Results of a comprehensive study of expert opinion and social hygienic aspects of doctors of draft boards of the subjects of the Russian Federation

Abstract

Aim. Examination of expert opinions and social and hygienic aspects of the activities of draft board doctors of the subjects of the Russian Federation.

Methods. The results of an anonymous continuous survey of medical specialists of the military-medical commissions of the military commissariats of the subjects of the Russian Federation (n=646) are presented, who directly conduct military-medical examination of the studied contingent.

Results. When interviewing experts, significant factors were found that affect the health of citizens of draft age and the quality of military medical expertise. Thus, experts assessed the state of health of modern young men as satisfactory in 84% of cases, and in 3.6% as unsatisfactory. 46.5% of medical specialists noted a positive trend in the level of moral and psychological training of the contingent. Over 14% of respondents noted a negative trend in the health status of young men of draft age over the past 5 years. 9.8% of specialists assess the level of treatment and preventive measures among persons of draft age as unsatisfactory, 25.3% of experts consider it necessary to expand the list of mandatory diagnostic studies when preparing citizens for military service. The reasons for the unsatisfactory work of the system for the prevention of diseases among citizens before being drafted for military service, according to medical specialists, are formalism in carrying out activities for the prevention of diseases, lack of subspecialists in health care organizations, especially in remote areas, and the elimination of adolescent service. The state of the regulatory framework governing the relationship of the parties during the medical provision of training and conscription to the military forces of the Russian Federation adversely affects the work of 43.6% of doctors.

Conclusion. An expert opinion of the medical specialists of the military medical commissions of the military commissariats indicates that the main reserves for improving the quality of measures to prepare citizens for military service are the expansion of diagnostic and treatment and prophylactic measures carried out before military conscription.

Keywords

military service / military medical examination / health state

References

[1] Polunina N.V. The state of children's health in modern Russia and ways to improve it. Vestnik Roszdravnadzora. 2013; (5): 17–24. (In Russ.)

[2] Полунина Н.В. Состояние здоровья детей в современной России и пути его улучшения. Вестн. Росздравнадзора. 2013; (5): 17–24.

[3] Sogiyaynen A.A., Chicherin L.P., Shchepin V.O. Kontseptual'nye podkhody k komplektovaniyu Vooruzhennykh sil Rossii zdorovym kontingentom. (Conceptual approa­ches to the recruitment of the Russian Armed for­ces with a healthy contingent.) Yaroslavl'. 2017; 190 р. (In Russ.)

[4] Согияйнен А.А., Чичерин Л.П., Щепин В.О. Концептуальные подходы к комплектованию Вооружённых сил России здоровым контингентом. Ярославль. 2017; 190 с.

[5] Sogiyaynen A.A., Chicherin L.P. On the issue of psychological selection of citizens in the course of the irpreparation for military service. Byulleten' Natsional'nogo NII obshchestvennogo zdorov'ya im. N.A. Semashko. 2016; 4 (2): 76–82. (In Russ.)

[6] Согияйнен А.А., Чичерин Л.П. К вопросу психологического отбора граждан в ходе их подготовки к военной службе. Бюлл. Нац. НИИ обществ. здоровья им. Н.А. Семашко. 2016; 4 (2): 76–82.

[7] Smirnov S.V., Kuz'min S.A. Health and physical fitness of conscripts living in rural areas (on the example of the Orenburg region). Obshchestvennoe zdorov'e i zdravookhranenie. 2014; (3): 14–16. (In Russ.)

[8] Смирнов С.В., Кузьмин С.А. Здоровье и физическая подготовленность призывников, проживающих в сельской местности (на примере Оренбургской области). Обществ. здоровье и здравоохр. 2014; (3): 14–16.

[9] Baranov A.A. Strategiya “Zdorov'e i razvitie podrostkov Rossii” (garmonizatsiya Evropeyskikh i Rossiyskikh podkhodov k teorii i praktike okhrany i ukrepleniya zdorov'ya podrostkov). (Strategy “Health and development of adolescents in Russia” (harmonization of European and Russian approaches to the ­theory and practice of protection and promotion of health of adolescents).) Moscow: Nauchnyy tsentr zdorov'ya detey RAMN. 2010; 54 р. (In Russ.)

[10] Баранов А.А. Стратегия «Здоровье и развитие подростков России» (гармонизация Европейских и Российских подходов к теории и практике охраны и укрепления здоровья подростков). М.: Научный центр здоровья детей РАМН. 2010; 54 с.

[11] Bara­nov A.A., Namazova-Baranova L.S., Baybarina E.N. et al. Assessment of the quality of preventive medical examinations of minors. Vestnik Roszdravnadzora. 2016; (3): 49–54. (In Russ.)

[12] Баранов А.А., Намазова-Баранова Л.С., Байбарина Е.Н. и др. Оценка качества проведения профилактических медицинских осмотров несовершеннолетних. Вестн. Росздравнадзора. 2016; (3): 49–54.

[13] Baranov A.A., Il'in A.G., Namazova L.S et al. Medical care for young men in a children's polyclinic during preparation for military service. Glavvrach. 2008; (10): 44–61. (In Russ.)

[14] Баранов А.А., Ильин А.Г., Намазова Л.С. и др. Медицинское обеспечение юношей в детской поликлинике в период подготовки к военной службе. Главврач. 2008; (10): 44–61.

[15] Datsko A.V., Sogiyaynen A.A. The state of the system of medical care of citizens to be called up for military service, in the mirror of the expert opi­nion of medical specialists of military commissariats. ­Byu­lleten' Natsional'nogo NII obshchestvennogo zdorov'ya im. N.A. Semashko. 2017; (1): 71–74. (In Russ.)

[16] Дацко А.В., Согияйнен А.А. Состояние системы медицинского обеспечения граждан, подлежащих призыву на военную службу, в зеркале экспертного мнения врачей-специалистов военных комиссариатов. Бюлл. Нац. НИИ обществ. здоровья им. Н.А. Семашко. 2017; (1): 71–74.

[17] Sogiyaynen A.A. Theore­tical and organizational-methodical substantiation of ways to optimize the medical support of citizens of military age in the Russian Federation. Summary to DrMedSci thesis: 14.02.03. Moscow. 2019; 49 р. (In Russ.)

[18] Согияйнен А.А. Теоретическое и организационно-методическое обоснование путей оптимизации медицинского обеспечения граждан призывного возраста в Российской Федерации. Автореф. дис. … д-ра мед. наук: 14.02.03. М. 2019; 49 с.

[19] Zakurdaev V.V. Justification and search of indicators of health of the population and mi­litary personnel. Voenno-meditsinskiy zhurnal. 2014; (9): 19–25. (In Russ.)

[20] Закурдаев В.В. Обоснование и поиск индикаторов здоровья населения и военнослужащих. Военно-мед. ж. 2014; (9): 19–25.

[21] Sogiyaynen A.A., Chicherin L.P., Shchepin V.O. Ways to improve the implementation of the Concept of the Federal system of training of citizens of the Russian Federation for military service. Problemy sotsial'noy gigieny, zdravookhraneniya i istorii meditsiny. 2017; (1): 29–33. (In Russ.)

[22] Согияйнен А.А., Чичерин Л.П., Щепин В.О. Пути совершенствования реализации Концепции федеральной системы подготовки граждан Российской Федерации к военной службе. Пробл. соц. гигиены, здравоохр. и истории мед. 2017; (1): 29–33.

[23] Reshetnikov A.V., Efimenko S.A. Medical and sociological monitoring: educational and methodical manual. Moscow: GEOTAR-MED. 2007; 160 р. (In Russ.)

[24] Решетников А.В., Ефименко С.А. Проведение медико-социологического мониторинга. Учебно-методическое пособие. М.: ГЭОТАР-МЕД. 2007; 160 с.

[25] Tatarnikov M.A Why do we need a standardized metho­dology of sociological survey in health care? Sotsiologiya me­ditsiny. 2013; (2): 11–22. (In Russ.)

[26] Татарников М.А. Зачем нужна стандартизованная методика социологического опроса в здравоохранении? Социология медицины. 2013; (2): 11–22.

[27] Organizatsiya i vedenie sotsial'no-gigienicheskogo monitoringa v Vooruzhennykh silakh Rossiyskoy Federatsii. Sozdanie informatsionnogo fonda sotsial'no-gigieniches­kogo moni­toringa kak sostavnoy chasti informatsionnogo fonda Mini­sterstva oborony Rossiyskoy Federatsii. (Organization and maintenance of social and hygienic monito­ring in the Armed forces of the Russian Federation. Creation of the information Fund of social and hygienic monitoring as an integral part of the information Fund of the Ministry of defence of the Russian Federation.) Scientific guide. Ed. by Yu.V. Lizunov. Saint Petersburg: VMedA. 2004; 609 р. (In Russ.)

[28] Организация и ведение социально-гигиенического мониторинга в Вооружённых силах Российской Федерации. Создание информационного фонда социально-гигиенического мониторинга как составной части информационного фонда Министерства обороны Российской Федерации. Научное руководство. Под ред. Ю.В. Лизунова. СПб.: ВМедА. 2004; 609 с.

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Sogiyaynen A.A.