Analysis and prospects of the occupational pathology service in the Siberian Federal District

Introduction. At the State level, the Russian Federation pays unprecedented attention to preserving the health of the working population. One of the most important mechanisms for achieving real success is the implementation of new federal-scale national projects "Healthcare" and "Demography". A system for monitoring the health status of the working population and medical examinations in medical centers is important. The study aims to develop proposals for optimizing the occupational pathology service of the Siberian Federal District (SFD) based on the analysis of the health monitoring system for employees. Materials and methods. The researchers analyzed the structure of the occupational pathology service, the reports of the occupational pathology centers of the Siberian Federal District, and the final acts of periodic medical examinations (PME). Results. Based on the analysis of the work of the occupational pathology centers of the Siberian Federal District, specialists optimized the development system of the occupational pathology service in large industrial regions of the country and also developed programs to optimize its work for the early detection of occupational diseases and the routing of patients with occupational sensorineural hearing loss (OSHL). Conclusion. An integrated approach to the study of the frequency and structure of occupational diseases in the Siberian Federal District, the quality of periodic medical examinations in the comparative aspect of occupational pathology centers and private medical organizations (MO) has revealed the main areas of optimization of occupational pathology services in the Siberian Federal District. This will allow timely implementation of preventive and rehabilitation programs, which will ultimately reduce the rates of temporary and permanent disability, mortality, and, consequently, labor loss in working groups and increase the longevity of the working population. Limitations. Geographical specifics: the authors have carried out the analysis on the basis of data from the centers of occupational pathology at the Siberian Federal District, which may limit the applicability of the results to other regions. Ethics. This study did not require the conclusion of an Ethics committee.