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2 . 2022

Organization of medical care for infection caused by human immunodeficiency virus

Abstract

In a scientific work, the authors studied the primary incidence of HIV infection in the Russian Federation and developed countries. So, in 2019 in the Russian Federation this indicator was 14.8 times higher than in Germany, and 7.5 times higher than in France (respectively 54.6; 3.7 and 7.3 cases per 100 thousand people population). This indicates insufficient preventive measures among the population to counteract the spread of this pathology.

An analysis was made of the total costs of combating HIV infection and the number of patients with this disease. From 2010 to 2019 in the Russian Federation, these costs in constant prices (2010=100%) increased by 1.8 times (from 20.3 billion rubles to 36.1 billion rubles), and the number of patients over the specified period increased by 1.7 times (from 503.7 thousand to 853.4 thousand people). At the same time, compared with developed countries, the Russian Federation provides 3 times less funds per patient in comparable money for antiretroviral therapy, which is the main item of expenditure for HIV-infected people. This indicates insufficient spending on this item.

The authors also identified problems in counteracting the spread of HIV infection: insufficient coordination in the work of institutions involved in countering the HIV/AIDS epidemic; one-sided orientation of the strategy to combat HIV to the diagnosis and treatment of HIV infection with the weakness of prevention programs. As a result, there is an urgent need in the Russian Federation to expand the range of measures aimed at preventing the spread of HIV.

The incidence of HIV infection among the regions of the Russian Federation was analyzed. Thus, there is a 19-fold difference in this indicator (from 8.5 to 164.8 cases per 100,000 population). It is necessary to apply differentiated approaches to the formation of a program to reduce the prevalence and mortality from HIV infection.

Keywords:HIV infection; mortality from infectious diseases; general incidence of infectious diseases; primary incidence of infectious diseases; expenses for the treatment of HIV-infected people

Funding. The study had no sponsor support.

Conflict of interest. The authors declare no conflict of interest.

Contribution. Scientific management of the research – Pokrovsky V.V.; interpretation of the results obtained – Ulumbekova G.E.; collection and generalization of statistical materials – Petrachkov I.V.

For citation: Pokrovsky V.V., Ulumbekova G.E., Petrachkov I.V. Organization of medical care for infection caused by human immunodeficiency virus. ORGZDRAV: novosti, mneniya, obuchenie. Vestnik VSHOUZ [HEALTHCARE MANAGEMENT: News, Views, Education. Bulletin of VSHOUZ]. 2022; 8 (2): 108–30. DOI: https://doi.org/10.33029/2411-8621-2022-8-2-108-130 (in Russian)

References

1. HIV infection and AIDS. National leadership. In: V.V. Pokrovsky (ed.). Moscow: GEOTAR-Media. 2020: 689 p. (in Russian)

2. UNAIDS. Factsheet Global HIV Statistics. 2021. URL: https://www.unaids.org/en/resources/fact-sheet (in Russian)

3. HIV infection in the Russian Federation as of December 31, 2020. Reference. URL: http://www.hivrussia.info/wp-content/uploads/2021 (in Russian)

4. Avksent’ev N.A. Avksent’eva M.V., Makarova Yu.V., Pazukhina E.M., Sisigina N.N., Zakharova T.M. Research Institute of Finance of the Ministry of Finance of the Russian Federation. Report on the research work «Conducting a socio-economic study on the state policy to combat HIV». URL: https://www.nifi.ru/images/FILES/NEWS/2021/HIV_2602_1.pdf (in Russian)

5. Nikolaeva N.A., Ladnaya N.N., Pomazkin D.V., Blokhin A.A., Korotkikh A.M., Sanishvili T.T., et al. Estimation of socio-economic losses of society from the HIV epidemic. Analytical Center under the Government of the Russian Federation. URL: https://itpcru.org/wp-content/uploads/2021/03/ (in Russian)

6 UNAIDS. Global strategy for the AIDS response 2021–2026 Eradication of inequality. Ending AIDS 2021. URL: https://www.unaids.org/en/Global-AIDS-Strategy-2021-2026 (in Russian)

CHIEF EDITOR
CHIEF EDITOR
Guzel E. Ulumbekova
MD, MBA from Harvard University (Boston, USA), Head of the Graduate School of Healthcare Organization and Management (VSHOUZ)
Вскрытие
Medicine today

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