Medical and economic management of the processes of prevention and treatment of cervical dysplasia in the health care system

Annotation. Cervical dysplasia remains one of the main medical and social problems in modern health care, which necessitates the development of effective models for its prevention, early detection and treatment using economic approaches to resource management. The purpose of the study is to analyze the medical and economic aspects of prevention and treatment of cervical dysplasia in the health care system and to substantiate ways to optimize the management of these processes. To achieve this goal, a review of current scientific literature, epidemiological studies, cost-effectiveness analysis of screening programs, HPV vaccination, and dysplasia treatment methods was conducted using systematic analysis, comparative analysis, and descriptive statistics. The main evaluation criteria were the cost of implementing prevention programs, their clinical effectiveness, cost-benefit ratio, morbidity and mortality reduction, and optimization of medical resources. The study results showed that the introduction of mass vaccination against HPV in combination with regular screening examinations can reduce the incidence of cervical cancer by 60-80%, and the costs of implementing such programs are offset by reducing the need for expensive treatment of invasive forms of cancer. The analysis of treatment options for dysplasia of varying degrees has shown that the use of modern methods (cryodestruction, laser ablation, excision) is economically justified, as it provides high rates of complete regression of pathology at a moderate level of cost. It is proved that models of medical and economic management of prevention and treatment processes based on the principles of resource saving allow optimizing the financing of the health care system, increase the availability of services and reduce the overall burden of disease. To summarize, a systematic approach to the medical and economic management of cervical dysplasia prevention and treatment provides a significant increase in the effectiveness of health care programs. Prospects for further research include the development of integrated models of prevention and treatment management, taking into account regional characteristics of morbidity and economic capabilities of health care systems.