Russia's demographic challenge: rational decisions and public health preparedness

• Prokhorenko Niкolay F.
• Argishti B. Ginoyan

Abstract

The current demographic situation in the Russian Federation is characterized by a negative natural increase, from 2018 no Longer compensated by a positive balance of external migration. The solution to this problem is indicated in the May decree of the President of the Russian Federation as the most important national goal. The article discusses the main directions of possible impacts with an estimate of the intended demographic effect. Increased fertility is recognized as the most promising direction. An example of a clinical and economic analysis with the calculation of the economic efficiency of one of the local clinical problems. The author's interpretation of the method of calculating the cost of a child's life at birth is proposed. The main conclusion of the work is that management decisions in the field of health and demography should be made only after a scientific substantiation of their relative effectiveness. Some aspects of the current state of public health that impede such an approach are discussed.

Keywords:demographic crisis, national projects, fertility increase, public health, public health organization, pharmacoeconomic analysis

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