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Source: Government of the Russian Federation – An important disclaimer is at the bottom of this article.
Tatyana Golikova at the plenary session “From N.A. Semashko to the present day”
Tatyana Golikova at the plenary session “From N.A. Semashko to the present day”
Tatyana Golikova at the plenary session “From N.A. Semashko to the present day”
Tatyana Golikova at the plenary session “From N.A. Semashko to the present day”
Tatyana Golikova at the plenary session “From N.A. Semashko to the present day”
Russian President Vladimir Putin opened the plenary session of the 3rd National Congress with International Participation “National Healthcare”
At the end of the plenary session, the winners of the All-Russian competition of young leaders – healthcare organizers were awarded
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Tatyana Golikova at the plenary session “From N.A. Semashko to the present day”
The central event of the third national congress with international participation “National Healthcare” took place in the Great Hall of the State Kremlin Palace – the plenary session “From N.A. Semashko to the Present Day”, dedicated to the 150th anniversary of the birth of the outstanding scientist and physician.
The plenary session of the third national congress with international participation “National Healthcare” was opened by the President of the Russian Federation Vladimir Putin.
The moderator of the plenary session was Deputy Prime Minister Tatyana Golikova. The event was attended by Minister of Health Mikhail Murashko, Minister of Science and Higher Education Valery Falkov, Head of the Federal Service for Surveillance on Consumer Rights Protection and Human Wellbeing Anna Popova, Governor of the Orenburg Region Denis Pasler, and TV presenter of the Russia 24 TV channel Alexandra Suvorova.
The plenary session included a discussion of key areas of development and achievements of the Russian healthcare system through the prism of the merits of the outstanding Soviet healthcare organizer N.A. Semashko: development of human health; accessibility of medical care regardless of place of residence; unity of prevention and treatment; public involvement in the implementation of state policy in the field of healthcare; ensuring sanitary well-being; healthcare management from a scientific point of view; provision of affordable healthy food for everyone and modern affordable medical products.
“The peculiarity of this congress was its dedication to one of the significant organizers, the first People’s Commissar of Health Nikolai Aleksandrovich Semashko, who laid the foundations of the world’s first state health care system and formed a hierarchical state centralized model with a district principle of providing primary health care, which was subsequently implemented in many countries of the world – Great Britain, Norway, France, Sweden, Denmark, Italy and others. We carried the main principles of Semashko’s system through the years and laid them at the foundation of our Russian health care system,” emphasized Tatyana Golikova.
The state character of the Russian healthcare system, its free nature and accessibility for citizens, has been preserved.
“Every year, the state’s expenses on paying for medical care alone increase and by the end of 2023 amounted to 4 trillion rubles. Over the past five years, compared to 2018, expenses on paying for medical care have increased by 1.5 trillion rubles. And by the end of 2024, such expenses are preliminarily estimated at 4.5 trillion rubles,” the Deputy Prime Minister said.
Currently, medical care is provided by 7 thousand state and municipal medical organizations, including more than 300 federal ones.
The federal law “On the Fundamentals of Health Protection of Citizens in the Russian Federation” establishes an approach to the formation of human health from birth and throughout the entire period of his life.
The entire population of our country is attached to medical organizations. And at least 118 million people use their capabilities annually, including almost 31 million children. Medical organizations annually perform more than 1 billion cases of medical care.
As Tatyana Golikova noted, in order to implement the main principle of Soviet medicine – disease prevention and prophylaxis – since 2024, the volume of medical care provided in outpatient settings has been increased, and dispensary observation at the workplace has been introduced. “But so far only 36 regions of our country have taken advantage of this opportunity. I ask all regions to more actively implement this approach to dispensary observation,” the Deputy Prime Minister said. She emphasized that the principle of accessibility of medical care at the place of residence, work or study is the main one in Russian legislation.
Accessibility of medical care and its provision itself are impossible without medical personnel. “Until 2023, we noted a decrease in the number of doctors. Therefore, a whole range of measures was implemented at the federal level, which allowed us, by the end of 2023, for the first time in the last five years, to stop this decline and increase the number of doctors by 7.5 thousand people without taking into account new regions,” Tatyana Golikova emphasized.
Developing and continuing the foundations laid by Nikolai Aleksandrovich Semashko, the primary health care system is being actively modernized, which in 1978 was recognized by the World Health Organization as the best in the world, which was recorded in a specially adopted declaration. Therefore, the federal project for the modernization of the primary health care system is the most resource-intensive project of the new national project “Long and Active Life”.
“Over the past three years, we have already modernized over 18,000 healthcare facilities, which affected over 24 million of our citizens. By the end of 2025, within the framework of current regional programs, we will modernize almost 2,000 more facilities. The plans for 2025-2030 include over 30,000 more facilities, where over 80 million residents of the country receive medical care, including those living in rural areas, urban-type settlements and small towns,” noted Tatyana Golikova.
The priority of prevention in health protection has been established by law, the unity of prevention and treatment has been regulated. Almost 5 thousand medical prevention departments and health centers have been opened in its development. 35.5 million people have applied to these departments for training in the principles of a healthy lifestyle. Another 9 million people have been trained in so-called schools.
The population is provided with medical examinations and preventive check-ups.
Since 2024, as part of the Year of the Family, a medical examination to assess reproductive health has been introduced for the first time. Over 3 million men and women of reproductive age have already been examined. In 11% of cases, diseases that negatively affect reproductive function were detected. Additional examination and treatment of such patients is being carried out.
“We have preserved and strengthened the state system of ensuring sanitary well-being and social hygiene, the foundations of which were laid by Nikolai Aleksandrovich. We have launched a new federal project, “Sanitary Shield of the Country”. We have formed a single centralized system for responding to possible infectious threats. As a result, we have ensured a multiple reduction in infectious diseases. Last year alone, such a reduction was 30%. More than 17 million cases of infectious pathology were prevented,” the Deputy Prime Minister emphasized.
Since 2019, a separate project aimed at promoting healthy eating has been implemented within the framework of the national project “Demography”. The project’s activities have already covered more than 40 million people.
Research for the development of medical science is conducted by over 400 scientific, medical and educational organizations. These organizations perform almost 5.5 thousand studies for medicine. 120 billion rubles have been allocated from various sources for these purposes.
“We have created conditions for the development of the medical and pharmaceutical industries. In 2023 alone, Russian medical products worth over 1 trillion rubles were produced,” said Tatyana Golikova.
The participants of the discussion presented information in the format of “was – became – will be” on each thematic area of the session: since the time of N.A. Semashko, achievements of the present time and what will be implemented in the future, in focus on the advantages of the Soviet and Russian health care system and the replication of the Soviet experience of building a health care system in other countries.
The final plenary session included an award ceremony for the winners of the All-Russian Competition of Young Leaders – Healthcare Organizers. The competition was held by the Central Research Institute of Healthcare and Informatics with the support of the Ministry of Healthcare. The award ceremony was held by Deputy Prime Minister Tatyana Golikova and Minister of Healthcare Mikhail Murashko.
The plenary session ended with an opera ball featuring artists from the Helikon Opera musical theatre.
The third national congress with international participation “National Healthcare” was held with the support of the Russian Government. The event was organized by the Ministry of Healthcare and the Roscongress Foundation. The organizational partner of the event was the Central Research Institute for Healthcare Organization and Informatization of the Ministry of Healthcare of Russia.
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