Premature mortality and healthy life expectancy in the context of the national development objectives of Russia

Abstract

The article shows the relevance of implementing a new intersectoral system of indicators necessary for monitoring progress in achieving the target indicators at the Federal and regional levels by 2030 to ensure the achievement of the country's national development goals to strengthen the health potential and well-being of the population, which is the most important basis for demographic development and growth of life expectancy (LE). It is emphasized that the lack of correlation between indicators of life expectancy in Russian regions and the rates of gross regional products (GRP) reflects the inconsistency of social, economic and health policies, when the achievement of economic growth is actually poorly focused on improving the standards and quality of life of the population. The article highlights the prospects for including integrative assessments of differences in the state of sanitary and epidemiological well-being and quality of life of the population of Russian regions, the level of deficit of the financial support for territorial state programs of providing free medical care to citizens, economic damage associated with the burden of diseases, in the system of effective intersectoral strategies and evaluating their effectiveness in achieving target monitoring indicators. It is noted that implementation of such integrated strategies must be focused on overcoming regional disparities in population health, when the place of birth and life for most residents of the regions actually determine the risks and prospects of survival, reaching the most favorable levels of life expectancy typical of the most successful and prosperous regions of Russia.