title: [The dispanserization and public health in Russia. Report 2: The dispanserization technique as a tool of prevention approach in public health].
abstract: The issues of the development of medical social prevention based on the wide implementation of the dispanserization technique, the tool approved its effectiveness in the activities of public medical institutions. In the Soviet public health system, the dispanserization of economically active population implemented in the industrial enterprises, special dispensers and maternity and child welfare clinics. The abrupt transfer of Russian economics into the conditions of capitalist market occurred in early 1990s and resulted into the catastrophic decrease of the role of health units and medical sanitary units in the system of preventive medicine. Their totality at the enterprises decreased to 63%, their bed-space decreased to 73.8% and the number of employed physician appointments decreased to 3.1 times. The medical sanitary units lost their access to such powerful financial institutes as ministry and enterprises budgets and system of mandatory medical insurance. Actually, the system of medical institutions providing curative preventive care to the workers of industrial enterprises is in the process of restoration. Their numbers is augmenting without consideration of the experience of nation public health and with no coordination with the general net of medical institutions of Ministry of Health. The implementation of the dispanserization as an organizational technique is a key target in development of model of preventive public health in modern Russia.
mesh_terms: D002648:Child; D002662:Child Health Services / Q000458:organization & administration; D005260:Female; D006293:Health Promotion / Q000458:organization & administration*; D006801:Humans; D008427:Maternal Health Services / Q000458:organization & administration; D011247:Pregnancy; D011314:Preventive Health Services / Q000458:organization & administration*; D011634:Public Health / Q000379:methods*; D012426:Russia