Al'bitskii V Iu, Ustinova N V, Farrakhov A Z, Shavaliev R F, Plaksina L V
Probl Sotsialnoi Gig Zdravookhranenniiai Istor Med. 2014 Nov-Dec(6):15-7.
The absence of system of medical social monitoring of children being in difficult life situations is one of main causes of preventable losses of health and life of children and adolescents. The plan of activities of the working group No3 under the Coordination council under the President of the Russian Federation of the national strategy realization of actions in interest of children for 2012-2017 includes a point: "The development and implementation of standard model of medical social monitoring of children and adolescents in the subjects of the Russian Federation". The implementation of this task is assigned to the Department of social pediatrics of The research center of children health of Moscow and the Ministry of Health of the Republic of Tatarstan. The research methods included analysis and generalization of advanced experience of medical social monitoring of children population; expertise technique; modeling. The regional model of three-level system of medical social monitoring of children population is developed and implemented. The model includes level I (consulting rooms of medical social care of children polyclinics, feldsher obstetric stations, first-aid centers), level II--inter-municipal (departments of medical social monitoring in central district hospitals, medical institutions, clinical diagnostic centers) and level III--regional (the Republican center of medical social monitoring of children and adolescents). The immediate tasks necessary for effective functioning of system of medical social monitoring were determined. Within the framework of implementation of the pilot project the legal and normative legislative acts were developed to regulate functioning of regional model of three-level system of medical social care. The other documents necessary for effective functioning of this system were elaborated. The practical significance of this system is in the implementation of effective three-level model of medical social monitoring of children and adolescents supporting decrease of morbidity, mortality and "risk behaviors" suicidal included. The model is to prevent child neglect and homelessness and cruel treatment of children and adolescents.
缺乏针对处于困难生活状况儿童的医疗社会监测体系，是导致儿童和青少年可预防的健康和生命损失的主要原因之一。俄罗斯联邦总统下属协调委员会第3工作组关于2012 - 2017年实现有利于儿童行动的国家战略的活动计划中有一点是：“制定并实施俄罗斯联邦各主体儿童和青少年医疗社会监测的标准模式”。这项任务的实施被分配给莫斯科儿童健康研究中心社会儿科学部和鞑靼斯坦共和国卫生部。研究方法包括对儿童群体医疗社会监测先进经验的分析和总结；专业技术；建模。已制定并实施了儿童群体医疗社会监测三级体系的区域模式。该模式包括一级（儿童综合诊所、助产士产科站、急救中心的医疗社会护理咨询室）、二级——市际级（中心区医院、医疗机构、临床诊断中心的医疗社会监测部门）和三级——区域级（共和国儿童和青少年医疗社会监测中心）。确定了医疗社会监测体系有效运作所需的直接任务。在试点项目实施框架内，制定了法律和规范性立法法案以规范三级医疗社会护理区域模式的运作。还制定了该体系有效运作所需的其他文件。该体系的实际意义在于实施有效的儿童和青少年医疗社会监测三级模式，以支持降低发病率、死亡率以及包括自杀在内的“危险行为”。该模式旨在预防儿童被忽视、无家可归以及对儿童和青少年的虐待。
