Medical examination of the adult population: the opinion of specialists responsible for collecting and providing statistical data in the subjects of the Russian Federation

Relevance. Evaluation of the health system and its individual areas or activities is the most important basis for strategic and operational-tactical planning, as well as a tool for analysis and control at all levels of management decision-making: federal, regional and municipal. Assessment of the effectiveness and/or effectiveness of medical examinations as the largest preventive measure seems appropriate from both objective (based on statistical data) and subjective (based on survey data) points of view. The study attempts to evaluate the opinion of specialists directly responsible for collecting statistical data.

The purpose of the study: to analyze the opinion of specialists responsible for collecting and providing statistical data in the subjects of the Russian Federation on the medical examination of the adult population, including in terms of registration of statistical data.

Materials and methods. The study was conducted using a questionnaire method using specially designed questionnaires. The analysis of the obtained data is carried out by the method of structural description. Statistical data processing was carried out using Microsoft Office Excel programs.

Results. The results of a survey of specialists responsible for collecting and providing statistical data in the regions of the Russian Federation are presented. The respondents assessed the preventive direction in healthcare, as well as the degree of influence of medical examinations of certain groups of the adult population on public health. An opinion was expressed on the various components of the medical examination technology, as well as on the regulatory framework for medical examinations, including those related to the collection and accounting of statistical data. A number of questions were devoted to the degree of reliability of data on behavioral and nutritional-behavioral risk factors for the development of chronic non-communicable diseases.

Conclusion. Despite a number of objective and subjective problems, medical examination is a promising strategic measure to achieve a state of complete physical, spiritual and social well-being of citizens of the Russian Federation. At the same time, according to experts responsible for collecting and providing statistical data on medical examinations at the level of subjects, there is a need to improve information and methodological support for medical examinations of certain groups of the adult population and adjust regulatory legal acts regulating the procedures for conducting and collecting statistical data on medical examinations.

1. Suvorova E.I., Kontseva A. V., Ryzhov A. P. et al. Evaluation and monitoring of the effectiveness of population-based disease prevention measures. Intellektualnyye sistemy. Teoriya i prilozheniya. 2020; 24(3):7–21. (In Russ.).

2. Kislitsyna O.A., Chubarova T. V. National Health System Performance Index: methodological approaches and results for Russia. Obshchestvo i ekonomika. 2022; 2:31–45. DOI: 10.31857/S020736760018656–0. (In Russ.).

3. Komarov Yu.M., Ivanov A. V. Medical statistics: errors of interpretation. Zdravookhraneniye. 2012; 10:32–38. (In Russ.).

4. Teymurov R. R. Factors influencing the effectiveness of management decisions. Mezhdunarodnyy nauchnyy zhurnal «VESTNIK NAUKI». 2025; 2(4(85)):526–530. (In Russ.).

5. Bogdan I.V. “Subjective” sociology and “objective” statistics: in search of optimal interaction in healthcare management (ex­perience of GBU “NIIOZMM DZM”) Healthcare statistics of modern times: Proceedings of the Second Congress of Medical Statisticians of Moscow, Moscow, October 08–09, 2020. Moscow: GBU “NIOZMM DZM”; 2020:20–22. (In Russ.).

6. Budarin S.S., Elbek Yu. V. Analysis of the results of medical examinations of certain groups of the adult population based on the forms of industry statistical reporting. Vestnik Roszdravnadzora. 2020; 1:66–74. DOI: 10.35576/2070‑7940‑2020‑1‑66‑74. (In Russ.).

7. Lavrentieva S.M., Semisynov S. O., Savitskaya N. N., Kharybin V. G., Pozdnyakova M. A. Prevalence of behavioral risk factors for chronic noncommunicable diseases among the adult population of a megalopolis. Zdorovye – osnova chelovecheskogo poten­tsiala: problemy i puti ikh resheniya. 2022; 17(2): 451–456. (In Russ.).

8. Salagai O.O., Sakharova G. M., Antonov N. S., Nikitina S.Yu., Stadnik N. M., Starodubov V. I. Assessment of the prevalence of behavioral risk factors and their impact on adult health in the Russian Federation. Voprosy statistiki. 2023;.30(2):72–86. DOI: 10.34023/2313‑6383‑2023‑30‑2‑72‑86. (In Russ.).

9. Drapkina O.M., Kotova M. B., Maksimov S. A. and others. Commitment to a healthy lifestyle in Russia according to the ESSE-RF study: is there a “covid trace”? Kardiovaskulyarnaya terapiya i profilaktika. 2023; 22(8S):3788. DOI: 10.15829/1728‑8800‑2023-3788. (In Russ.).

10. Drapkina O.M., Drozdova L.Yu., Kalinina A. M. et al. Organization of preventive medical examination and medical examination of certain groups of the adult population: Methodological recommendations of the Federal State Budgetary Institution “NMITS TPM” of the Ministry of Health of the Russian Federation. 2nd edition. Moscow: National Medical Research Center for Therapy and Preventive Medicine; 2020. 232 р. ISBN978‑5‑6043991‑1‑8. (In Russ.).

11. Savin S.D., Smirnova A. N. Preventive medicine in Russia: the problem of public (not)trust. Vestnik Sankt-Peterburgskogo uni­versiteta. Sotsiologiya. 2022; 15(4):405–423. DOI: 10.21638/spbu12.2022.406. (In Russ.).

12. Lisitsyn Yu. P. Triune medicine. Sotsiologiya meditsiny. 2012; 1(20):9–13. (In Russ.).

13. Sanina N.P., Kravtsova M. V. Aspects of the primary health care modernization program: problems and solutions. Ekonomika i upravleniye. 2021; 27(6(188)):396–409. DOI: 10.35854/1998‑1627‑2021‑6‑396‑409. (In Russ.).

14. Chesnokov E.A., Sharapova Yu.A., Nekhaenko N. E. Assessment of informing the population in achieving coverage rates for conducting medical examinations of the adult population. Terapiya. 2023; 9(S7(69)):326–327. (In Russ.).

15. Senatorova O.V., Kuznetsov V. A., Trufanov A. S. Attitude to health and disease prevention as an indicator of public health. Kar­diovaskulyarnaya terapiya i profilaktika. 2019; 18(1):156–160. DOI: 10.15829/1728‑8800‑2019‑1‑156‑160. (In Russ.).

16. Zakharchenko O.O., Shikina I. B., Terenteva D. S. Some methodological aspects of conducting and evaluating medical ex­aminations of the adult population: a systematic review of regulatory legal documentation in the field of health protec­tion of citizens of the Russian Federation. Kubanskiy nauchnyy meditsinskiy vestnik. 2023; 30(6):66–80. DOI: 10.25207/1608‑6228‑2023‑30‑6‑66‑80. (In Russ.).

17. Starodubov V.I., Shikina I. B., Zakharchenko O. O., Terenteva D. S. A retrospective analysis of the form of industry statistical observation No.131/o regarding the registration of risk factors for the development of chronic non-communicable diseases. Manager zdravookhranenia. 2023; 3:44–55. DOI: 10.21045/1811‑0185‑2023‑3‑44‑55. (In Russ.).

18. Kamalyan A. V. Municipal legal mechanisms for increasing the availability of preventive medicine. Sotsialno-gumanitarnoye obozreniye. 2025; 2:6–10. (In Russ.).

19. Zakharchenko O. O. Improving statistical monitoring of the medical examination of certain groups of the adult population: dis. … cand. of med. scien. Moscow; 2023. 322 p. (In Russ.).

20. Nikolaev N.A., Drapkina O. M., Livzan M. A. et al. Assessment of the effectiveness of questionnaires to identify symptoms and risk factors for the development of noncommunicable diseases (the MARQUIS study): study design and general characteristics of the research sample. Profilakticheskaya meditsina. 2022; 25(6):54–60. DOI: 10.17116/profmed20222506154. (In Russ.).

21. Gomanova L.I., Balanova Yu.A., Shalnova S. A. et al. Prevention of psychoemotional stress: international and domestic experi­ence. Profilakticheskaya meditsina. 2025; 28(9):126–133. DOI: 10.17116/profmed202528091126. (In Russ.).

22. Gomanova L.I., Balanova Yu.A., Shalnova S. A. et al. Promising areas of medical prevention of psychoemotional stress in the adult population of the Russian Federation. Profilakticheskaya meditsina. 2025; 28(12):60–68. DOI: 10.17116/profmed20252812160. (In Russ.).

23. Kobyakova O.S., Deev I. A., Kulikov E. S., Starovoitova E. A., Malykh R. D., Balaganskaya M. A., Zagromova T. A. Chronic non-com­municable diseases: effects of combined influence of risk factors. Profilakticheskaya meditsina. 2019; 22(2):45–50. DOI: 10.17116/profmed20192202145. (In Russ.).

24. Agranovich N.V., Anopchenko A. S., Knyshova S. A., Matsukatova V. S., Alexandrova O. A., Pilipovich L. A. The importance of medical examination for the timely detection of risk factors for the development of chronic non-communicable diseases. Yuzhno Rossiyskiy zhurnal terapevticheskoy praktiki. 2026; 7(1):41–46. DOI: 10.21886/2712‑8156‑2026‑7‑1‑41‑46. (In Russ.).

25. Starodubov V.I., Son I. M., Senenko A. S. et al. The results of medical examinations of certain groups of the adult population of the Russian Federation, 2013–2018: an information and analytical review. Moscow: Central Research Institute of Organization and Informatization of Healthcare; 2019. 114 p. ISBN 5‑94116‑026‑7. (In Russ.).