Academic literature on the topic 'Russia (Federation). Russian S.F.S.R'

The article analyzes the regional features of the provision of medical personnel in Russia in the context of various subjects and federal districts. P u r p o s e of the study is to analyze the features of staffing of medical organizations in the constituent entities of the Russian Federation in modern conditions and the main directions of policy to improve the staffing situation at the regional level. M a t e r i a l s a n d m e t h o d s . According to the official statistics, an analysis of the staffing of medical and paramedical personnel was carried out in the context of the constituent entities of the Russian Federation; in the course of the study, methods were used such as: analytical, statistical, study and generalization of experience. R e s u l t s . The analysis showed that the provision of doctors and the provision of emergency medical services for different regions of the Russian Federation is different. The lowest values of the indicator of the provision of doctors in 2019 were recorded in the Ural FD, the Southern FD and the North Caucasian FD, while in the constituent entities of the Russian Federation the most pronounced tendency towards a decrease in the level of provision nursing staff was noted in Moscow, Tyumen region, Chukotka Autonomous Okrug, Republic of Kalmykia, Udmurt Republic, as well as in Yaroslavl, Murmansk, Novgorod and Kirov regions, which emphasizes the need to take appropriate management measures, both at the local and federal levels. F i n d i n g s . The existing imbalance in the country between the provision of the population with doctors and nurses in various regions (the difference between low and high rates is more than 2.3 times), as well as between the provision of medical workers in the city and rural areas is the main problem of staffing the system. To overcome this situation, further implementation of new measures of social support and moral incentives for medical personnel in Russia is required.

The Russian system of public health protection and primary health care as its component require reforming. Excessively narrow specialization of outpatient care loses the identity of the primary health care doctor as a «guardian of health». The state bears the financial burden associated with large investments in specialized medical care, which is much more expensive. It is required to reform district assistance in organizational and personnel support. Unfortunately, 30 years of reforming primary health care on the principle of general medical practice have not brought Russia closer to the formation of a new organizational and institutionally sustainable model of primary health care. P u r p o s e o f t h e s t u d y . Based on the analysis of the reported data on the availability of medical personnel in primary health care in the Russian Federation and its subjects and the content of the analysis of author’s studies, proposals were developed for reforming primary health care and general medical practices. M a t e r i a l s a n d m e t h o d s : content analysis, statistical, sociological, analytical, direct observation. The article used the results of the research work of the authors of the article, followed by content analysis and the development of proposals for reforming primary health care, district service and general education, in particular. R e s u l t s . The article provides an analysis of the provision of doctors, therapist and general practitioners in the Russian Federation in dynamics (2016–2020), a ranking of indicators of the provision of general practitioner in the constituent entities of the Russian Federation is carried out. The analysis showed that over the 5 years, the provision of district physicians increased slightly: general practitioner (from 0,63 to 0,72‰î), district therapist (from 2,98 to 3,21), in total, the provision of these specialists increased from 3,61 to 3,93‰ and their share (2020) amounted to 8,6% of the total number of doctors in the Russian Federation, which determines the need to prioritize the reform of primary health care in the context of the development of general medical practice. Based on content analysis and our own research on the state of primary health care and the development of primary health care in the Russian Federation, proposals were developed for reforming primary health care and promising models of primary health care in the city were scientifically substantiated. F i n d i n g s . The introduction of promising general medical practice models in the urban environment implies a complete transition of the medical organization providing medical care on an outpatient basis to general medical practice, while reducing the staff positions of medical specialists. It is necessary to expand the job responsibilities of the general practitioner’s nurse with a ratio of general practitioner to general practitioner’s nurse of 1:2. It is necessary to develop regulatory, legal and managerial decisions regarding the priorities of primary health care and the development of general medical practice in its structure

The Soviet diplomacy in the second half of the 1940s included the Russian Orthodox Church and its institutions of international presence in its sphere of activity. At that time the Russian Orthodox Church (ROC) began to play a significant role in the Soviet Union's foreign policy. The Middle Eastern direction becomes one of the most significant areas of “church diplomacy”. The first visit of Patriarch Alexy (Simanskiy) to the Holy Land in 1945 was part of a “package” of diplomatic steps made by Soviet diplomacy in partnership with the Moscow Patriarchate in 1945–1955 to restore the property of the ROC in Palestine. The analysis of the documents on the ROC (State Archive of the Russian Federation, F. R-6991) and the materials on the foreign policy of the USSR Council of Ministers (State Archive of the Russian Federation, F. R-5446), as well as the extensive historiography of historical relations between Russia and the Holy Land, allows the authors to consider joint efforts to consolidate the presence of the ROC in the region. The research allows tracing the “birth of tradition” of foreign policy mission of the Moscow Patriarchate and its foreign structures, which became points of influence of the USSR in the post-war world. It allows one to reconstruct the social image of Moscow's “agents of influence” in the Middle East, both the new emissaries and the traditional agents of Russian influence in the region – the pilgrims and nuns of the Russian monasteries of the Holy Land.

P u r p o s e o f t h e s t u d y : based on the analysis of the medical and demographic situation and the staffing of the rural population, develop proposals for improving medical care for the villagers. M a t e r i a l s a n d m e t h o d s : statistical, analytical, direct observation. The article used the forms of state statistical observation of the Ministry of Health of the Russian Federation. The results of the actual research. Materials and methods: statistical, analytical, direct observation, the forms of state statistical observation of the Ministry of Health of the Russian Federation were used. R e s u l t s . The rural population in the Russian Federation (2021) is 36,9 million people (25,2% of the country’s population). The proportion of the rural population of working age was 53,8%, which is lower than in Russia as a whole – 56%. A 21-year analysis showed that the birth rate of the rural population increased until 2012, while mortality rates decreased, in 2013 the mortality and birth rates became equal and amounted to 14,5‰ each, in 2020 the death rate increased to 15,4‰ due to the COVID‑19 pandemic. The average (expected) life expectancy of the rural population (70,7 years) is lower than that of the urban population (71,8 years); the indicator for rural men is extremely low (66 years). The overall incidence of the rural population is 1,4 times lower than that of the urban population, 117993,2 and 166901,5‰oo respectively. Primary morbidity is also 1,5 times lower (55082,4 and 83002,2‰oo, respectively). The difference in primary morbidity rates of the rural population in the federal districts (2020) was 1,3 times, in the constituent entities – 8,3 times. The incidence of COVID‑19 in the rural adult population (2020) was 1986,0‰oo, which is 2 times lower than in the Russian Federation as a whole (3913.9‰oo). There was a significant difference in these indicators (by 59 times) in the subjects of the Russian Federation, which can be associated with a lower density of the rural population, low availability of medical care in the countryside, as well as the ambiguity of COVID‑19 coding. For 6 years (2016–2021), the provision of doctors in medical organizations in rural areas in the Russian Federation decreased from 14,8 to 13,6‰o, and of nurses – from 54,6 to 49,3‰o. The number of nursing staff individuals working for feldsher-obstetric station decreased by 12,5%, paramedics – by 9,4%. Given the special importance of paramedical assistance in the countryside, the reduction in the number of paramedics should be considered a negative. C o n c l u s i o n . The unfavorable medical and demographic situation in the countryside requires the development of organizational and managerial decisions aimed at increasing the availability of medical care to the villagers. C o n c l u s i o n s . Proposals have been developed to improve the provision of medical care to the population of rural areas.

With age, the risk of stroke increases significantly, but at the same time, there are tendencies for an increase in its prevalence in young and middle-aged people, which determines the urgency of the problem of rehabilitation treatment after stroke both in the world and in Russia. The use of digital technologies in neurorehabilitation can be very multifaceted and extensive. Telerehabilitation as an innovative direction of telemedicine is an important aspect within the framework of the national project «Healthcare» and the program «Digital Economy of the Russian Federation». P u r p o s e of the study is to analysis of the Russian experience of organizing and conducting telerehabilitation of post-stroke period in the context of the digital transformation of the healthcare system in Russia. M a t e r i a l s a n d m e t h o d s . The article used technologies for searching and selecting information using search engines (www.google.ru, www.yandex.ru), specialized and bibliographic databases (PubMed, eLIBRARY.RU), methods of analysis and synthesis, analytical data processing. R e s u l t s . The study showed that telerehabilitation has a high clinical value of adherence to the treatment of patients of post-stroke period and is not a separate type of medical activity, but an innovative therapeutic and prophylactic method that expands the possibilities of therapy and improves the process of interaction in the «doctor-patient» and «doctor-doctor» communication systems. This technology of restorative telemedicine makes it possible to increase the level of scientific knowledge, skills and abilities of healthcare organizers and medical workers in order to strengthen the national healthcare system of Russia, as well as to rationally use the scientific and practical potential of digital solutions in interdisciplinary interaction of specialists dealing with medical neurorehabilitation, significantly expanding the coverage of the population telerehabilitation services after a stroke. F i n d i n g s . Despite the positive experience of some medical organizations in Russia in the use of telerehabilitation, this direction is still in its infancy and is likely to develop in the coming years for the rehabilitation of many stroke patients, which will help healthcare organizers, doctors and patients and other interdisciplinary specialists effectively and interact seamlessly in the digital health ecosystem in the context of the development of patient-centered medicine.

The implementation of the healthcare development strategy, effective management of the healthcare system is impossible without monitoring and comprehensive comparative analysis at various levels of the state and development of the network, resources and activities of medical organizations, individual services and the healthcare system as a whole. P u r p o s e of the study is scientific assessment of the state of the network of medical organizations providing medical care in outpatient and inpatient settings, as well as analysis of the provision of beds for the population of the Russian Federation in 2012–2019. M a t e r i a l s a n d m e t h o d s . Within the framework of the conducted research, official statistics data were analyzed, modern trends and trends in the provision of beds and the state of the network of medical organizations in Russia at the regional level were determined. Statistical data processing was carried out using SPSS, Excel‑2007 packages. Such methods as analytical, statistical methods, study and generalization of experience, comparative analysis were used. R e s u l t s . The analysis has shown that the unevenness and the level of high differentiation of indicators of provision of beds by subjects of the Russian Federation remains. Thus, over the period 2012–2019, the provision of specialized beds for all the main profiles of beds is decreasing, the largest reduction affected socially significant beds – dermatovenerological – by 1,5 times, as well as therapeutic – by 32,5%, gastroenterological – by 28,2%, pediatric – by 24,4%, and infectious – by 20,3%. F i n d i n g s . The results of this study confirm the reduction in the number of beds of the main profiles, as well as the conversion of part of the bed stock, especially in the context of a pandemic of a new coronavirus infection, which showed the need for structural and functional transformations of health resources in general and the bed stock in particular.

Competent management is crucial condition for the development and functioning and requires qualified managers. In the Russian Federation over the past few years Federation there were many rotations in management of regional health authorities. These changes will be followed by lack of continuity in management decision-making, high degree of uncertainty and a low level of population and professional community trust. T h e a i m o f t h e s t u d y was to give a detailed information about regional health authorities managers in Russian Federation. M a t e r i a l s a n d m e t h o d s . This research was designed as observational study with the use of questionnaire which included the characteristics of the age and gender of the respondents, the level of their basic and additional education, additional competencies, occupational background in leadership position. R e s u l t s . We achieved a response from 81 respondents. We founded that rotation of managers and extremely short occupation period had significant impact on managers’ qualifications. The culture of purposeful formation of the professional skills by the respondents was poor. Only 7% of managers paid attention to their education. About 40% did not have professional retraining for management in healthcare. C o n c l u s i o n s . It is necessary to develop a standard set of Russian region health managers competencies and responsibilities.

R e l e v a n c e : The variety of methods and approaches to the financing of medical care accumulated by the world experience determines the importance of classification. However, the existing capabilities of classification systems seem to be limited and unsuitable for practice and management decision-making. P u r p o s e : development of a new classification of health care financing systems to improve the efficiency of managerial decisions taken when modeling long-term strategies for the development of health care in the Russian Federation. M e t h o d s : A method was used based on a functional and structural analysis of the main links of the technological cycle of financing public (free at the place of delivery) medical care: coverage, determination of sources of revenues, their redistribution, consolidation, payment for medical care and management expenses for creating a new classification of health care financing systems. R e s u l t s a n d c o n c l u s i o n s : A new classification has been developed and tested to analyze the national health systems of different countries and model the most relevant changes in the health financing system. A p p l i c a t i o n o f t h e r e s u l t s : public health, public financial management, consolidation of revenues.

[For the English abstract and full text of the article please see the attached PDF-File (English version follows Russian version)].ABSTRACT The article is devoted to the review of Eurasian integration processes, to the development of transport export-import relations of the Russian Federation, the position of the national transport system in the global transport communications system in the context of the country’s participation in international economic associations. The need to find prospects for development of the transport sector is actualized in view of new realities created after the establishment of the Customs Union and Eurasian Economic Union. A model of strengthening transport and transit potential through improvement of customs and transport and logistics management of the transport system is offered. Keywords: economic integration, EEU, SCO, BRICS, transport infrastructure, international transport corridors, transport and logistical support, process model. REFERENCES 1.Pekhterev, F. S. Development and modernization of infrastructure of Russian sections of international transport corridors [Razvitie I modernizacija infrastruktury rossijskih uchastkov mezhdunarodnyh transportnyh koridorov].Information-analytical publication «Infrastructure of Russia», 2012.[Electronic source]: http://federalbook.ru/files/ Infrastruktura/Soderjaniye/V/Pehterev.pdf.Last accessed 06.11.2014. 2.Mosyakina, E.A., Rudneva, L. N. The Eurasian Economic Community and the formation of the Eurasian Economic Union [Evrazijskoe ekonomicheskoe soobshhestvo i formirovanie Evrazijskogo ekonomicheskogo sojuza].Problems of formation of a common space of economic and social development of the CIS countries: Proceedings of International scientific-practical conference.Tyumen, TSOGU publ., 2014, pp.190-194. 3.Kholopov, K.V., Golubchik, A. M. Problems and directions of Russia’s integration into the international transport system [Problemy i napravlenija integracii Rossii v mezhdunarodnye transportnye sistemy].Rossijskij vneshneekonomicheskij vestnik, 2011, Iss.10, pp.43-50. 4.Lapidus, B.M., Macheret, D. A. Economy of transport space: methodological bases [Ekonomika transportnogo prostranstva: metodologicheskie osnovy].VestnikVNIIZhT, 2012, Iss.2, pp.3-10. 5.Tonysheva, L. L. Innovative development of Russia’s Economy [Innovacionnoe razvitie ekonomiki Rossii].Mezhdunarodnyj zhurnal prikladnyh i fundamental’nyh issledovanij, 2014, Iss.5-1, p.164. 6.Chumlyakov, C. S. Specificity of formation of transport complex structure at the regional level [Specifika formirovanija struktury transportnogo kompleksa na regional’nom urovne].Vestnik MADI, 2010, Iss.4, pp.46-51. 7.Chumlyakov, C. S. Geo-economic and geo-political factors and prerequisites of integration processes in the transport system of the region [Geoekonomicheskie i geopoliticheskie factory i predposylki integracionnyh processov v transportnoj sisteme regiona].VestnikINZhJeKONa. Serija Ekonomika, 2011, Iss.1, pp.90-95. 8.Chumlyakov, C. S. The strategic role of transport corridors in development of international transit transportation [Strategicheskaja rol’ transportnyh koridorov v razvitii mezhdunarodnyh tranzitnyh perevozok].Rossijskij vneshneekonomicheskij vestnik, 2013, Iss.11, pp.62-67. 9.Chumlyakov, C. S. Transport infrastructure of Russia in the system of international economic relations [Transportnaja infrastruktura Rossii v sisteme mezhdunarodnyh hozjajstvennyh svjazej].IzvestijaVUZov. Sociologija. Ekonomika. Politika, 2013, Iss.4, pp.47-49. 10.Charter of the Commonwealth of Independent States // Executive Committee of the CIS, the official website.[Electronic source]: http://cis.minsk.by/reestr/ru/index.html#reestr/view/text?doc=187.Last accessed 06.12.2014. 11.Shafiev, R. M. Integration interaction of the CIS states in terms of accession to the WTO [Integracionnoe vzaimodejstvie gosudarstv SNG v uslovijah prisoedinenija k VTO].Rossijskij vneshneekonomicheskij vestnik, 2013, Iss.6, pp.3-14. 12.Lifan, Li.National energy security and Sino-Russian- Kazakh-Japan energy cooperation.Central Asia and the Caucasus, Iss.1 (43), 2007, pp.110-120.

Academicians A. Y. Krymsky and V. A. Gordlevsky are important figures in the history of Russian classical orientalism and Arab-Muslim studies, in particular the Moscow and Kiev centers of Oriental studies, especially in the field of academic turkology, Ottoman, Arab and Iranian studies, as well as the public life of the Russian Empire and the USSR. They are widely known in the history of humanities in modern Russian Federation and Ukraine. Currently, we are conducting the search, study, systematization and publication of the correspondence by outstanding arabist, semitologist, turkologist, Iranian and Slavic studies scholar A. Y. Krymsky with leading Russian orientalists V. R. Rosen, V. V. Bartold, P. K. Kokovtsov, F. E. Korsch, V. A. Zhukovsky, S. F. Oldenburg, I. Y.Krachkovsky, Н.А. Mednikov, V. A. Gordlevsky, B. V. Miller, V. F. Minorsky and other scholars during the period of 1890s to 1930s. The article is devoted to a brief overview of the activities of A. Y. Krymsky and V. A. Gordlevsky at the Lazarev Institute of Oriental languages (1898 –1918) and their extant personal correspondence. The main attention is paid to the publication of two extant letters, both previously unknown in the history of Russian Turkology and Orientalism, written by V. A. Gordlevsky from Konya (Turkey) to A. Y. Krymsky, from the collections of the Institute of Manuscripts of V.I. Vernadsky Scientific Library of Ukraine (Kiev). This library contains two letters by V. A. Gordlevsky to Professor A. Y. Krymsky from a pre-Revolution period (dated November 7, 1906 and April 20, 1909), both published in this paper

At the St. Petersburg International Economic Forum (PIEF–2023), the President of the Russian Federation V.V. Putin presented a new concept for the development of a country with a sovereign economy. This time, the president did not as much emphasize and highlight priorities, as he summarized the theoretical and methodological basis for the announced model. The President answered the fundamental question: how and in what way will the new Russian economy be built – «the economy of supply». We are talking about the transition to a qualitatively new level of development – to a sovereign economy that not only reacts to market conditions and takes into account demand, but also forms this demand. Such an economy is often called the «supply economy» and presupposes a large-scale increase in production forces and the expansion of the service sector, the widespread creation of new modern industrial facilities and entire industries, including in those areas "... where we have not yet proven ourselves properly, but there are scientific opportunities, creative potential that we have, of course» – that's how V.V. Putin described the contours of the new development model. The main principles will be: orientation of the education system on employment of graduates; expansion of entrepreneurial activity; increasing the attractiveness of Russia as a state of central jurisdiction for conducting global business and preventing the transfer of funds from the country abroad; ensuring investment growth; maximum spread of the «lean production» system; automation and mastering of artificial intelligence (AI) technologies. Experts named the immediate «builders of the country's technological sovereignty»: to achieve it, experts in artificial intelligence, blockchain and robotics will be needed.

The essay treats the long-term patterns of Bosnia and Herzegovina's (BiH) constituent peoples' (Bošnjaks, Croats, and Serbs) foreign policy orientations as seen by Russian diplomats. Comparative analysis is based on the first Russian study of the area, Bosnia, Herzegovina and Ancient Serbia (1859) by Alexander F. Gilferding, first Russian Consul in Sarajevo, as well as on contemporary documents of the Archives of Foreign Policy of the Russian Federation from 1995 to 1998. The object of this study is to investigate the descriptions of their Bosnian counter-parts from all three main ethnic groups in order to find out long-term patterns and their evolution from the middle of the nineteenth to the early twenty-first centuries. In both the middle of the nineteenth and at the dawn of the twenty-first centuries, Russian diplomats reported on fundamental differences in the foreign policy orientations of BiH's Bošnjaks, Croats, and Serbs. Their Bosnian counterparts, regardless of their ethnic origin, almost unanimously stated that the Bošnjaks were looking towards Turkey, the Croats towards the West, and the Serbs towards Russia. These fundamental sympathies directly influenced Bosnian politicians' actions. For Russia, it meant that Republika Srpska's leaders were eager to use every possibility to cooperate with Moscow as well as the neartotal neglect of Russian propositions by Bošnjak and Croat leaders. Nevertheless, these long-term patterns have evolved over the last 150 years. Alexander Gilferding recorded the predominantly confessional identity of Bosnians. In the late 1990's however, Bosnians perceived themselves primarily ethnically, with the religious factor somewhat subordinated to ethnicity. Furthermore, there is a visible evolution of foreign policy orientation for Bosnian peoples: (a) the Bošnjaks, along with the habitual attraction to Turkey, are now drawn to the wider Arab world and the US, inasmuch as their support was crucial during the Bosnian War of 1992-1995 and for the maintenance of BiH's very existence; (b) the Croats no longer gravitate towards Vienna, but to Zagreb and Germany; and (c) the Serbs are drawn to pan-Serb interests, with a predominant orientation towards Serbia (FRY of the late 1990s), which has become more important than their still existing penchant for Russia. However, even such an evolution does not alter the fundamental differences between BiH's constituent peoples' aspirations that effectively exclude any coherent and widely accepted foreign policy. Therefore, the Bosnian political scene is extremely sensitive towards tensions between the global centres to which its constituent peoples gravitate.

Contemporary Russian socio-cultural, cultural and philosophical, socio psychological, artistic and aesthetic practices actualize the Russian tradition of rejection, criticism, undisguised hatred and fear of power. Today, however, power has ceased to be a subject of one-dimensional denial or condemnation, becoming the subject of an interdisciplinary scientific discourse that integrates cultural studies, philosophy, social psychology, semiotics, art criticism and history (history of culture). The article provides theoretical substantiation and empirical support for the two facets of notions of power. The first facet is the unique, not only political, but also mental determinant of the problem of power in Russia, a kind of reflection of modus vivendi. The second facet is the artistic and image-based determinant of problem of power in Russia designated as artis imago. Theoretical grounds for solving these problems are found in F. Nietzsche’s perceptions of the binary “potentate-mass” opposition, G. Le Bon’s of the “leader”, K.-G. Jung’s of mechanisms of human motivation for power. The paper dwells on the “semiosis of power” in the focus of thoughts by A. F. Losev, P. A. Sorokin, R. Barthes. Based on S. Freud’s views of the unconscious and G. V. Plekhanov’s and J. Maritain’s views of the totalitarian power, we substantiate the concept of “the imperial unconscious”. The paper focuses on the importance of the freedom motif in art (D. Diderot and V. G. Belinsky as theorists, S. Y. Yursky as an art practitioner). Power as a subject of influence and object of analysis by Russian creators is studied on the material of perceptions and creative experience of A. S. Pushkin (in the context of works devoted to Russian “impostors” by numerous authors). Special attention is paid to the early twenty-first century television series on Soviet rulers (Stalin, Khrushchev, Brezhnev, Furtseva). The conclusion is made on the relevance of Pushkin’s remark about “living power” “hated by the rabble” for contemporary Russia.