KEY CONCLUSIONS
Russia boasts an extensive programme for
health improvement
“If we take the health improvement programme
in general, there is a whole set of preventive measures. <…> There is a
special federal project under the Demography national project that aims to
create a system of public health and promote healthy lifestyle. <…> It
includes establishing a network of public health centres directly connected to
every community, creating individual regional programmes to promote healthy
lifestyle. <…> It also includes corporate healthcare. Two years ago, we
signed a charter with the Russian Union of Industrialists and Entrepreneurs. We
stay in close touch with the Ministry of Labour, and we have created a database
of the best corporate practices. <…> The second part is a health
assessment that will engulf the whole country, as well as transition to
preventive checkups. <…> And of course, it is a targeted prevention of
infections, which is done on a massive scale through vaccination. <…>
Over the last ten years, we managed to decrease flu-related mortality by over
20 times,” Veronika Skvortsova, Minister of Health of the Russian Federation.
Cutting-edge medical technologies help
significantly increase longevity in the Far East
“In the Far Eastern Federal District, the
full longevity growth potential is 16.5 years. Of course, it is a huge number,
however I would like to point out that it only stems from the existing
technologies. It does not account for future technologies, opportunities to
work with the genome and new vaccines, etc.” Viktor Subbotin, Junior Partner,
Bain & Company.
PROBLEMS
Occupational health problems are
underestimated
“I keep quoting the number of occupational
diseases recorded in our country nowadays. The number is something like 7–10
thousand [annually, – Ed.]. It is hard to imagine that all occupational
health problems with all the harmful factors in operations account for just 10
thousand cases. Most likely, these are latent processes, and we just have not
detected them. <…> There is no financial motivation for employers to
detect them [occupational diseases, – Ed.]. In reality, frankly
employees are not motivated either, because it will mean they have to look for
a different occupation,” Maxim Topilin, Minister of Labour and Social
Protection of the Russian Federation .
People are not motivated to have a healthy
lifestyle
“62% of Russian consumers say they stick to a
healthy lifestyle. I have my doubts about this number. If compared to the
average number for the whole country, in the Far Eastern Federal District this
number is slightly over 45%. <…> If people are not there yet, if they
cannot say they strive for a healthy lifestyle, we need to do something about
it,” Maxim Protasov, Head, Russian Quality System (Roskachestvo).
“75% of reproductive issues are not technology
driven – they lie in what people do to themselves through their lifestyle.
<…> When we reviewed the top reproductive problems, it appeared they were
not medical. <…> We are fighting consequences. 77,6% of pregnant women
are already unhealthy. That is why we need cutting-edge technologies to help
with these childbirths. And where is the problem? Where is the root of the
problem? Where are the risk factors? They lie in the lifestyle, in behaviors,
in people being informed and motivated to stick to a healthy lifestyle,” Oleg
Apolikhin, Director, N.A. Lopatkin Research Institute of Urology and
Interventional Radiology, a branch of the National Medical Research Centre for
Radiology of the Ministry of Health of the Russian Federation
Low longevity and high mortality in
productive age in the Far Eastern Federal District
“According to the Russian Statistics Agency,
longevity in the Far Eastern Federal District is 70 years as of late 2018. If
you take a look at the map of the world, you will not find all that many
countries or a country that we could look up to with such a longevity.
<…> If we address the last six years – from 2012 to 2018 – we will see
that longevity growth rates are not high enough to achieve the goals the
President set for 2024,” Viktor Subbotin, Junior Partner, Bain & Company.
“General mortality in the Far Eastern Federal
District is on par with the average mortality in Russia, even a bit lower. But
FEFD has a unique population composition, and employable population is the
majority. If we take a look at mortality rate in employable population, we will
see that it is 21% higher than average in Russia. <…> There are 60% more
deaths of external causes than on average in Russia – socially significant
infections such as tuberculosis cause twice as many deaths as on average in
Russia. And all major mortality factors show a 15–20% higher number,” Veronika
Skvortsova, Minister of Health of the Russian Federation.
SOLUTIONS
Giving business an impetus to care for their
employees’ health
“We did a survey of a number of companies in
various industries and saw that companies work under the same conditions, but
sick leaves and their cost to the Social Insurance Fund are different,
several-fold different. I do hope that
our partners – employers – get motivated to tackle this situation, to look at
tariff-based motivation, though tariff policy for the temporary disability
insurance, so that we motivate and give an impetus to those who are actually
involved in occupational health in operations and interact with the standard
healthcare,” Maxim Topilin, Minister of Labour and Social Protection of the
Russian Federation .
“It is important to form clear game rules,
motivation and impetus in this dialogue between the regulator, business
community and employers,” Alexey Repik, President, Delovaya Rossiya (Business
Russia); Chairman of the Board, Group R-Pharm.
Introducing cutting-edge technologies in
healthcare
“In the WHO we study and invest in R&D to
help everybody be connected to this system. There are remote access medical
centres. Maybe it could be used from home – you could speak to doctors, to
hospitals, to medical centres. In many parts of the world we are facilitating
waiver of hospitals, because hospital is a place where you go for hi-tech
services,” Dorit Nitzan, Acting Regional Emergency Director for the European
Region, Health Emergencies Programme, World Health Organization.
“A ticket to better health and longer life in
the Far East lies in introducing hi-tech, including special technologies applied
specifically in the Far Eastern regions. <…> We need to help birth rate.
That is why introducing best practices of non-invasive perinatal diagnostics,
the use of genome technologies in assisted reproductive treatment, EF – these
are the ways to drastically change both economic and the demographic situation
in the Far East – it may not happen today, but in 10–15–20 years,” Alexey
Repik, President, Delovaya Rossiya (Business Russia); Chairman of the Board,
Group R-Pharm.
Shaping the culture of healthy consumption
“On a weekly basis, Roskachestvo tests
quality of goods, and we share the detailed results of these test with people,
provide recommendations thus shaping a consumption culture. In this sense we
have become a consumer’s navigator. Our task is to create a whole class of
prosumers – smart and conscious consumers as they are called around the world –
through this navigator. Smart and conscious consumers will not buy things that
kill them or damage their health. We can already see how our study impacts
demand. About 13 million people read our every report,” Maxim Protasov, Head,
Russian Quality System (Roskachestvo).
Motivate companies to make healthier things
“The quality standards that goods must stick
to in order to get a quality sign include requirements that we set based on the
WHO recommendations among others and in close touch in the Ministry of Health.
It is less or zero antibiotics in meat and dairy. It is less salt or sugar in
food, especially for children. We include these norms in our advanced
standards, and only the goods that comply with these requirements get a state
quality sign and our assistance in their sales,” Maxim Protasov, Head, Russian
Quality System (Roskachestvo).
Improving medical personnel training
“Above all, our objective is to train primary
care personnel, and in order to do this we are changing curricula. <…> As
of today, thanks to structural changes and funding from the Ministry of Health
all medical schools in Russia are equipped with simulators. <…> Moreover,
we are introducing remote training. <…> We understand and believe that we
need to borrow best technologies from our neighbours and apply them in our
medical training,” Valentin Shumatov, Rector, Pacific State Medical University.
Preventive care for risk groups
“Forming risk groups, working with them and
further referral to individual consultations, diagnostics and screenings will
help us with the early diagnostics,” Oleg Apolikhin, Director, N.A. Lopatkin
Research Institute of Urology and Interventional Radiology, a branch of the
National Medical Research Centre for Radiology of the Ministry of Health of the
Russian Federation
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