Environmental report strategic environmental assessment of the Russian territory CBC Kolarctic 2021-2027 / V. A. Masloboev, E. M. Klyuchnikova, E. A. Borovichev [et al.]. - Apatity : FRS KSCRAS, 2022. - 62 p.

C H A P T E R 10. H E A L T H C A R E IN T H E RU SS IAN P R O G R A M M E A R EA The healthcare infrastructure of the Russian programme area is represented by more than 800 healthcare institutions located in urban and rural areas. Large medical centers are located in Murmansk, Arkhangelsk and Naryan-Mar. There is one higher educational institution that trains doctors of all specialties: Northern State Medical University in Arkhangelsk1. Student admission is open to the General Medicine programme at the Murmansk Arctic State University2 since 2020. Secondary health education programmes are available at four medical colleges. The low population density and the presence of more than a hundred remote and hard-to-reach rural communities complicate the prompt access to medical services for residents o f these territories. For example, medical aviation is used to ensure the availability of health care in Nenets Autonomous District. Low attractiveness o f remote areas negatively affects staffing and recruiting o f medical personnel. Development of telemedicine3 can provide access to medical services and prompt consultation with highly qualified personnel from other cities not only in the Russian programme area, but also from Moscow and St. Petersburg4. Telemedicine has become especially relevant in connection with the coronavirus pandemic. Regional programmes on modernization o f primary healthcare5 are a response to the current situation. They are aimed at ensuring availability and quality of healthcare in rural areas and small towns for all groups of the population, including people with special needs. The healthcare system o f the Russian programme area aims to be patient-oriented, to form a culture of health preservation among the population by supporting a healthy lifestyle and increasing medical literacy. One of the solutions in this area is the widespread use of digital technologies for remote health monitoring, including pregnant women and people with chronic diseases6. Thus, issues relevant for the Russian programme area include providing medical organizations with qualified personnel, the timely provision of primary health care and high-tech medical care, especially to residents o f hard-to-reach areas, as well as strengthening and effective use of material and technical resources for a better functioning o f regional health systems. 'Northern State Medical University in Arkhangelsk 2Murmansk Arctic State University, major in General Medicine 'Ibid. P. 64: "The remoteness of the district's communities imposes requirements on the availability of medical services on an ongoing basis. One of the components of ensuring accessibility' is telemedicine.” 4Strategy of socio-economic development of Nenets Autonomous District until 2030: p. 40: “development of telemedicine technologies, effective information interaction of medical organizations based on a unified state health care system” 'Strategy of socio-economic development of Murmansk Region until 2025. ^Strategy of socio-economic development of Arkhangelsk Region until 2035. 29