1. First - facts from the history of our nations

2. In 1775 Russia twice refused to support Great Britain in the war against USA and in 1780 announced total neutrality toward USA
In 1863 Russia in order to help USA (North) sent 2 navy ships to block British and French trade shipping's

3. During the proportion of medicines from USA (land lease) composed over 70% from all their consumption in USSR in tons/ Plus syringes were sent from USA (USSR Health Ministry data)
72,4%

4. During the proportion of medicines from USA and UK (land lease) complied over 70% from all their consumption in USSR in tones (USSR Health Ministry data)
Names of drugs
Produced in USSR  (tons)
Supplied by the USA and UK (tons)
Rate from all consumption, %
Сaffein
10,05
36,1
78%
Luminal
1,09
33,3
97%
Aspirin
111,8
128,5
53,5%
Phenacetin
0,6
47,9
98,8%
Sulphanilamide
295
270
47,8%
Medical glucose
275
547,2
66,6%
Kovarsenol
0,79
0,8
50%
Potassium bromide
15,3
107,1
87,5%
Average
72,4%

5. Thanks to this support from USA during II World War
7 mln Soviet citizens
15 mln Soviet soldiers and officers
got adequate medical care
OUR NATIONS HISTORICALLY HAVE WARM MUTUAL TIES!

6. Land-lease – Studebakers were full of food from American citizens

7. HEALTHCARE IN RUSSIA: HOW TO REACH LIFE EXPECTANCY 76 YEARS
Head of the Graduate School for Healthcare Organization and Management
Chair lady of the Russian Society for Quality in healthcare and education
Guzel ULUMBEKOVA, MD, PhD

8. The goal for healthcare system is set
Life expectancy at birth should grow to
76 years to the year 2025
Orders’ list of the President of the Russian Federation from №Пр-589 (

9. 1.
CHALLENGES IN POPULATION HEALTH AND FACTORS AFFECTING IT TODAY. Russia, EU, USA and Canada

10. With whom Russia can be compared? – with «new-8» EU countries

11. Life expectancy at birth (LEB) in Russia is growing, but by 5
Life expectancy at birth (LEB) in Russia is growing, but by 5.7 years lower than in «new-8» EU countries

12. Life expectancy at birth, males, in Russia is increasing, but by 7
Life expectancy at birth, males, in Russia is increasing, but by 7.2 years lower than in «new-8» EU countries

13. Infant mortality rate in Russia is decreasing, but is 1
Infant mortality rate in Russia is decreasing, but is 1.5 times higher than in «new-8» EU countries
Change of criteria

14. Mortality rate at the age 0-14 in Russia is decreasing, but still 2 times higher than in «new-8» EU countries

15. Factors affecting population health
Life expectancy
Health care expenditures
Personal
behaviors
Public health programs
GDP per capita

16. Alcohol consumption at the age over 15 in Russia is by 10% higher than in «new-8» EU countries

17. Tobacco consumption at the age over 15 in Russia is 9% points higher than in «new-8» EU countries

18. Russian public spending on healthcare per capita was 1
Russian public spending on healthcare per capita was 1.6 times lower than in «new-8» EU countries (2016)

19. In Russia LEB directly depends on the healthcare expenditures from 400 to 1700 $PPP

20. Public expenditure on pharmaceuticals per capita per year in Russia is 3.7 times lower than in «new-8» EU countries

21. 2
HEALTHCARE EFFICIENCY Efficiency is always a comparison of outcomes toward recourses spend

22. What countries are included into Bloomberg efficiency rank?
LEB > 70 years
Population > 5 mln
GDP > US$ per capita
Number of countries in the rank – 55
Rank from 1 to 55

23. How the points are scored
Higher LEB
83,83 years
max scores – 48
70,45 years
min scores – 1,17
Min. health expenditures
264 $PPP per capita or 3,2% GDP
max scores – 32
9 715 $PPP per capita or 17,1% GDP
min scores – 0,78

24. Best 10 countries in healthcare efficiency

25. Worst 10 countries in healthcare efficiency

26. These are the regions of the Russian Federation by healthcare efficiency, 2015 (expenditures are divided by differentiation index)

27. CONCLUSIONS AND WHAT WE CAN LEARN FROM OTHER HEALTHCARE SYSTEMS3.
CONCLUSIONS AND WHAT WE CAN LEARN FROM OTHER HEALTHCARE SYSTEMS

28. Conclusions (results)
Population health status in Russia is worse than in new EU countries – LEB is 5.7 years lower
The most dramatic difference in LEB is for men – is 7.2 years lower than in “new” EU
Children mortality in Russia is 2 times higher, Infectious diseases mortality is 4.1 times higher, than in “new” EU

29. WHY?
Alcohol and tobacco consumption is higher than in EU, USA and Canada
Public healthcare spending is 1,5 times less than in “new” EU countries
Healthcare financial resources are not directed on priorities (primary care and pharmaceuticals) and can be used more efficiently

30. Advantages of Russian healthcare system
Healthcare is one of Government priorities
Centralized regulation
Tradition in planning care volumes and resource
Gatekeeping and coordination of care
Government initiated centralized IT system implementation in healthcare

31. Lessons from the USA Strong public health programs
Home care for elderly, long term care programs
Patient centered programs
Quality improvement and patient safety programs in hospitals
Operational efficiency increasing programs
New healthcare providers payment systems
CME and lifelong learning for physicians
Excellent MBA programs for doctors (Harvard Chan School of Public Health MHCM program)

32. Logic models in public healthcare

33. Scientific and research background
USA - scientific approach for Healthcare Strategy Development “Healthy People 2020”. The work on HP 2030 is doing and will take 3 years
US Government
US Department of health and human services
Federal Interagency Workgroup
Secretary’s Advisory Committee –
Chair and 12 experts
Different federal Agencies and scientific institutes
Scientific and research background
FORMING STRATEGY GOALS, PRIORITIES, TARGET INDICATORS, RECOMMENDATIONS FOR DEVELOPMENT

34. PRIORITIES FOR THE FUTURE in RUSSIAN HEALTHCARE5.
PRIORITIES FOR THE FUTURE in RUSSIAN HEALTHCARE

35. 2 blocks in Healthcare Development Strategy till 2025
1. Comprehensive Program for the public health protection
2. Healthcare system – increasing the quality and accessibility of medical care
Responsivity of state and municipal governments
Responsibility of healthcare system
Plan of activities

36. 1 block — reducing alcohol and tobacco consumption, active sports, involving employers – programs at the municipality level

37. 2 block – accessibility and quality of medical care
Main focus – taking care of health
of Russian men
of Russian children and adolescents

38. Priorities for healthcare expenditures
Accessible primary care and medicated prevention
Medical and social care for the citizens of the older age group at home
The increase in the prescribed outpatient drugs supply
Efficiency and prudence in the use of resources
We can calculate efficiency

39. That is all impossible without well qualified medical personnel, educated healthcare leaders and informatization
Healthcare informatization
Continuing professional development of health professionals
Doctor’s adviser – “Artificial Intelligence”

40. Special programs in Oncological diseases treatment
Infectious diseases treatment
Based on
evidence based approach
cost-efficiency calculations
developed by opinion leaders
discussed nationally with interested parties

41. Thank you for attention!
MISSION OF GRADUATE SCHOOL FOR HEALTHCARE ORGANIZATION AND MANAGEMENT:
«High quality of medical care through efficient healthcare management»
тел. +7 (495)
+7 (985)