sredobЗдоровье населения и среда обитания – ЗНиСОPublic Health and Life Environment – PH&LE2219-52382619-0788ФБУЗ ФЦГиЭ Роспотребнадзора10.35627/2219-5238/2024-32-9-19-30sredob-2197Research ArticleВОПРОСЫ УПРАВЛЕНИЯ И СОЦИАЛЬНОЙ ГИГИЕНЫISSUES OF MANAGEMENT AND SOCIAL HYGIENEТеоретическая модель ресурсного обеспечения региональной системы здравоохранения для устойчивого ответа на глобальные вызовыTheoretical model of regional healthcare system resource provision for a sustainable response to global challengeshttps://orcid.org/0000-0002-8749-8504ОрловС. А.OrlovS. A.

Сергей Александрович Орлов, к. м. н., старший научный сотрудник

отдел изучения образа жизни и охраны здоровья населения; отдел научно-стратегического развития первичной медико-санитарной помощи

101000; ул. Воронцово Поле, д. 12, стр. 1; 101990; Петроверигский пер., д. 10, стр. 3; Москва

Sergey A. Orlov, Cand. Sci. (Med.), Senior Researcher

Department of Lifestyle Studies and Public Health Protection; Department of Scientific and Strategic Development of Primary Health Care

105064; Bldg 1, 12 Vorontsovo Pole Street; 101990; Bldg 3, 10 Petroverigsky Lane; Moscow

orlovsergio@mail.ruhttps://orcid.org/0000-0002-0761-1838АлександроваО. Ю.AleksandrovaO. Yu.

Оксана Юрьевна Александрова, д. м. н., профессор, заместитель директора по учебной работе

101000; ул. Воронцово Поле, д. 12, стр. 1; Москва

Oxana Yu. Aleksandrova, Prof., Dr. Sci. (Med.), Deputy Director for Academic Affairs

105064; Bldg 1, 12 Vorontsovo Pole Street; Moscow

aou18@mail.ruhttps://orcid.org/0000-0003-4831-1783ВасильеваТ. П.VasilievaT. P.

Татьяна Павловна Васильева, д. м. н., профессор, заслуженный врач Российской Федерации, руководитель направления

направление «Теоретические закономерности формирования общественного здоровья и здоровьесбережение»

101000; ул. Воронцово Поле, д. 12, стр. 1; Москва

Tatyana P. Vasilieva,  Prof., Dr. Sci. (Med.), Honored Doctor of the Russian Federation, Head of the Research Direction

Research Direction “Theoretical Patterns of Public Health Formation and Health Maintenance”

105064; Bldg 1, 12 Vorontsovo Pole Street; Moscow

vasileva_tp@mail.ruhttps://orcid.org/0000-0003-3483-7928ГоренковР. В.GorenkovR. V.

Роман Викторович Горенков, д. м. н., ведущий научный сотрудник

отдел изучения образа жизни и охраны здоровья населения

101000; ул. Воронцово Поле, д. 12, стр. 1; Москва

Roman V. Gorenkov, Dr. Sci. (Med.), Leading Researcher

Department of Lifestyle Studies and Public Health Protection

105064; Bldg 1, 12 Vorontsovo Pole Street; Moscow

rogorenkov@mail.ruФГБНУ «Национальный научно-исследовательский институт общественного здоровья имени Н.А. Семашко»; ФГБУ «Национальный медицинский исследовательский центр терапии и профилактической медицинs» Минздрава РоссииРоссияN.A. Semashko National Research Institute of Public Health; National Medical Research Center for Therapy and Preventive MedicineRussian FederationФГБНУ «Национальный научно-исследовательский институт общественного здоровья имени Н.А. Семашко»РоссияN.A. Semashko National Research Institute of Public HealthRussian Federation2024081020243291930Copyright © Орлов С.А., Александрова О.Ю., Васильева Т.П., Горенков Р.В., 20242024Орлов С.А., Александрова О.Ю., Васильева Т.П., Горенков Р.В.Orlov S.A., Aleksandrova O.Y., Vasilieva T.P., Gorenkov R.V.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://zniso.fcgie.ru/jour/article/view/2197   Введение

   Введение. Глобальные катастрофы и вызовы оказывают значительное влияние на функционирование национальных систем здравоохранения, а при оценке обеспечения их готовности к своевременному и эффективному ответу к данным событиям существуют различные и зачастую неоднородные подходы, обуславливающие необходимость разработки интегральной и унифицированной модели ее функционирования с учетом ресурсных возможностей.

   Цель исследования

   Цель исследования: разработать на основе международных подходов теоретическую модель ресурсного обеспечения региональной системы здравоохранения для устойчивого ответа на глобальные вызовы.

   Материалы и методы

   Материалы и методы. Проведен шестиэтапный аналитический обзор международных научных публикаций по методу PRISMA. Первый и третий этапы включали формирование первичных баз данных (объем первичной выборки – 470 статей, объем дополнительной выборки – 549 статей) из публикаций Национальной медицинской библиотекиНационального института здравоохранения и базы данных PubMed за период с 1 января 2000 по май 2024 года. Второй и четвертый этапы исследования включали проведение экспертного рецензирования и исключение публикаций. На пятом этапе проведен экспертный анализ итоговой выборки (объем выборки – 30 статей) из наиболее содержательных публикаций. На шестом этапе разработана BPMN (Business Process Management Notation) модель снабжения системыздравоохранения ресурсами, позволяющая ей сохранять устойчивость в условиях реализации глобальных вызовов.

   Результаты

   Результаты. Разработана теоретическая модель ресурсного обеспечения региональной системы здравоохранения для устойчивого ответа на глобальные вызовы, представленная пятью уровнями взаимодействия, учитывающими виды и условия оказания медицинской помощи, различные звенья формирования ресурсных резервов, а также иерархические связи между медицинскими организациями.

   Заключение

   Заключение. Разработанная модель формализована и алгоритмизирована в части описания основных процессов, реализуемых в структурных элементах системы здравоохранения при различных сценариях их функционирования, и может быть использована для разработки планов и программ по повышению мобилизационной готовности региональной системы здравоохранения для ответа на глобальные вызовы.

   Introduction

   Introduction: Global disasters and challenges have a significant impact on the functioning of national health systems. Heterogeneous and often differing approaches to assessing the readiness of the latter for a timely and effective response to these events necessitate the development of an integrated and unified model of its functioning given the resource potential.

   Objective

   Objective: Based on international approaches, to develop a theoretical model of resource provision of a regional healthcare system for a sustainable response to global challenges.

   Materials and methods

   Materials and methods: We conducted a six-stage analytical review of international scientific publications using PRISMA method. The first and third stages included creation of primary databases (initial sample size: 470 articles, additional sample size: 549 articles) of publications found in the National Medical Library of the National Institute of Health (NLM and NCBI) and the PubMed databases for the period of January 1, 2000 to May 2024. The second and fourth stages included peer review and selection of eligible publications. At the fifth stage, an expert analysis of the final sample (30 articles) consisting of the most informative publications was carried out. At the sixth stage, we developed a BPMN (Business Process Management Notation) model of resource provision of the healthcare system that allows it to maintain stability in the face of global challenges.

   Results

   Results: We developed the theoretical model of the regional healthcare system resource provision for its sustainable response to global challenges, represented by five levels of interaction that take into account medical care types and conditions, different stages of resource reserve formation, as well as hierarchical links between health facilities.

   Conclusion

   Conclusion: The developed model has been formalized and algorithmized in terms of description of the main processes taking place in the health system structural elements under different scenarios of their functioning and can be used to elaborate plans and programs to improve the regional healthcare system emergency response to global challenges.

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