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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 medical sphere can't to effectively develop isolated from social structure. selleck kinase inhibitor The staffing in medical field requires, along with professional motivation and job prospects in order to attract specialists in the field of medicine, and provide social support for their retention. The students entering medical university need decent salary after graduation and favorable conditions for further progression in professional field.The unfavorable demographic situation in the Russian Federation determines need of developing medical, organizational and social technologies for preventing abortions because of non-medical reasons. The purpose of the study was to analyze consensus opinion of physicians about reasons women refusing to continue pregnancy, to establish directions of preventing abortions and to evaluate efficiency of the Municipal Competition "Life is sacred gift", the initiative of the All-Russian Program "Sanctity of Motherhood". The study applied such sociological technique as questionnaire survey of 20 obstetricians gynecologists about causes of miscarriage and main directions of prevention of abortion. The analysis was implemented of dynamics of rate of abortions during last 5 years before the introduction of innovative program of prevention of abortion with participation of physicians, psychologists, representatives of public and religious organizations in the form of the competition "Life is sacred gift" (2006-2010) and in program implementation (2012 -2016 GG.) Also were applied the concordance technique, the Fisher's angular transform and rank correlation. The consistency of opinions of physicians about place of lacking of knowledge about risks of abortion and reproductive health in woman decision making about abortion (W = 0.32; χ² = 44.8; p less then 0.001), about motivation of preserving pregnancy as the main focus on non-medical abortion prevention (W = 0.33; χ² = 33.3; p less then 0.001). The implementation of innovation program permitted to increase percentage of women who refused abortion from 3.3% to 17.5% (p less then 0.01), to reduce number of non-medical abortions from 37.9 to 16.9 per 100 births, and from 17,5 to 10.5 per 1000 women of fertile age (p less then 0.01). The implementation of innovative program increases effectiveness of standard interventions to prevent abortions.The analysis of various needs in medical laboratory services among physicians of the Samara oblast is targeted to further improvement of laboratory service at oblast level. It is established that effectiveness of laboratory service depends on the needs of customer of service sector which are both physicians and patients. Ignoring their needs results in an increasing both of number of unsatisfied customers and level of mistrust individual operators and laboratory service itself. On the contrary, client-centric approach facilitates dialog of all participants of process of providing laboratory services.The organization of accounting frequency, scope and effectiveness of first medical aid measures could significantly affect improvement of the first aid system in the Russian Federation. According to the score of severity of injury - Abbreviated Injury Scale (AIS-90) and the Injury Severity Scale (ISS) and experts review 23.4% of road accident victims who died before the arrival of emergency medical care had survival probability of more than 50%. The total number of first aid cases before the arrival of the ambulance is only 4.4% of all victims of road traffic crashes. More than 60% of victims needed first aid care and treatment. All reporting statistical forms in force in the Russian Federation at the moment do not provide data for accounting cases of first aid. The developed and tested new registration form "First Aid Registration Card", containing necessary indicators of first aid effectiveness, permits quickly to fill out main indicators data of the victim condition and to complete first aid measures. Also it allows to assess the impact of first aid on mortality, disability and timing of temporary disability loss.The qualitative functioning of any medical institution depends on both professional competence of its staff and document management. The contemporary society is moving towards e-document management. The topicality of investigation stems from necessity to give scientific rationale and put into practice modern information systems and electronic technologies in the activities of head nurses. The article considers realization issues of the Decree of the President of the Russian Federation of May 7, 2018 No. 204 "On national goals and strategic objectives of the development of the Russian Federation for the period until 2024". Among other "national development goals of the Russian Federation for the period until 2024, the Decree sets the goal to ensure the accelerated digital enabling in the economy and social sphere". Therefore, it is no coincidence that the Federal project "Creating a single digital circuit in health care based on unified state health information system" takes central position in the National Health Care Project. The study used content analysis, expert judgment, sociological and statistical methods. The introduction of the AWP SMS program into professional activities of senior medical nurses allows optimizing documents processing. Its effectiveness was evaluated using mathematical modeling methodology.The expansion of types of medical care and the development of tourism activities in medical services market in Russia actively gains momentum. The certain successes were achieved in this sector of economy. Medical and health tourism is more than complex and complicated category as compared to classical types of tourism and requires additional investigation related to improving efficiency of market business activities of related services and implementation of optimal state policy related to regulation and support of development of this segment of tourism industry. The article analyzes current state of market of medical services provided to foreign citizens and considers trends of further development of market of medical and health tourism. The topic of development of medical and health tourism in context of need is to ensure sustainable development of national economy and integration cooperation in the field of recreation and tourism.The decision-making management in health care organizations is one of the basic components of their efficiency. However, there is imbalance between requirements of everyday practice and scientific rationale of process under consideration, in particular lacking of appropriate criteria-diagnostic apparatus causing certain difficulties in decision-making. The purpose of the study was to design automated multi-criteria method of evaluating success of decision-making management in health care organizations. The survey of 62 experts, health care managers, was carried out. 23 criteria for evaluating success of decision-making management in health care organizations have been defined as well as their gradation and significance, integral model options, i.e. the multi-criteria evaluation method has been designed. The automation of method on "1C Enterprise" software greatly facilitates assessment of not one but a number of health care organizations enabling their ranking. The machine processing results in integral evaluation and informative criteria determining it thus making possible search of case causes and ways of correction. The obtained results can be applied in daily procedures and training of executives of health care organizations.The world health care system´s concern of inequalities in treatment of receiving the necessary medical care. The purpose of article to evaluate the availability of endovascular care (EVC) for patients at regional level in Russia and to develop a system for its improvement. As a result the low availability of EVC for the population at the regional level in Russia with coronary heart disease, atherosclerosis of the brachiocephalic arteries and critical lower limb ischemia (CLLI) was funded. The main reasons for the difficulties in obtaining EVC in the regions of Russia are the low frequency of diagnosing a critical stage of cardiovascular disease (CVD) requiring surgical treatment, the absence of cardiovascular surgeons and cardiologists in the medical care organizations, the failure in information to patients attending a regular doctor´s appointment about effectiveness and safety of endovascular treatment technology. More old-school traditional methods remain in place like bypass or endarterectomy surgery. Further obstacles are prolonged waiting list at the regional level for the provision of high-tech care in cardiovascular surgery, choice of conservative treatment methods or amputation of lower limbs for patients with CLLI 3 and 4 st. (p less then 0.05). In Conclusion the Clinical and organizational assessment of the endovascular care accessibility in CVD for the population in regions of Russia elaborated. One way to improve the situation is the introduction of the cardiovascular care clinical management. A dual-circuit clinical and organizational system was developed and proposed to increase endovascular care accessibility in regions.To explore the factors potentially related to professional self-assessment of physicians, sociological survey on the basis of sampling of 223 respondents who underwent professional training in 2017 was organized. The physicians with the first qualification category more often assessed themselves as "good" than other respondents (p=0.049). On the contrary, physicians with no qualification category rated their work as "good" less often and as "satisfactory" more often than other respondents (p=0.041 and p=0.010, respectively). The rate of professional self-assessment as "excellent" significantly increased among physicians identifying themselves with highest stratum of society (p=0.00034). Statistically significant differences in age, total duration of service in profession between physicians assessing their work for "excellent", "good" and "satisfactory" were not detected (p>0.05). The most frequent problems complicating life of physicians and their families were "Fatigue, overwork" (69.06%), "lack of free time" (60.09%), "low income" (44.39%). The reliable relationship between these factors and professional self-assessment was not detected (p>0.05). The relationship between professional self-assessment and availability of qualification category, as well as stratum of society to which they relate themselves, was established.