Russian Federation
Russian Federation
Russian Federation
Russian Federation
UDC 338.46
UDC 338.43
The article discusses the development of healthcare in rural areas as one of the important factors in preserving the economic potential of rural areas, which is important in the context of continued urbanization. As part of the ongoing modernization in the healthcare industry in the last few years before the pandemic, the general trend was to expand the network of medical institutions and move them to large economic centers. However, the large territorial extent of the country, the remoteness of individual settlements, the problem of transport accessibility of medical care and the time interval for receiving it have combined to form a low degree of attractiveness of rural settlements for life, since receiving high-quality and affordable medical care is one of the basic needs of a modern person. The study analyzed the main socio-demographic indicators of urban and rural areas in Russia, as well as basic indicators of the state of rural healthcare in the period 2019-2023. An assessment of existing rural development programs and the healthcare sector has also been carried out. It has been established that there remains a significant difference between urban and rural areas in Russia in terms of both economic and demographic indicators: outside of cities, the birth rate and average life expectancy are slightly lower, and in addition, the total rural population continues to decline. In rural healthcare, the general trend is to reduce the total number of medical institutions against the background of modernization in the industry – in 2023, there were 33.38 thousand healthcare institutions in rural areas. Also, in the period up to 2022, there was a reduction in the number of rural paramedic and obstetric centers. One of the important tasks is to optimize the location of the network of health facilities and clinics in villages, taking into account the number and density of the population, as well as transport accessibility and speed of pre-medical and medical care, which is important due to the territorial characteristics of the country.
socio-economic development, rural areas, social infrastructure, healthcare, rural medicine
1. Mahmadov A.V., Hantimirov S.S. Problemy kompleksnogo razvitiya sel'skih territoriy Rossiyskoy Federacii // Vestnik Rossiyskogo gosudarstvennogo agrarnogo zaochnogo universiteta. 2023. № 45 (50). S. 63-66. EDN BPCKQU
2. Lukina T.S. Perspektivy razvitiya sel'skih territoriy Rossii v usloviyah deurbanizacii // Finansovo-ekonomicheskiy vestnik. 2022. № 2 (31). S. 163-170. EDN GFUZHC
3. Chemodin Yu.A., Chemodin A.Yu. K voprosu ustoychivogo razvitiya sel'skih territoriy Rossii // Moskovskiy ekonomicheskiy zhurnal. 2023. T. 8. № 2. doi:https://doi.org/10.55186/2413046X_2023_8_2_66. EDN VLSZLG
4. Budazhanaeva M.C. Analiz nauchnyh issledovaniy razvitiya sel'skih territoriy Rossii // Ekonomika, trud, upravlenie v sel'skom hozyaystve. 2024. № 10 (116). S. 212-220. doi:https://doi.org/10.33938/2410-212. EDN GCPVZI
5. Nikolaev O.V., Litvina N.I., Savichkina N.V. Sovremennye vyzovy i tendencii razvitiya sel'skih territoriy // Vestnik Kurskoy gosudarstvennoy sel'skohozyaystvennoy akademii. 2023. № 8. S. 180-183. EDN EGUVOR
6. Zyukin D.A., Sergeeva N.M. Vzaimosvyaz' investicionnyh vozmozhnostey i razvitiya proizvodstva v sel'skoy mestnosti // Vestnik NGIEI. 2022. № 4 (131). S. 69-80. EDN: https://elibrary.ru/AJDVJY
7. Zyukin D.A., Reprinceva E.V. Sostoyanie sistemy zdravoohraneniya v regionah Central'nogo federal'nogo okruga v kontekste social'no-ekonomicheskih vyzovov // Problemy razvitiya territorii. 2024. T. 28. № 2. S. 85-100. doi:https://doi.org/10.15838/ptd.2024.2.130.7. EDN DDEIIB
8. Andreyanova E.L. Napravleniya povysheniya kachestva zhizni sel'skogo naseleniya: vklad sfery zdravoohraneniya // Vestnik Tomskogo gosudarstvennogo universiteta. Ekonomika. 2023. № 63. S. 92-104. doi:https://doi.org/10.17223/19988648/63/5. EDN TJXWYV
9. Sharapova V.M., Sharapova N.V., Sharapova Yu.V. Social'nye faktory, sderzhivayuschie razvitie sel'skih territoriy // Mezhdunarodnyy sel'skohozyaystvennyy zhurnal. 2020. № 6 (378). S. 49-52. doi:https://doi.org/10.24411/2587-6740-2020-16113. EDN JYHOYM
10. Sergeeva N.M., Ivanova L.A., Zheludeva Yu.V. Kachestvo i dostupnost' medicinskih uslug kak uslovie sohraneniya investicionnogo interesa k selu // Vestnik Altayskoy akademii ekonomiki i prava. 2022. № 2-2. S. 251-256. doi:https://doi.org/10.17513/vaael.2083. EDN BLWLYO
11. Nikolaev M.A., Mahotaeva M.Yu. Faktory ustoychivogo razvitiya neurbanizirovannyh territoriy // Nauchno-tehnicheskie vedomosti Sankt-Peterburgskogo gosudarstvennogo politehnicheskogo universiteta. Ekonomicheskie nauki. 2021. T. 14. № 6. S. 53-66. doi:https://doi.org/10.18721/JE.14604. EDN EVAJND
12. Zyukin, D.A., Bystritskaya, A.Yu., Golovin, A.A., Vlasova, O.V. (2020). The share of health care spending in the structure of GDP as a criterion for the healthcare system effectiveness. Revista de la Universidad del Zulia, vol. 11, no. 30, pp. 352-363. doi:https://doi.org/10.46925//rdluz.30.22. EDN: https://elibrary.ru/TYJNRY




