Medico-organizational indicators depending on the Russian Federation regional conditions

Regional living conditions affect the effective allocation of health resources. Objective. To analyze the relationship between medical and organizational indicators and the regional economic, social, demographic, industrial, and environmental characteristics of Russia’s regions. Materials and methods. Medical and organizational indicators for Russia’s regions for 2017—2021 were collected from data from the Federal State Statistics Service. Living conditions for the same period are represented by Social-Geographical, Demographic, Economic, and Production-Ecological regional indices. Linear regression analysis was used to estimate associations. Results. The deterioration of social living conditions is associated with an increase in the number of medical organizations, hospital beds, the capacity and number of outpatient organizations, the rates of hospitalization in round-the-clock hospitals, and the availability of doctors and nurses. The growth of demographic depression in the regions is associated with an increase in the number and capacity of outpatient clinics, as well as a decrease in the population per hospital bed. An increase in regional economic development is associated with higher hospitalization rates, more outpatient clinics, and greater availability of doctors and nursing staff. The growth of the Production and Environmental Index is associated with decreases in hospitalization rates, the number of hospital organizations, the number of beds, and the number of nurses. Conclusion. The study showed associations between population living conditions and the medical and organizational characteristics of regions in Russia, underscoring the need to account for region-specific features when assessing the distribution of health resources.