title: [Integration activities of a central municipal hospital].
abstract: Scientifically-based integration of therapeutic and prophylactic institutions is needed for better meeting the population requirement of medical care, and it is desirable to unite the financial resources and personnel; such is the objective reality for municipal therapeutic and prophylactic institutions of local public health systems. In order to make medical care available for the population and to ensure its high quality, structural changes in the public health of a region are needed. These changes include integration of medical services of these territories; creation of a network of therapeutic and prophylactic institutions corresponding to medical demographic structure of population, so that the scope of medical care be increased and specialized care made easier available for the population; and creation of the optimal managing system. Comparative studies of population health and its time course, public health organization at neighboring territories, where therapeutic and prophylactic institutions, such as Central Municipal Hospital and Central Regional Hospital have autonomous managing and financing, confirmed the need in integration of public health units functioning at a certain territory into a universal system, and in development of approaches to overcome the present-day miscellaneous network by integrating the activities of treatment-and-prophylaxis institutions. Identical economic, geographic, and macroeconomic living conditions of the population, similarity of medical demographic structure and similar changes in it, as well as similar morbidity structure, are sufficient grounds for integration of public health services.
authors.forename: O P
authors.initials: OP
authors.lastname: Shchepin
authors.forename: Iu G
authors.initials: IuG
authors.lastname: Tregubov
authors.forename: S S
authors.initials: SS
authors.lastname: Rytvĭnskiĭ
authors.forename: V F
authors.initials: VF
authors.lastname: Parkhachev
mesh_terms: D000293:Adolescent; D000328:Adult; D002648:Child; D019033:Delivery of Health Care, Integrated; D018166:Health Care Reform; D006773:Hospitals, Municipal / Q000458:organization & administration*; D006801:Humans; D011634:Public Health / Q000639:trends; D012426:Russia