Screening for chronic non-communicable diseases: Continuity of care, organizational problems and ways of improvement

Introduction. The article examines the problem of high mortality from chronic noncommunicable diseases (CKD) in the world and in the Russian Federation, where more than 70% of deaths are associated with diseases of the cardiovascular, endocrine, respiratory, digestive systems and oncopathology. It is emphasized that a significant part of these deaths can be prevented by timely identification of risk factors (RFS) and by integrating screening into a continuous preventive continuum.

Aim. Analyze the organization of screening for NCDs from the perspective of continuity of medical care and to develop proposals for improving the prevention system in Russia.

Materials and methods. The paper uses the method of systematic analysis using qualitative and quantitative approaches. Scientific publications (PubMed, eLIBRARY.RU, CyberLeninka.ru, WHO IRIS databases, 2019–2024); regulatory documents of the Ministry of Health of the Russian Federation; data from opinion polls (VTsIOM, Rosstat); international experience (Great Britain, Germany, USA) have been studied; Russian pilot projects to improve the continuity of medical care.

Results. It has been established that a national model of comprehensive screening is being implemented in Russia as part of preventive examinations and medical examinations. Key problems of continuity have been identified, such as: low coverage of the population (28% of Russians have never had a medical examination), communication gaps between levels of care, lack of integrated information systems and limited access to specialized care. Proposals for improvement have been formed, which include: digitalization of patient routes and the creation of a federal screening registry; implementation of the case manager model; integration of prevention into compulsory health insurance with payment based on results; improvement of medical literacy of the population; standardization of clinical routes; development of health and primary care centers.

Conclusion. The implementation of the proposed measures will make it possible to increase the effectiveness of the prevention of NCDS, reduce morbidity and mortality, and achieve the goals of the national project “Long and active Life”.

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