METHODICAL APPROACH TO THE INVESTIGATION OF RESERVES IN THE PERFORMANCE AND MANAGEMENT IN THE SYSTEM OF FEDERAL SERVICE FOR SURVEILLANCE OVER CONSUMER RIGHTS PROTECTION AND HUMAN WELL-BEING (ROSPOTREBNADZOR) AS ACCORDING TO PREVENTED HEALTH LOSSES IN THE POPULATION OF THE RUSSIAN FEDERATION
Introduction. Search solutions to strategic tasks aimed at preservation of population health in the Russian Federation requires an increase in the productivity and efficiency of public administration, including that performed by control and surveillance organizations. Material and methods. The article focuses on an algorithm for assessing the efficiency of control and surveillance activities performed by Federal Service for Surveillance over Consumer Rights Protection and Human Well-being organizations and authorities. The authors calculated population morbidity and mortality rate associated with adverse effects produced by the environment and prevented due to control and surveillance activities by Federal Service for Surveillance over Consumer Rights Protection and Human Well-being. The calculation was based on certain regularities related to the interaction between compartments in a tripartite system “ Federal Service for Surveillance over Consumer Rights Protection and Human Well-being activities - environmental objects quality - population health”. The authors also suggest indices that can help to estimate the productivity of activities performed by Federal Service for Surveillance over Consumer Rights Protection and Human Well-being and its managerial resources. Spatial classification and typologization of the RF regions was performed as per a set of parameters with k-means cluster analysis. Results. The suggested approaches were tested in research on the productivity of control and surveillance activities aimed at a decrease in a population mortality and morbidity rate in the RF regions caused by neoplasms and circulatory system diseases and associated with the environment quality. The authors estimated a contribution made by Federal Service for Surveillance over Consumer Rights Protection and Human Well-being activities on providing sanitary-epidemiologic well-being in the achievement of target figures on population mortality caused by neoplasms and circulatory system diseases. Discussion. There are vital tasks that need to be solved if we wish to increase the productivity of Federal Service for Surveillance over Consumer Rights Protection and Human Well-being activities as per criteria that reflect prevented population health losses caused by the sanitary-epidemiologic situation. Finding solutions to these tasks requires creating a system of additional managerial actions aimed at improving the quality of environmental objects; it can be done due to the redistribution of resources spent on the performance of Federal Service for Surveillance over Consumer Rights Protection and Human Well-being activities. The task is an optimization one and is an object for further research and publications by the authors. Conclusion. Analytical techniques described in the article are universal and are not confined to a specific social-economic system or a public administration system. It makes wide implementation of the suggested approaches quite possible; they can be applied to estimate contributions made by various public authorities in achievement of target figures.
About the authorsZaitseva N.V.
Zaitseva N.V., Shur P.Z., Babushkina E.V., Gusev A.L. Methodical approaches to determining the contribution of institutions and services of the federal state service for surveillance in the sphere of consumers protection and human well-being to health risk management. Zdorov’e naseleniya i sreda obitaniya. 2010; 11: 11-3. (in Russian).
Popova A.Yu., Zaitseva N.V., May I.V., Kiryanov D.A. Regulatory-legal and methodical aspects of social-hygienic monitoring and risk-oriented surveillance model integration. Health Risk Analysis. 2018; 1: 4-12. DOI: 10.21668/health.risk/2018.1.01.eng
Zaytseva N.V., May I.V., Kir’yanov D.A., Sboev A.S., Andreeva E.E. Conceptual and methodological aspects of improving the effectiveness of control and supervisory activities based on hazard and risk assessment and estimation of harm to health of the population. Zdorov’e naseleniya i sreda obitaniya. 2014; 12 (261): 4-7 (in Russian).
Results-based budgeting for Rospotrebnadzor specialists [Byudzhetirovanie, orientirovannoe na rezul’tat, dlya spetsialistov Rospotrebnadzora]. Ed by. N.V. Shestopalov, L.M. Simkalova, O.V. Mitrokhin. Moscow: GEOTAR-Media; 2007: 256. (in Russian).
Onishchenko G.G. Health risk assessment and management as an effective tool to solve issues to ensure the health and epidemiological well-being of the Russian Federation population. Health Risk Analysis. 2013; 1: 4-14.
Rakhmanin Y.A., Novikov S.М., Аvаliani S.L., Sinitsyna O.O., Shashina T.A. Actual problems of environmental factors risk assessment on human health and ways to improve it. Health Risk Analysis. 2015; 2: 4-11.
Popova A.Yu., Ezhlova E.B., Melnikova A.A., Frolova N.V., Sennikova V.G., Morozova N.S. About the quality and effectiveness of epidemiological surveillance of POLIO/AFP and the organization of preventive activities on the territory of the Russian Federation. Zdorov’e naseleniya i sreda obitaniya. 2016; 4 (277): 31-4. (in Russian).
Popova A.Yu., Zaytseva N.V., May I.V. Kiryanov D.A. Methodological approaches to the calculation of actual and prevented as a result of the control and supervisory activities, medical-demographic and economic losses, associated with the negative impact of environmental factors. Gigiena i sanitariya. 2014; 93 (5): 5-10 (in Russian).
Rakhmanin Yu.A., Mikhailova R.I. Environment and Health: Priorities for Preventive Medicine. Gigiena i sanitariya. 2015; 94 (7): 95-9. (in Russian).
Onishchenko G.G. The environment factor influence on human health. Immunologiya. 2006; 27 (6): 352-6 (in Russian).
Izmerov N.F. Modern problems of occupational medicine in Russia. Meditsina truda i ekologiya cheloveka. 2015; 2 (2): 5-12 (in Russian).
Popova A.Yu., Gurvich V.B., Kuz’min S.V., Mishina A.L., Yarushin S.V. Modern issues of the health risk assessment and management. Gigiena i sanitariya. 2017; 96 (12): 1125-9. (in Russian).
Tsinker M.Yu., Kiryanov D.A., Kleyn S.V. Application of statistical modelling for the assessment of environment influence on the population health in Russian Federation. Zdorov’e naseleniya i sreda obitaniya. 2013; 248 (11): 10-3 (in Russian).
Dockery D.W., Pope C.A. 3rd, Xu X., Spengler J.D., Ware J.H., Fay M.E., Ferris B.G. Jr, Speizer F.E. An association between air pollution and mortality in six U.S. cities. New England J.Med. 1993; 329: 1753-9.
Prüss-Ustün A., Vickers C., Haefliger P., Bertollini R. Knowns and unknowns on burden of disease due to chemicals: a systematic review. Environmental Health. 2011; 10 (1): 9-24. Available at: https://ehjournal.biomedcentral.com/articles/10.1186/1476-069X-10-9.
Burnett R.T., Smith-Doiron M., Stieb D., Cakmak S., Brook J.R. Effects of particulate and gaseous air pollution on cardiorespiratory hospitalizations. Archives Environmental Health. 1999; 54 (2): 130-9.
Schwartz J., Morris R. Air Pollution and Hospital admissions for cardiovascular disease in Detroit, Michigan. American Journal of Epidemiology. 1995; 142 (1): 23-35.
Protasova V.V., Korenevskii N.A., Artemenko M.V., Smirnov V.S. Research of influence of ecological factors on dynamics of levels warmly-vascular disease in the city. Vestnik Voronezhskogo gosudarstvennogo tekhnicheskogo universiteta. 2010; 6 (1): 123-7.
Zubarev A.Yu., Podluzhnaya M.Ya., Zemlyanova M.A., Kleyn S.V. Hygienic risk assessment of the cardio-vascular disease progress in the exposure to technogenic and chemical atmospheric factors (case-study: Perm city). Zdorov’e naseleniya i sreda obitaniya. 2009; 10: 38-42. (in Russian).
Meshkov N.A., Val’tseva E.A., Baeva Yu.I., Krylitsyna E.A. Assessment the conditionality of Samara city population incidence under the influence of environmental factors. Izvestiya Samarskogo nauchnogo tsentra Rossiiskoi akademii nauk. 2017; 19 (2-2): 300-6.
Nosov A.E., Baydina A.S., Ivashov Yu.A., Vlasova E.M., Alekseev V.B. Features of hypertension in workers of titanium and magnesium production and preventive measures. Gigiena i sanitariya. 2017; 96 (1): 62-5. (in Russian).
Kleyn S.V., Vekovshinina S.A., Balashov S.Yu. Assessment of the risk of cardiovascular pathology when exposed to aerogenic and water habitat factors for socio-hygienic monitoring tasks (by the example of Perm) [Otsenka riska vozniknoveniya serdechno-sosudistoy patologii pri vozdeystvii aerogennogo i vodnogo faktorov sredy obitaniya dlya zadach sotsial’no-gigienicheskogo monitoringa (na primere g. Permi)]. Permskiy meditsinskiy zhurnal. 2010; 27 (1): 94-100 (in Russian).
Shlyapnikov D.M., Shur P.Z., Alekseev V.B., Vlasova E.M., Nosov A.E., Lebedeva T.M. Planning and evaluation of the effect of measures for prevention hypertension in employee, when performing underground mining criteria for health risk. Gigiena i sanitariya. 2017; 96 (1): 65-70. (in Russian).
Boev V.M., Zelenina L.V., Kryazhev D.A., Tulina L.M., Neplokhov A.A. Analysis on exposure carcinogenic risk of environmental factors on health largest industrial cities and malignant tumors. Zdorov’e naseleniya i sreda obitaniya. 2016; 279 (6): 4-7. (in Russian).
Zaitseva N.V., Selyunina S.V., Tsinker M.Yu. Assessment of influence sanitary and hygienic and socio-economic factors of habitat on cancer incidence and onkosmertnosti indicators population of the Kirov region. Zdorov’e naseleniya i sreda obitaniya. 2014; 255 (6): 4-6.
Selyunina S.V., Tsinker M.Yu. Assessment of an incidence of malignant new growths of the population of the Kirov region in 2010-2012. Zdorov’e naseleniya i sreda obitaniya. 2014; 4 (253): 6-11. (in Russian).
Meshkov N.A., Val’tsevaE.A., Baeva Yu.I., Krylitsyna E.A. Assessment the conditionality of samara city population incidence under the influence of environmental factors. Izvestiya Samarskogo nauchnogo tsentra Rossiyskoy akademii nauk. 2017; 19(2-2): 300-306.
Kiryanov D.A., Tsinker M.Yu., Istorik O.A., Stepanov E.G., Davletnurov N.Kh., Efremov V.M. On assessment of rospotrebnadzor surveillance and control activities efficiency in regions: assessment criteria being prevented economic losses caused by population morbidity and mortality and associated with negative impcats exerted by environmental factors. Health risk analysis. 2017; 3: 12-20. DOI: 10.21668/health.risk/2017.3.02.eng
Mekhant’ev I.I., Masaylova L.A., Tsinker M.Yu., Lastochkina K.S. THE Evaluation of efficiency of rospotrebnadzor’s control supervision activity based on the risk estimation of medical demographic losses exemplified by the Voronezh region. Nauchno-meditsinskiy vestnik Tsentral’nogo Chernozem’ya. 2017; 70: 95-9. (in Russian).
Zaytseva N.V., May I.V., Kleyn S.V., Kir’yanov D.A. Methodological aspects and results of estimation of demographic loss associated with harmful influence of environment factors and preventive activities of Rospotrebnadzor in regions of the Russian Federation. Zdorov’e naseleniya i sreda obitaniya. 2018; 4 (301): 15-20. (in Russian).
Popova A.Yu., Zaytseva N.V., May I.V. Ехрerience of methodological support and practical implementation of the risk-oriented model of sanitary-epidemiological surveillance in 2014-2017. Gigiena i sanitariya. 2018; 1 (97): 5-9. (in Russian).
Zaytseva N.V., May I.V., Shur P.Z., Kiryanov D.A. Methodological approaches for assessement performance and economical efficiency of the risk-oriented control and supervision of the Federal service on customers’ rights protection and human well-being surveillance (Rospotrebnadzor). Health risk analysis. 2014; 1: 4-13.
Sofronov O.Yu. Evaluation of effectiveness and efficiency departmental Rospotrebnadzor programs «Hygiene and health» in the region of Russian Federation. Sibirskiy meditsinskiy zhurnal. 2014. 7 (130): 75-8. (in Russian).
Zaytseva N.V., Kiryanov D.A., Tsinker M.Yu. Conceptual assignment and experience of the task solution for optimization of supervisory activities in the field of sanitary and epidemiological welfare of the population. Gigiena i sanitariya. 2017. 1 (96): 10-15. (in Russian).
- Refbacks are not listed
Контент доступен под лицензией Creative Commons Attribution 3.0 License.