Problems of Social Hygiene, Public Health and History of MedicineProblems of Social Hygiene, Public Health and History of Medicine0869-866X2412-2106Joint-Stock Company Chicot96710.32687/0869-866X-2022-30-4-625-628Научная статьяCertain aspects of management of health preservation systemLindenbratenA. L.-VigdorchikYa. I.yaroslav.vigdorchik@mail.ruN. A. Semashko National Research Institute of Public Health1512202230462562817082022Copyright © 2022,2022The trends in development of National health care in Russia are considered. The need in formation of intersectorial system of management of health protection activities is established with priority of preventive direction, including mental prevention, based on systematic observation and participation of both sick and healthy people. The system goal was determined - to improve population health. The main tasks and principles of system functioning are formulated.The reasonableness of application of mechanisms of motivating and stimulating all subjects of health protection system in order to increase their interest, is indicated as one of directions of organizing and introducing intersectorial health protection system. The basic principles of development and implementation of incentive systems of remuneration were formulated.The attention is focused on such aspect related to management of health protection system as legal support. The review of sources of law in the field of health protection revealed that all subjects have duties, and everyone has responsibilities, except citizens and insured persons. To resolve this problem, it was proposed to conclude agreement between the parties, indicating rights and obligations of both parties and responsibility for violation of contractual obligations.The structure is proposed, the main principles of health protection system management are described, designed to provide real shift in achieving settled goals.healthy lifestylemotivationhealth protectionpreventionhealth statuspopulationsocial determinantsstimulationздоровый образ жизнимотивацияохрана здоровьяпрофилактикасостояние здоровья населениясоциальные детерминантыстимулирование1.Каткова И. П., Локосов В. В., Рыбальченко С. И. Преждевременная смертность: тенденции и перспективы снижения в контексте целей устойчивого развития России. Проблемы современной экономики. 2018;66(2):92-9. Режим доступа: https://cyberleninka.ru/article/n/prezhdevremennaya-smertnost-tendentsii-i-perspektivy-snizheniya-v-kontekste-tseley-ustoychivogo-razvitiya-rossii2.Hood C. M., Gennuso K. P., Swain G. R., Catlin B. B. County health rankings Relationships between determinant factors and health outcomes. Am. J. Prevent. Med. 2006;50(2):129-35. doi: 10.1016/j.amepre.2015.08.0243.ЕМИСС. Режим доступа: https://www.fedstat.ru/indicator/594574.Наумова Е. А., Семенова О. Н. Современный взгляд на проблему приверженности пациентов к длительному лечению. Кардиология: Новости. Мнения. Обучение. 2016;2(9):30-9. Режим доступа: https://cyberleninka.ru/article/n/sovremennyy-vzglyad-na-problemu-priverzhennosti-patsientov-k-dlitelnomu-lecheniyu5.Линденбратен А. Л. Роль ментальной профилактики в охране здоровья населения. Вестник Росздравнадзора. 2015;(1):77-9.6.Линденбратен А. Л. Стимулирующие системы оплаты труда: принципы внедрения. Здравоохранение. 2016;(7):44-55.