[The strategic choice of organizational technologies preventing burning out of general practitioners in the system of patient-oriented medicine].

The general medical practice in modernized primary health care units of Moscow medical organizations by its generalized statistical indicators takes the leading place in rating of health care organizations of the Subjects of the Russian Federation. The research study revealed problems in achieving target indicator - level of patient satisfaction with quality of medical care provided by general practitioners/family doctors made up to 54.3%.

[The organizational legal issues related to implementation of social care of persons involved into medical care support during COVID-19].

The article considers main problems related to implementation of social protection of persons involved in medical care support during COVID-19 pandemic. The purpose of the study is to identify organizational legal problems in implementing social protection of persons involved in medical care support during COVID-19. The normative legal acts of the Russian Federation, the WHO documents, official data of Minzdrav of Russia, information from portals of "Stopcoronavirus.

[On the issues of additional public support of workers involved in medical care support during period of COVID-19].

The article considers issues of organizational and legal progress of social protection of workers involved in medical care during period of COVID-19. The purpose of the study is to analyze regulatory legal documents that define state guarantees that provide social protection for persons involved in the provision of medical care during COVID-19. The attempt was made to analyze international and national information on relevant morbidity, mortality and disability of health care workers, but respective data was not readily available in open admission.

[The system of criteria and indicators of accessibility of laboratory diagnostic in the Subject of The Russian Federation].

The modern health care is characterized by constant increasing need in laboratory tests. The quality and accessibility of laboratory diagnostics becomes one of key determinants of social well-being in aspect of maintaining population health. The purpose of the study is in developing system of criteria and indicators of accessibility of laboratory diagnostics applicable in organization of health care at the level of the Subject of the Russian Federation.

[The telemedicine and digital technologies in education programs of training medical personnel of higher qualification].

The article considers application of telemedicine and digital technologies in educational programs of training medical personnel in residency and graduate school for the Russian health care system. The possibilities of telemedicine and digital technologies that currently are in use for remote medical care, consultations of medical workers by qualified medical specialists and for training and re-training of medical personnel are investigated. The key topics of modern health care are improvement of system of training medical manpower, personalization of medical care in health care, individualization of professional orientation in the process of continuing medical education and current methods of information environment management in health care sector.

[The World Health Organization: Project of novels in the field of controlling international medical sanitary regulations].

The article considers draft of new edition of the International Health Regulations. The possible risks associated with changing of the document are evaluated from perspective of member countries, in whose territories occur or supposedly occur emergency situations in field of public health having international importance.

[The health control of employees in digitization conditions].

The article considers issues of health management of employees at workplace in conditions of globalization and digitalization of society, causing need to revise the labor relations. Under impact of global trends in field of digital technologies, transformation occurs concerning working environment and labor safety measures, contributing to development of new forms of interaction between employee and employer and employment models as well. The ongoing changes in society and global changes in labor market require to investigate new labor conditions, formation of system of knowledge about directions and perspectives for development of labor relations and human resources management.

[TO THE QUESTION OF IMMUNOPROPHYLAXIS OF PERSONS PARTICIPATING IN THE PROVISION OF MEDICAL CARE IN THE CONDITIONS OF COVID-19].

Immunoprophylaxis is one of the pressing health problems. The safety of those involved in the provision of medical care acquired particular importance during the period of the introduction of the high alert regime. Regulatory norms determine the need for the prevention of infectious processes, including among this group of workers.

[The comparative analysis of mandatory and voluntary medical insurance in national and international practice].

Nowadays, the formation and development of medical insurance system of citizens attracts attention of experts in the medical field and the insurance market. The possibilities of using foreign practice in the formation and organization of medical insurance, including improving of models of financing health care system in foreign countries and implementation of mechanisms of resource support of health care industry tested in world practice, deserve interest of researchers in order to enhance financial institutions of national system of mandatory and voluntary medical insurance. In Russia and foreign countries, the mandatory medical insurance policy allows citizens insured in mandatory medical insurance system, to undergo examination and receive treatment in medical organizations in amount established at the state level.

[The health issues in self-appraisal of workers of industrial production and social sector].

The article considers issues of health, safety and well-being of working citizens in such sectors of economy having great importance for every state such as production and social sphere. The problem of health preservation and working place safety is actual for working population all around the world, going beyond interests of individual citizens and their families and playing primary role in issues of labor safety and productivity, competitiveness and development of enterprises, stability of national economy sectors. The actuality of the study is conditioned by the fact that human resources and labor market are key institutional factors impacting the level of state socioeconomic development and determining health status of working citizens.

[Making management decisions of oncopathology prevention based on monitoring of disease dynamics and trends].

The article deals with results of comparative analysis of the dynamics and trends of the incidents of malignant neoplasms in the population of the Moscow region. The Central Federal district and the Russian federation as a whole according to Rosstat data for 2009-2018. It was established that in Moscow region in comparison with other territories, the level and growth rates of the incidence of malignant neoplasms were lower.

[The role on medical education in implementation of program "Zemstvo doctor"].

The article presents the results of study concerning improving medical care quality in rural areas. The purpose was to investigate the characteristics of medical personnel training in the framework of the "Zemstvo Doctor" program. The activities of the University were analyzed concerning implementation of professional training of medical personnel and including continuing medical education.

[The disproportions of personnel support of medical sphere].

The article discusses such issues of current state of staffing in medical sector as availability of health care system specialists, training programs for applicants to medical educational organizations and post-graduate programs for specialists, professional motivation and job prospects for graduates, prospects for development of medical education and training. In addition to professional sphere, modern health care system is also a market for medical services, which, according to expert estimates, is about 10 trillion US dollars per year. The participants in the field of medical services are not only organizations that provide medical care, but also manufacturers of medical equipment and medications.

[The development of organization and provision of medical preventive care of patients with chronic dermatitis].

The diseases of skin and subcutaneous tissue, despite the constantly improving methods of their diagnosis and treatment, continue to widespread in the population of the Russian Federation. Consequently, it is relevant to develop evidence-based measures of improving dermatological medical care for the population. The purpose of study is to develop and substantiate proposals for improving specialized medical care of patients with chronic dermatitis in megalopolis.

[The handling and using of medical research data].

The results of scientific research can be trusted when initial data is processed properly. To watch out quality of data is the most important in those research studies that provide their results to Russian health care officials for management decision-making that effect medical care support on national scale. The financial support of science within the framework of public contracts turns out less efficient when deductions are based on unreliably collected, altered or omitted information.

[The public-private partnership in medical services market].

The article considers the types of public-private partnership in the medical services market. Nowadays, health care is recognized all over the world as one of the most investment attractive platform for development of public-private partnership. The investments of private capital into medical services sector represent global trend conditioned by implementation of innovative treatment methods, technique support of medical clinics, improvement of quality of medical services, formation of new institutional structure in health care.

[The problems of planning scientific research in medicine].

The publication activity is one of main criteria of assessment of scientific activity of individuals and organizations. The results publications in serious scientific journal is considered as confirmation that study is properly planned, implemented and statistically processed. The inconsistency of research planning and presentation of results in Russia to international requirements is major cause of preventing publication in prominent international editions.

[The effects of diosmin and hesperidin on capillary blood flow of upper limbs in patients with secondary Raynaud's syndrome].

The article discusses the effects of diosmin and hesperidin on capillary blood flow in patients with secondary Raynaud's syndrome (RS). Raynaud's syndrome a difficult problem of modern angiology, since in its development there is a large range of disorders of the capillary blood flow of the limbs. Currently, the main way of therapy in patients with secondary Raynaud's syndrome is the use of either calcium channel blockers (if angiospastic stage of the disease), or prostaglandins of group E1 (with tropho-paralytic stage of secondary RS).

[Epidemiology of chronic critical limb ischemia].

Peripheral artery diseases amount to more than 20% of all types of cardiovascular diseases, which corresponds to 2-3% of the total population. 15 to 30% of the population of Russian Federation over 65 years have signs of obliterating arteriopathy. Advance of arterial insufficiency in some cases leads to development of special state - chronic critical limb ischemia (CLI).

[Ultrasound assessment of alterations in venous haemodynamics in patients with post-thrombotic disease permanently taking phlebotonics].

Objective: The study was aimed at using ultrasound duplex scanning for determining the sequence and terms of formation of venous haemodynamics impairments in the affected lower extremity in patients after endured acute thrombosis of deep veins and assessing the effect of phlebotonic drugs on the course of these processes.

Material And Methods: We examined and treated a total of 66 patients presenting with newly onset acute thrombosis of deep veins of lower limbs without concomitant varicose disease. Group I patients (n = 22) received the standard course of angiotropic and metabolic infusion therapy, direct and indirect anticoagulants, as well as used elastic compression.

[Effect of drug therapy for chronic obliterating diseases of lower-limb arteries on the state of the microcirculatory bed].

Unlabelled: Search for an optimal method of conservative treatment of patients presenting with chronic obliterating disease of lower limb arteries (CODLLA) still remains an important and hitherto unsolved problem. Comparative studies of different drugs and objective assessment of their efficacy may be carried out using the method of laser Doppler flowmetry (LDF) with wavelet analysis of fluctuations in blood flow.

Objective: The study was aimed at assessing efficacy of using Actovegin in conservative treatment of patients presenting with chronic obliterating disease of the lower extremities induced by occlusive and stenotic lesions of the arterial bed.

[Cardiosynchronized sequential antegrade pneumocompression in treatment of patients with multifocal atherosclerosis].

The work was aimed at assessing efficacy and safety of indications for and contraindications to a promising method of treatment for multifocal atherosclerosis - enforced external counterpulsation, suggesting a new noninvasive method of treatment of chronic obliterating diseases of lower-limb arteries - cardiosynchronized sequential antegrade pneumocompression.

[Peculiarities of performing hybrid operation in a patient with atherosclerosis of lower limbs and developed critical ischaemia].

Currently, there is a tendency towards an increase in the incidence rate of cardiovascular disease. According to the data of the World Health Organization the incidence rate of obliterating diseases of peripheral arteries varies from 5 to 10%. Diseases of peripheral arteries manifest themselves by such a severe condition as lower-limb critical ischaemia.

[A clinical example of operative intervention on previously stented peripheral artery in a patient with critical ischaemia of lower limbs].

The problem of open surgery of peripheral arteries after previously performed interventions is currently of considerable interest. This is associated with the development of roentgenoendovascular technologies, on the one hand, and with the fact that it is not always possible to use them properly, on the other. Nowadays, one may single out a small group of patients having endured balloon angioplasty and stenting of the arterial segment followed by open operation.

[Comparative characteristics of the open and endovascular methods of treatment for carotid artery stenoses].

The article is dedicated to the problem concerning treatment for stenoses of the extracranial portions of carotid arteries. From March 2004 to November 2009 at the Department of Vascular Surgery No 2 of the N. A.