zdmeЗдоровье мегаполисаCity Healthcare2713-2617ГБУ «НИИОЗММ ДЗМ»10.47619/2713-2617.zm.2024.v.5i2;165-171zdme-73Research ArticleК ЮБИЛЕЮ ИНСТИТУТА ИМ. Н.А. СЕМАШКОANNIVERSARY OF THE N.A. SEMASHKO NATIONAL RESEARCH INSTITUTEМежсекторальное взаимодействие в здравоохранении: обзор зарубежной практикиIntersectoral Collaboration in Healthcare: an Overview of International Practiceshttps://orcid.org/0009-0007-3355-2660СнегиреваЮ. Ю.SnegirevaYu. Yu.

Снегирева Юлия Юрьевна - канд. экон. наук, магистрант, кафедра экономики и социологии здравоохранения

г. Москва, ул. Воронцово Поле, д. 12

Yuliya Yu. Snegireva - PhD in Economics, Mas­ter's Degree Student, Department of Economics and Sociology

105064, 12, Vorontsovo Pole ul., Moscow

https://orcid.org/0000-0003-3683-5168АнанченковаП. И.AnanchenkovaP. I.

Ананченкова Полина Игоревна - канд. экон. наук, доцент, заведующий кафедрой эконо­мики и социологии здравоохранения

г. Москва, ул. Воронцово Поле, д. 12

Polina I. Ananchenkova - PhD in Economics, Head of Department of Economics and Sociology

105064, 12, Vorontsovo Pole ul., Moscow

ananchenkova@yandex.ruhttps://orcid.org/0009-0002-8390-0073КордубанЕ. А.KordubanE. A.

Кордубан Екатерина Александров­на - аспирант кафедры экономики и социоло­гии здравоохранения

г. Москва, ул. Воронцово Поле, д. 12

Ekaterina A. Korduban - Graduate Student, De­partment of Economics and Sociology

105064, 12, Vorontsovo Pole ul., Moscow

Национальный научно-исследовательский институт общественного здоровья им. Н.А. СемашкоN.A. Semashko National Research Institute of Public Health20242511202452165171Copyright © Снегирева Ю.Ю., Ананченкова П.И., Кордубан Е.А., 20242024Снегирева Ю.Ю., Ананченкова П.И., Кордубан Е.А.Snegireva Y.Y., Ananchenkova P.I., Korduban E.A.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.city-healthcare.com/jour/article/view/73Введение

Введение. Системы общественного здравоохранения, которые включают государственные, частные и добровольные организации, обеспечивающие население услугами здравоохранения, функциони­руют с целью охраны здоровья граждан и обеспечения доступности медицинской помощи. Однако всеобщий охват медицинскими услугами далеко не всегда может быть обеспечен силами исклю­чительно субъектов медицинского сектора. Механизм межсекторального взаимодействия позволяет расширить возможности системы здравоохранения, а также повысить результативность и эффектив­ность ее деятельности.

Цель работы - рассмотреть возможности межсекторального взаимодействия в здравоохранении через соответствующие примеры реализации принципа межсекторальности в практике.

Материалы и методы

Материалы и методы. Работа написана с использованием общенаучных методов исследования, ос­новным из которых являлся контент-анализ научных публикаций зарубежных авторов. Изучение было направлено на вычленение и аккумуляцию практик межсекторального взаимодействия по во­просам охраны здоровья граждан и обеспечения доступности медицинской помощи.

Результаты

Результаты. Межсекторальное взаимодействие может осуществляться между различными депар­таментами и органами власти, образовательными организациями и организациями гражданского общества, коммерческими частными компаниями и иными субъектами. Для обеспечения результа­тивности межсекторального взаимодействия требуется применение специально разработанных ин­струментов. Зарубежная практика межсекторального взаимодействия по вопросам охраны здоровья накопила достаточно положительных примеров, позволяющих оценить возможности сотрудничества для достижения целей по обеспечению доступности медицинской помощи, профилактике неинфек­ционных заболеваний, реагированию на чрезвычайные ситуации в здравоохранении.

Background

Background. Health promotion and universal health coverage are among the functions of any healthcare system which include public, private and voluntary organizations providing health services to the population. However, healthcare actors cannot single-handedly ensure the accessibility of medical care to all individuals. It is intersectoral interactions that could improve the capabilities, performance and efficiency of healthcare system.

Objective

Objective. To consider the possibilities of intersectoral collaboration in healthcare through the relevant examples of the implementation of intersectorality in healthcare practices.

Materials and methods

Materials and methods. Common research methods with the content analysis of international scientific articles as the main one were applied. The practices of intersectoral interaction for ensuring public health promotion and access to medical care were identified and collected from all analyzed articles.

Results

Results. Intersectoral collaboration might be carried out between various departments and authorities, educational and civil society organizations, commercial companies and other entities. The performance and efficiency of intersectoral collaboration are achieved using the specially developed tools. The international practice of intersectoral collaboration on public health protection issues has many great examples of interac­tions facilitating the accomplishment of different goals, such as accessibility of medical care, prevention of noncommunicable diseases, and health emergency response.

медицинская помощьохрана здоровья граждансистема здравоохранениядо¬ступность медицинской помощимежсекторальное взаимодействиеmedical carepublic health protectionhealthcare systemaccessibility of medical careintersectoral interactionReferencesAdeleye O.A., Ofili A.N. Strengthening intersectoral collaboration for primary health care in developing countries: can the health sector play broader roles? Journal of Environmental and Public Health. 2010;2010:272896. doi: 10.1155/2010/272896.Adeleye O.A., Ofili A.N. Strengthening intersectoral collaboration for primary health care in developing countries: can the health sector play broader roles? Journal of Environmental and Public Health. 2010;2010:272896. doi: 10.1155/2010/272896.World Health Organization. Declaration of Alma-Ata. In: Proceedings of International Conference on Primary Health Care. Geneva, Switzerland. 1978.World Health Organization. Declaration of Alma-Ata. In: Proceedings of International Conference on Primary Health Care. Geneva, Switzerland. 1978.Lawn J.E., Rohde J., Rifkin S., Were M., Paul V.K., Chopra M. Alma-Ata 30 years on: revolutionary, relevant, and time to revitalise. Lancet. 2008;372:917-927. doi: 10.1016/S0140-6736(08)61402-6.Lawn J.E., Rohde J., Rifkin S., Were M., Paul V.K., Chopra M. Alma-Ata 30 years on: revolutionary, relevant, and time to revitalise. Lancet. 2008;372:917-927. doi: 10.1016/S0140-6736(08)61402-6.WHO. Intersectoral action for health: a cornerstone for health-for-all in the twenty-first century. In: Proceedings of International Conference on Intersectoral Action for Health. Halifax, Canada. 1997.WHO. Intersectoral action for health: a cornerstone for health-for-all in the twenty-first century. In: Proceedings of International Conference on Intersectoral Action for Health. Halifax, Canada. 1997.Nutbeam D. Evaluating health promotion-progress, problems and solutions. Health Promotion International. 1998;13(1):27-44.Nutbeam D. Evaluating health promotion-progress, problems and solutions. Health Promotion International. 1998;13(1):27-44.Brolan C.E., McEwan C.A., Hill P.S. Australia's overseas development aid commitment to health through the sustainable development goals: a multi-stakeholder perspective. Global Health. 2019;15(1):66. doi: 10.1186/s12992-019-0507-5.Brolan C.E., McEwan C.A., Hill P.S. Australia's overseas development aid commitment to health through the sustainable development goals: a multi-stakeholder perspective. Global Health. 2019;15(1):66. doi: 10.1186/s12992-019-0507-5.Najafi M., Mosadeghrad A.M., Arab M. Mechanisms of Intersectoral Collaboration in the Health System: A Scoping Review. Iran Journal Public Health. 2023;52(11):2299-2312. doi: 10.18502/ijph.v52i11.14030.Najafi M., Mosadeghrad A.M., Arab M. Mechanisms of Intersectoral Collaboration in the Health System: A Scoping Review. Iran Journal Public Health. 2023;52(11):2299-2312. doi: 10.18502/ijph.v52i11.14030.Coming together: Multi-sector convergence in healthcare. URL: https://kpmg.com/xx/en/home/in-sights/2021/09/coming-together-multi-sector-convergence-in-healthcare.html (дата обращения: 12.03.2024).Coming together: Multi-sector convergence in healthcare. URL: https://kpmg.com/xx/en/home/in-sights/2021/09/coming-together-multi-sector-convergence-in-healthcare.html (дата обращения: 12.03.2024).Stead D. Institutional aspects of integrating transport, environment and health policies. Transport Policy. 2008;15(3):139-148.Stead D. Institutional aspects of integrating transport, environment and health policies. Transport Policy. 2008;15(3):139-148.Puska P., Vartiainen E., Tuomilehto J., Nissinen A. 20-year experience with the №rth Karelia Project, Preventive activities yield results. №rd Medicine. 1994;109:54-5.Puska P., Vartiainen E., Tuomilehto J., Nissinen A. 20-year experience with the №rth Karelia Project, Preventive activities yield results. №rd Medicine. 1994;109:54-5.Spiegel J., Alegret M., Clair V., Pagliccia N., Martinez B., Bonet M., Yassi A. Intersectoral action for health at a municipal level in Cuba. International Journal of Public Health. 2012;57(1):15-23. doi: 10.1007/s00038-011-0279-z.Spiegel J., Alegret M., Clair V., Pagliccia N., Martinez B., Bonet M., Yassi A. Intersectoral action for health at a municipal level in Cuba. International Journal of Public Health. 2012;57(1):15-23. doi: 10.1007/s00038-011-0279-z.Ho S., Javadi D., Causevic S., Langlois E.V., Friberg P., Tomson G. Intersectoral and integrated approaches in achieving the right to health for refugees on resettlement: a scoping review. BMJ Open. 2019;1;9(7):e029407. doi: 10.1136/bmjopen-2019-029407.Ho S., Javadi D., Causevic S., Langlois E.V., Friberg P., Tomson G. Intersectoral and integrated approaches in achieving the right to health for refugees on resettlement: a scoping review. BMJ Open. 2019;1;9(7):e029407. doi: 10.1136/bmjopen-2019-029407.Arora M., Chauhan K., John S., Mukhopadhyay A. Multi-sectoral action for addressing social determinants of noncommunicable diseases and mainstreaming health promotion in national health programmes in India. Indian Journal of Community Medicine. 2011;36(Suppl 1):S43-9. doi: 10.4103/0970-0218.94708.Arora M., Chauhan K., John S., Mukhopadhyay A. Multi-sectoral action for addressing social determinants of noncommunicable diseases and mainstreaming health promotion in national health programmes in India. Indian Journal of Community Medicine. 2011;36(Suppl 1):S43-9. doi: 10.4103/0970-0218.94708.Goh L.G., Chua T., Kang V., Kwong K.H., Lim W.Y., Low L.P. et al. Ministry of health clinical practice guidelines: Screening of cardiovascular disease and risk factors. Singapore Medical Journal. 2011;52:220-5. quiz 226-7.Goh L.G., Chua T., Kang V., Kwong K.H., Lim W.Y., Low L.P. et al. Ministry of health clinical practice guidelines: Screening of cardiovascular disease and risk factors. Singapore Medical Journal. 2011;52:220-5. quiz 226-7.Le H.T., Mai H.T., Pham H.Q., Nguyen C.T., Vu G.T., Phung D.T., Nghiem S.H., Tran B.X., Latkin C.A., Ho C.S., Ho R.C. Feasibility of Intersectoral Collaboration in Epidemic Preparedness and Response at Grassroots Levels in the Threat of COVID-19 Pandemic in Vietnam. Front Public Health. 2020;17;8:589437. doi: 10.3389/fpubh.2020.589437.Le H.T., Mai H.T., Pham H.Q., Nguyen C.T., Vu G.T., Phung D.T., Nghiem S.H., Tran B.X., Latkin C.A., Ho C.S., Ho R.C. Feasibility of Intersectoral Collaboration in Epidemic Preparedness and Response at Grassroots Levels in the Threat of COVID-19 Pandemic in Vietnam. Front Public Health. 2020;17;8:589437. doi: 10.3389/fpubh.2020.589437.Hunter D.J., Perkins N., Bambra C., Marks L., Hopkins T. et al. Partnership Working and the Implications for Governance: issues affecting public health partnerships. 2011.Hunter D.J., Perkins N., Bambra C., Marks L., Hopkins T. et al. Partnership Working and the Implications for Governance: issues affecting public health partnerships. 2011.

The authors declare that there are no conflicts of interest present.