Understanding Russia s Regional Health Markets

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1 Understanding Russia s Regional Health Markets June 2012 World Leaders in Health Industry Analysis

2 Understanding Russia s Regional Health Markets Copyright 2012 Espicom Business Intelligence All rights reserved. No part of this publication may be reproduced or used in any form or by any means graphic, electronic or mechanical, including photocopying, recording, taping or storage in information retrieval systems without the express permission of the publisher. Every care has been taken to ensure that the information contained in this report is correct. The publisher accepts no liability for decisions made on the basis of information contained herein. British Library Cataloguing in Publication Data. A catalogue record for this report is available from the British Library.

3 Contents Summary... 7 Geography... 8 Political and Economic Background... 9 Politics... 9 Economy Demography Population Demographic indicators Birth Rate Death Rate Infant Deaths Life Expectancy at Birth Morbidity Communicable Diseases Non-communicable Diseases Mortality Healthcare Sector Organisation Concept for the Development of the Healthcare Sector until National Health Project Project Funding Salary Increases for Healthcare Personnel Procurement of New Equipment Construction of Medical Centres Increasing the Availability of Advanced Medical Treatment Prenatal and Postnatal Care Reducing the Mortality Rate Linked to Cardiovascular Diseases and Road Accidents Reducing the Mortality Rate Linked to Cancer Regional Healthcare Modernisation Programme Health Expenditure Organisation of Expenditure Public Sector Private Sector Locally-Sourced Expenditure Data Primary Care Hospital Facilities Hospital Activity Medical Personnel Provincial Data Comparisons National Comparison by Federal District Central Federal District Geography Demographics Economic background Healthcare expenditure Healthcare facilities Healthcare personnel Belgorod June

4 Bryansk Vladimir Voronezh Ivanovo Kaluga Kostroma Kursk Lipetsk Moscow Region Orel Ryazan Smolensk Tambov Tver Tula Yaroslavl Moscow City North West Federal District Geography Demographics Economic background Healthcare expenditure Healthcare facilities Healthcare personnel Republic of Karelia Republic of Komi Archangelsk Vologda Kaliningrad Leningrad (region) Murmansk Novgorod Pskov St Petersburg Southern Federal District Geography Demographics Economic background Healthcare expenditure Healthcare facilities Healthcare personnel Republic of Adygea Republic of Kalmykia Krasnodar Astrakhan Volgograd Rostov North Caucasus Federal District Geography Demographics Economic background Healthcare expenditure Healthcare facilities Healthcare personnel Republic of Dagestan June 2012

5 Republic of Ingushetia Kabardino-Balkaria Karachay-Cherkess Republic Republic of North Ossetia-Alania Chechen Republic Stavropol Volga Federal District Geography Demographics Economic background Healthcare expenditure Healthcare facilities Healthcare personnel Republic of Bashkortostan Republic of Mari El Republic of Mordovia Republic of Tatarstan Udmurt Republic Chuvash Republic Perm Kirov Nizhny Novgorod Orenburg Penza Samara Saratov Ulyanovsk Ural Federal District Geography Demographics Economic background Healthcare expenditure Healthcare facilities Healthcare personnel Kurgan Sverdlovsk Tyumen Chelyabinsk Siberian Federal District Geography Demographics Economic background Healthcare expenditure Healthcare facilities Healthcare personnel Altai Republic Republic of Buryatia Republic of Tyva Republic of Khakassia Altai Territory Trans-Baikal Territory Krasnoyarsk Irkutsk Kemerovo Novosibirsk June

6 Omsk Tomsk Far Eastern Federal District Geography Demographics Economic background Healthcare expenditure Healthcare facilities Healthcare personnel Republic of Sakha Kamchatka Primorski Krai Khabarovsk Amur Magadan Sakhalin Jewish Autonomous Region Chukotka Autonomous Okrug Provincial Ranking Tables Total Population by Region (millions) Population % Urban Gross Regional Product (US$ billions) Gross Regional Product Per Capita (US$) Health & Social Services Expenditure, 2009 (US$ billions) Health & Social Services Expenditure per capita, 2009 (US$) Obligatory Medical Insurance Expenditure, 2010 (US$ millions) Obligatory Medical Insurance Expenditure Per Capita, 2010 (US$) Birth Rate per 000 Population, Death Rate per 000 Population, Infant Mortality Rate per 000 Live Births, Total Number of Hospitals, Number of Private Hospitals, Number of Hospital Beds, Hospital Beds per 000 Population, Average Number of Beds per Hospital, Number of Clinics, Number of Physicians (000s), Physicians (rate per 000 Population), Number of Dentists (000s), Dentists (rate per 000 Population), Number of Nurses (000s), Nurses (rate per 000 Population), Number of Radiologists (000s), Radiologists (rate per 000 Population), Sources June 2012

7 List of Tables Russian GDP and Real Growth, Population Estimates, Population by Gender & 5 Year Age Group, Urban & Rural Population by Gender, Principal demographic Indicators, Incidence of Selected Infectious & Parasitic Diseases, (000s) Incidence of Infectious Diseases in Urban & Rural Areas, (000s) Incidence of Selected Infectious Diseases by Region, 2010 (Per 100,000 Population).. 18 Incidence of Socially Significant Diseases by Region, Incidence of Active Tuberculosis by Age and Sex, Incidence of Active Tuberculosis in Urban & Rural Areas, Incidence of STIs, Fungal & Skin Diseases and Scabies, Incidence of STIs in Urban & Rural Areas, Incidence of Morbidity by Diagnosis, (000s) Incidence of Injury, Poisoning and Other External Causes, Incidence of Morbidity by Diagnosis & Region, 2010 (Per 1,000 Population) Incidence of Malignant Neoplasms by Age and Sex, Incidence of Malignant Neoplasms by Sex and Site, (000s) Incidence of Cancer in Urban & Rural Areas, Incidence of Malignant Neoplasms by Region, Deaths by Cause, Deaths by Cause, Leading Causes of Death by Region, 2010 (Per 100,000 Population) Infant Mortality by Cause, Infant Mortality by Cause, Receipt and Expenditure of the Social Insurance Fund, (Million Rubles) Receipt and Expenditure of the Federal Compulsory Medical Insurance Fund, (Million Rubles) Receipt and Expenditure of Territorial Funds on Compulsory Medical Insurance, (Million Rubles) Voluntary Health Insurance Payments, (Rubles 000s) Outpatient Facilities by Type & Sector, Outpatient Facilities by Type & Sector in Urban & Rural Areas, MoH Outpatient Care Facilities, Condition of MoH Outpatient Clinics, (%) MoH Hospital Day Surgery Discharges by Group of Diseases, MoH Outpatient Unit/Polyclinic Day Surgery Discharges by Group of Diseases, Total Hospitals & Beds, Condition of MoH Hospitals, Hospitals & Beds by Sector, Hospitals & Beds by Sector in Urban & Rural Areas, Public Hospital Beds by Specialty, (000s) June

8 Public Hospital Beds by Specialty, 2010 (000s) Hospital Beds by Specialty & Region, Hospital Beds by Specialty & Region, 2010 (Per 10,000 Population) Public Hospital Activity, MoH Hospital Activity by Type of Hospital, Discharges in MoH Hospitals by Group of Diseases, Discharges in MoH Hospitals by Group of Diseases, Average Stay in MoH Hospitals by Age & Group of Diseases, (Days) Surgical Procedures in MoH Hospitals, Surgical Procedures in Public Hospitals, Public Sector Medical Personnel, (000s) Public Sector Doctors by Leading Specialty, (000s) Physicians by Specialty & Region, June 2012

Lung cancer mortality and radon exposure in Russia

NUKLEONIKA 2016;61(3):263 268 doi: 10.1515/nuka-2016-0044 ORIGINAL PAPER Lung cancer mortality and radon exposure in Russia Ilia V. Yarmoshenko, Georgy P. Malinovsky Abstract. The association between the