Social Determinants of Health Protection in Russia: Challenges and Proposed Solutions

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.

1. Gordeeva S.S. Social background of formation of health sociology in contemporary Russia. Perm University Herald. Philosophy. Psychology. Sociology 2011;107-10. (In Russ.)

2. Borodich I.A. Sociological studying of social problems of public health care. Vestnik of the St Petersburg Univ Min Int Aff Russ. 2010;3(47):167-170.

3. Shartova N., Tikunov V. & Chereshnya O. Health disparities in Russia at the regional and global scales. Int J Equity Health. 2021;20(163). https://doi.org/10.1186/s12939-021-01502-6

4. Baranov A.A., Albitsky V.Yu. 100TH Anniversary of The Soviet Maternal and Child Healthcare System: Successes, Problems, and Lessons. Current Pediatrics. 2018;17(1):11-15. (In Russ.) https://doi.org/10.15690/vsp.v17i1.1851

5. Lapteva E.V., Turganbekova D.N. Statistical analysis of public health and safety in the Russian Federation. Alley of Science. 2017:5(6):184-188

6. Kantemirova M.A., Bataev Kh.M., Sultanova E.A. Stability of the healthcare system in conditions of instability of economic crisis systems. Economy and Entrepreneurship. 2023;12(161):297-301. (In Russ.) https://doi.org/10.34925/EIP.2023.161.12.057

7. Budarin S.S. Sustainability of global health systems during the COVID-19 pandemic. Ekonomika i Upravlenie Problemy Resheniya. 2020;3(8):105-114. https://doi.org/10.36871/ek.up.p.r.2020.08.03.013

8. Klepach A.N., Lukyanenko R.F. Healthcare in Russia: Macroeconomic parameters and structural issues. Studies on Russian Economic Development, 2023;34(2):207-220. https://doi.org/10.1134/S1075700723020065

9. Reshetnikov A.V., Sobolev K.E. Medical and sociological monitoring. Moscow: GEOTAR-Media, 2nd ed., revised. and an additional 2022. 280 p.

10. Aleksashina T.V., Ananchenkova P.I., Belkin M.V., et al. Modern problems of labor economics and ways to solve them. Monograph. Moscow-Berlin: Directmedia Publishing; 2019. (In Russ.)

11. Avdeyeva I.L., Ananchenkova P.I., Babich O.V., et al. Change management in economic systems. Monograph. Orel: Central Russian Institute of Management, Branch of RANEPA; 2020. (In Russ.)