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<article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" article-type="research-article" dtd-version="1.1d1" xml:lang="en"><front><journal-meta><journal-id journal-id-type="publisher">Problems of Social Hygiene, Public Health and History of Medicine</journal-id><journal-title-group><journal-title>Problems of Social Hygiene, Public Health and History of Medicine</journal-title></journal-title-group><issn publication-format="print">0869-866X</issn><issn publication-format="electronic">2412-2106</issn><publisher><publisher-name>Joint-Stock Company Chicot</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="publisher-id">232</article-id><article-id pub-id-type="doi">10.32687/0869-866X-2020-28-1-5-11</article-id><article-categories><subj-group subj-group-type="heading"><subject>Научная статья</subject></subj-group></article-categories><title-group><article-title>The role of actual demographic trends in improving state health policy</article-title></title-group><contrib-group><contrib contrib-type="author"><name name-style="western"><surname>Alexandrova</surname><given-names>O. Yu.</given-names></name><bio></bio><email>-</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author"><name name-style="western"><surname>Smbatyan</surname><given-names>S. M.</given-names></name><bio></bio><email>smbsiran@mail.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author"><name name-style="western"><surname>Vasilieva</surname><given-names>T. P.</given-names></name><bio></bio><email>-</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author"><name name-style="western"><surname>Kostanyan</surname><given-names>A. A.</given-names></name><bio></bio><email>-</email><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author"><name name-style="western"><surname>Stasevich</surname><given-names>N. Yu.</given-names></name><bio></bio><email>-</email><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff id="aff-1">N. A. Semashko National Research Institute of Public Health</aff><aff id="aff-2">The Moscow Oblast State Budget Institution of Health Care “M. F. Vladimirsky Moscow Oblast Research Clinical Institute”</aff><pub-date date-type="epub" iso-8601-date="2020-12-15" publication-format="electronic"><day>15</day><month>12</month><year>2020</year></pub-date><volume>28</volume><issue>1</issue><fpage>5</fpage><lpage>11</lpage><history><pub-date date-type="received" iso-8601-date="2021-04-06"><day>06</day><month>04</month><year>2021</year></pub-date></history><permissions><copyright-statement>Copyright © 2020,</copyright-statement><copyright-year>2020</copyright-year></permissions><abstract>The decreasing of demographic security level is a global social economic trend in both developed and developing economies. Hence there is an urgent need in improving state social policy, including health care. The key target of this study is to evaluate the role of modern demographic trends in improving state social economic policy in health care. The study characterizes demography role in developing state health care strategy and to assesses world demographic trends that permitted to formulate potential barriers and obstacles in achieving stable level of demographic security. The distinctive features of modern demographic trends in Russia were identified and used as a background in developing prospective ways of improving state health policy in Russia with specific focusing on identified identified predicaments in national demographic development. The interdisciplinary analysis was applied in the field of theory and practice of health demography as a new scientific area as well as systemic and economic analysis. The most important result of the study was the established need in assessing relationship between current national demographic situation and economic efficiency and social economic consequences for whole society that actualized retrieval and elaboration of relevant social economic indices of life quality within the framework of health demography.</abstract><kwd-group xml:lang="en"><kwd>demographic policy</kwd><kwd>demography of health</kwd><kwd>population aging</kwd><kwd>demographic burden</kwd><kwd>public health policy</kwd></kwd-group><kwd-group xml:lang="ru"><kwd>демографическая политика</kwd><kwd>демография здоровья</kwd><kwd>старение населения</kwd><kwd>демографическая нагрузка</kwd><kwd>государственная политика в сфере здравоохранения</kwd></kwd-group></article-meta></front><body></body><back><ref-list><ref id="B1"><label>1.</label><mixed-citation>Bloom D., Canning D. Public health: the health and wealth of nations. Science. 2000;287:1207-9.</mixed-citation></ref><ref id="B2"><label>2.</label><mixed-citation>Aksoy Y., Basso H., Smith R., Grasl T. Demographic Structure and Macroeconomic Trends. Am. Econ. J. Macroecon. 2019;11(1):193-222.</mixed-citation></ref><ref id="B3"><label>3.</label><mixed-citation>Cervellati M., Sunde U., Zimmermann K. Demographic dynamics and long-run development: insights for the secular stagnation debate. J. Populat. Econ. 2017;30(2):401-32.</mixed-citation></ref><ref id="B4"><label>4.</label><mixed-citation>Greenhalgh S. Making Demography Astonishing: Lessons in the Politics of Population Science. Demography. 2018;55(2):721-31.</mixed-citation></ref><ref id="B5"><label>5.</label><mixed-citation>Weber I., State B. Digital Demography: Proceedings of the 26th International Conference on World Web Companion. 2017 April 3-7; Perth, Australia.</mixed-citation></ref><ref id="B6"><label>6.</label><mixed-citation>Lee R., Mason A. What is the demographic dividend? Fin. Develop. 2006;26:16-7.</mixed-citation></ref><ref id="B7"><label>7.</label><mixed-citation>Pol L., Thomas R. The Demography of Health and Health Care. New York: Kluwer Academic/Plenum Publisher; 2001.</mixed-citation></ref><ref id="B8"><label>8.</label><mixed-citation>Nam C. The progress of demography as a scientific discipline. Demography. 1979;16:485-92.</mixed-citation></ref><ref id="B9"><label>9.</label><mixed-citation>Carbonaro G., Leanza E., McCann P., Medda F. Demographic decline, population aging and modern financial approaches to urban policy. Int. Region. Sci. Rev. 2018;41(2):210-32.</mixed-citation></ref><ref id="B10"><label>10.</label><mixed-citation>Burton D. Demographic Research: The Big Picture in Research. Art Educat. 2018;72(1):46-9.</mixed-citation></ref><ref id="B11"><label>11.</label><mixed-citation>Lloyd-Sherlock P. Population ageing in developed and developing regions: implications for health policy. Soc. Sci. Med. 2000;51:887-95.</mixed-citation></ref><ref id="B12"><label>12.</label><mixed-citation>Robine J., Michel J., Herrmann F. Who will care for the oldest people in our ageing society. Brit. Med. J. 2007;334:570-1.</mixed-citation></ref><ref id="B13"><label>13.</label><mixed-citation>Wan H., et al. An Aging World: 2015. United States Census Bureau. 2016. Available at: www.census.gov/library/publications/2016/demo/P95-16-1.html</mixed-citation></ref><ref id="B14"><label>14.</label><mixed-citation>Kanasi E., Ayilavarapu S., Jones J. The aging population: demographics and the biology of aging. Periodontology 2000. 2016;72(1):13-8.</mixed-citation></ref><ref id="B15"><label>15.</label><mixed-citation>World Population Prospects: The 2017 Revision. Available at: https://esa.un.org/unpd/wpp/Publications/Files/WPP2017_KeyFindings.pdf</mixed-citation></ref><ref id="B16"><label>16.</label><mixed-citation>Ishikawa Y., Marui A., Kaneko S., Kamiyama Y., Aizawa N. Self-reported sleep, demographics and health in seniors in Mibu, Japan. Innovat. Aging. 2017;1(1):562-3.</mixed-citation></ref><ref id="B17"><label>17.</label><mixed-citation>Population ages 65 and above (% of total). World Bank WDI. Available at: https://data.worldbank.org/indicator/SP.POP.65UP.TO.ZS?view=chart</mixed-citation></ref><ref id="B18"><label>18.</label><mixed-citation>Age Dependency Ratio, Old (% of Working-age Population). World Bank WDI. Available at: https://data.worldbank.org/indicator/SP.POP.DPND.OL</mixed-citation></ref><ref id="B19"><label>19.</label><mixed-citation>Gray A. This Is How Much Debt Your Country Has per Person. World Economic Forum. October 04, 2017. Available at: https://www.weforum.org/agenda/2017/10/this-is-how-much-debt-your-country-has per-person</mixed-citation></ref><ref id="B20"><label>20.</label><mixed-citation>Nishimura Y., Oikawa M., Motegi H. What explains the difference in the effect of retirement on health? Evidence from global aging data. J. Econ. Surv. 2018;32(3):792-847.</mixed-citation></ref><ref id="B21"><label>21.</label><mixed-citation>Bernstein A. Disaster on the Horizon: The Price Effect of Sea Level Rise. J. Financ. Econ. Available at: https://ssrn.com/abstract= 3073842</mixed-citation></ref><ref id="B22"><label>22.</label><mixed-citation>Global Retirement Index 2018. Available at: https://www.im.natixis. com/us/research/2018-global-retirement-index</mixed-citation></ref><ref id="B23"><label>23.</label><mixed-citation>Вишневский А. Г. Пенсионная реформа: на пересечении экономического и демографического. В кн.: Материалы XIV апрельской международной конференции по проблемам развития экономики и общества. М.; 2014. C. 207-17.</mixed-citation></ref><ref id="B24"><label>24.</label><mixed-citation>Зудин А. Б. Современное состояние российского здравоохранения и предпосылки его реформирования: Монография. М.: ИИЦ «АТиСО»; 2016.</mixed-citation></ref><ref id="B25"><label>25.</label><mixed-citation>Демографический ежегодник России. 2017. Режим доступа: http://www.gks.ru/bgd/regl/B1716/Main.htm</mixed-citation></ref><ref id="B26"><label>26.</label><mixed-citation>Bogaert K., Castrucci B., Gould E., Sellers K., Leider J. Changes in the State Governmental Public Health Workforce. J. Publ. Health Manag. Pract. 2019;25:S58-S66.</mixed-citation></ref><ref id="B27"><label>27.</label><mixed-citation>Зудин А. Б. Изменения системы здравоохранения. Проблемы социальной гигиены, здравоохранения и истории медицины. 2017;(2):30-3.</mixed-citation></ref><ref id="B28"><label>28.</label><mixed-citation>Уйба В. В. Экономические методы управления в здравоохранении. Новосибирск: ООО «Альфа-Ресурс»; 2012.</mixed-citation></ref><ref id="B29"><label>29.</label><mixed-citation>Ершов Е. В. Общественное здоровье как объект изучения социологии. Контроль над табаком и общественное здоровье в Восточной Европе. 2013;(1):52-3.</mixed-citation></ref><ref id="B30"><label>30.</label><mixed-citation>Ермаков С. П. Прогноз потерь лет здоровой жизни населения РФ. М.: Palmarium Academic Publishing; 2013.</mixed-citation></ref></ref-list></back></article>
