title: [Sociological analysis of healthcare delivery in Russia regions with inclement natural conditions (in case of the Republic of Altai)].
abstract: The paper describes the results of a sociological study of delivery of healthcare in the Republic of Altai to search for ways to improve its quality and to provide access to the local population. Analysis was made with regard to an interdisciplinary, comprehensive approach to considering the range of problems associated with not only the health of local residents and identifying risk factors leading to diseases, but also by determining the possibilities that could promote the minimization of causes that have a considerable impact on the occurrence of diseases and also hamper healthcare delivery in the human settlements of Gornyi Altai, which are difficult of access. The investigation has used sociological and statistical methods. It has been ascertained that the available healthcare forces and means should be today employed at the regional level, by applying the principles of necessary sufficiency in conjunction with the local population's social motivation to be involved in the activity associated with the rendering of medical services. In addition, it is necessary to systemically use mobile medical units as a significant factor for the optimization of medical care to the population living in Russia's regions which are difficult of access.
authors.forename: A A
authors.initials: AA
authors.lastname: Kozhevnikov
mesh_terms: D000531:Altitude; D002391:Catchment Area, Health; D002980:Climate; D003695:Delivery of Health Care / Q000191:economics / Q000458:organization & administration / Q000592:standards; D018166:Health Care Reform; D054624:Health Status Disparities; D006801:Humans; D011787:Quality of Health Care; D012800:Siberia; D012959:Socioeconomic Factors