registered to an appointment with a doctor but subsequently failed to show up for it at a Moscow polyclinic ranged from 9% to 18.9%, depending on the medical specialty. During a facility-based experiment, the nurses of an urology office called patients who had made an appointment with a urologist to confirm their attendance. The experiment enabled to reduce the proportion of missed appointments from 13 to 3.4% (p < 0.001). Conclusion. Preliminary communication between patients who have made an appointment with doctors, and polyclinic’s healthcare workers who call patients to remind them about appointments and receive their confirmation or refusal to show up for an appointment is proved to be efficient to ensure access to health care in Moscow polyclinics.

The purpose of the study was to assess the psychological and emotional state of students and residents in medical universities in relation to their sex, professional stage, and training special-ty. Materials and methods. The study included 1,007 medical students undergoing specialty and residency programs. The study assessed the psychological and emotional state of students and res-idents in medical university based on anxiety and depression levels. The study applied validated psychological, sociological, and statistical methods for data collection, processing, and subsequent analysis. Results. The general psychological and emotional state of students and residents of medi-cal universities is relatively prosperous and characterized by a majority of individuals having no signs of anxiety or depression. Female students tend to have higher anxiety levels. The study de-picted a tendency toward depression level increase from the first-year specialists to the residents. The level of psychological and emotional well-being of students (specialists and residency gradu-ates) majoring in pediatrics is noticeably higher than in comparable groups of dentistry and general medicine.

Background. The article is the first to analyze international certification systems for medical tourism as key drivers for growing export of medical services while healthcare is getting international and Russian medical advances are introduced to the global market. Results. The macro-regional activity of international certification systems and their scope of application—from the quality and safety of medical care to service standards of communication with foreign citizens—are analyzed. The Patients International certification standards were examined in detail. It was evaluated to what extent various departments of a healthcare organization are involved in the implementation of international standards.

Background. Healthcare systems operate under high public demand for medical care and require ongoing improvement of organizational activities despite limited resources. These improvements can be achieved by applying lean manufacturing techniques and technologies. The purpose of the study is to assess the feasibility of utilizing incidents identified in medical organizations as an informational basis for implementing measures to eliminate losses and defects in the treatment and diagnostic processes. Materials and methods. The study analyzed open-access scientific sources databases such as PubMed, CyberLeninka, and eLibrary. It employed case study methods, the “5 Whys” approach, and the Swiss cheese model to describe how incidents can serve as a source of information for implementing lean technologies. Results. The collection and analysis of incidents represent effective tools for introducing lean manufacturing in healthcare. This approach allows one to identify and improve processes that lead to losses and unnecessary waste iof resources in medical organizations.

Introduction. The article presents the experience of using SERVQUAL method as a tool for internal quality control in an oncology medical organization. Purpose. The aim of the study is to analyze the experience of using the SERVQUAL method as an additional tool for internal quality control of medical care. Materials and methods. The study involved 536 patients and 234 employees from an oncological medical organization in Kirov. Results. The data obtained enabled a thorough investigation into the reasons for the increasing dissatisfaction with the quality of medical care among both patients and medical staff, facilitating effective management decisions.

Background. Adolescence and young adulthood are key stages for the onset of mental disorders and health-related behaviors. Poor mental health during this period can seriously affect a young person’s chances in later life and have a significant negative impact on physical health, education and employment in later life. Meanwhile, the deterioration of mental health in young people, especially students, is observed on a global scale. These problems significantly contribute to disability rates worldwide and create a high economic burden. Therefore, adolescents and young adults are an important group in urgent need of preventing poor mental health. However, successful implementation of psychological support programs remains challenging due to limited availability of treatment options, high costs, and the underestimation of the impact of youth stress. Digital health methods, such as smartphone apps, have the potential to address this issue. Materials and methods. This review describes current work examining mobile apps for improving mental health in young people that use evidence-based methods and have been shown to be highly effective in robust, well-designed randomized controlled trials. Results. The information presented can help develop and perfect digital technologies for improving mental health in young people.

Background. Value-based healthcare is becoming the main theme of restructuring and improving modern healthcare systems around the world. The value of medical care for the patient is at the forefront; therefore, in order to make effective decisions, it is important to measure the effect of the treatment by taking into account the data reported by patients. This article provides a brief description of the concepts of patient-reported outcomes (PROs), indicators for measuring them (PROMs) and their significance in value-based healthcare. Based on the analysis of foreign publications, the basic principles and stages of the formation of PROMs with detailed descriptions of separate elements are considered, and a scheme of the PROM development process is generated. Since the use of PROM in Russian healthcare has not yet widely used, but have proven effective in supporting value-based healthcare initiatives abroad, exploring methods for developing and selecting these measures is becoming a relevant trend. The goal is to analyze the approaches of foreign researchers to the development of PROM and choosing it for implementation in Russian healthcare. Materials and Methods. This review is based on the content analysis of scientific literature published in the Springer Nature databases (BMC journal portfolio) and eLibrary.ru. It includes publications on the problems of measuring the PROs and the process of their development selected using the following keywords: outcome indicators reported by patients, PROM, development, and value-based healthcare. Additionally, general scientific methods of cognition were used: comparison, generalization, system-structural and analytical methods. Results. This article considers the main types of patient-reported outcomes — PROs — and types of indicators for their measurement — PROMs. It also analyzes the results of research and opinions of foreign scientists on the development of PROM. The principles and stages of PROM development are systematized, and a scheme of the PROM development process for any areas of measurement and application is generated — a possible methodological basis for the development and implementation of PROM in the Russian healthcare market.

Purpose. The article discusses the latest changes in the labor legislation of the Russian Federation regarding the mentoring system, particularly, in healthcare. In response to the President's instruction on tightening labor regulations related to mentoring dated July 25, 2023, a draft federal law was proposed, and further adopted on November 9, 2024. Materials and methods. The presented study analyzes the new federal law that amends the Labor Code of the Russian Federation in the field of mentoring. The article also analyzes important aspects of creation and regulation of a mentoring system, examines possible ways of mentor encouragement, and emphasizes the need for support from government authorities and educational institutions. Results. Based on the results obtained, it was concluded that the introduction of a mentoring system under the new legislation would ensure the sustainable development of skilled workforce, increase the level of medical care and improve the overall competitiveness of Russian healthcare in the modern labor market.

Background. Globalization and science digitalization make academic mobility an important mechanism for developing the professional and research potential of young scientists. N.A. Semashko National Research Institute of Public Health (Moscow) and Kyrgyz-Russian Slavic University (Bishkek) realized Visiting Professor Program, one of the most effective forms of academic mobility. This program unites foreign and national experts and involves them in education by delivering lectures, conducting master classes, guiding research projects and providing mentoring support. Such projects enhance educational programs, facilitate research communication and contribute to academic sustainability formation. Purpose of the study is to emphasize the role of the summer school, part of Visiting Professor Program, in research identity and professional growth of young medical scientists via “Start in Science” Project. Materials and methods. The study used a mixed methodological approach, including content analysis, systematization and generalization of scientific publications reflecting various aspects of academic mobility; direct observation, semi-formalized participants’ interviews on the program’s quality, effectiveness, content and relevance. Results. The short-term academic mobility program “Start in Science” is an effective project that significantly increased the participants’ research and professional level, they improved academic communication skills, presented work results, got acquainted with research tools and AI capabilities in academia. The multi-format structure and inter-level interaction between students, graduate students and lecturers created a productive educational environment and an academic community focused on long-term cooperation and healthcare personnel development.

Introduction. The scale of humanitarian crises and forced migration continues to grow, increasing the need for medical care for refugees and internally displaced persons. International non-governmental organizations play a key role in ensuring access to basic and specialized medical services in emergency situations. Purpose. The article examines the main ethical dilemmas and organizational difficulties faced by international non-governmental organizations in implementing medical care programs. Special attention is paid to the issues of equitable allocation of resources, respect for cultural sensitivity, ensuring staff safety and the sustainability of medical interventions. Results. Approaches to solving these challenges based on the principles of humanitarian medicine and international medical law are proposed.

Background. The article studies health as a factor of human well-being, economic productivity, and national social development. Social issues of health protection affect life’s quality and longevity in Russia. Purpose. To analyze social health determinants and their effect on the Russian health protection system, detect key problems and focus on their possible solutions. The objectives of the study are analyzing current social issues of health protection, investigating the impact of inequality and economic conditions on population health, and considering the role of education and culture in health maintenance. Materials and methods. The article scrutinizes Russian regulatory acts on health protection, WHO research papers, studies of national and international authors, and social studies on health protection. The authors highlight the following: the concept of health in sociology, social and economic determinants of health, factors of health protection, innovations in healthcare, working conditions and labor protection, national healthcare policy, and improvement of social and economic factors of health protection. Normative target-based, statistical, comparative methods, and social and system-analytical analyses were used in this article. Results. Today, uneven resources, insufficient funding, and staff imbalance put a negative effect on the health protection system. The current healthcare policy needs to reform the organizational and economic mechanisms of the health protection system. Finance optimization, emphasis on primary care, healthy lifestyle promotion, and early disease detection are more productive than advanced case treatment.

Purpose. The article analyzes modern strategies for vaccination information support regarding society digital transformation and misinformation spreading. The author examines the key areas of increasing vaccination population coverage: targeted campaigns, medical community partnership, public leaders and bloggers involvement, methods of storytelling and visual communication usage. Results. The article emphasizes the necessity of a personalized approach to different groups and the importance of sustainable trust, dialogue and interdisciplinary collaboration. The conclusion is based on analyzing foreign and Russian experience, regulatory framework and empirical data, it demonstrates the need for a systematic communication policy in public health.