National Interests: Priorities and Security

Provision of rural residents of Central Russia with health services

Vol. 12, Iss. 7, JULY 2016

Received: 24 February 2016

Received in revised form: 9 March 2016

Accepted: 11 May 2016

Available online: 28 July 2016


JEL Classification: I14, I15, R23

Pages: 166-177

Bogachev A.I. Institute of Social Development of Rural Areas, Orel State Agrarian University, Orel, Russian Federation

Polukhina M.G. Institute of Social Development of Rural Areas, Orel State Agrarian University, Orel, Russian Federation

Studennikova N.S. Institute of Social Development of Rural Areas, Orel State Agrarian University, Orel, Russian Federation

Importance The article deals with the issues of healthcare as part of the social infrastructure.
Objectives The paper aims to assess the state of healthcare in rural areas and justify the priorities of improving the existing healthcare system.
Methods For the study, we used the methods of statistical and economic analysis, as well as SWOT analysis.
Results The results of the study show a low availability of doctors, junior and medium-level medical personnel, hospital beds to rural residents, as well as insufficient material and technical base in the healthcare industry. Most subjects of Central Russia do not meet the social security standards to provide the rural population with good health services.
Conclusions An asymmetry of rates of urban and rural health services still remains in the subjects of Central Russia, as well as the impossibility of ensuring the equal access and quality of care for all categories of the population. However, the effective use of targeted programs at various levels, engaging highly qualified medical personnel in rural areas, the formation of medical and social services can improve the situation greatly.

Keywords: rural areas, health services, security, population


  1. Rushworth G.F., Diack L., MacRobbie A. et al. Access to Medicines in Remote and Rural Areas: A survey of residents in the Scottish Highlands & Western Isles. Public Health, 2015, vol. 129, iss. 3, pp. 244–251.
  2. Veitch P.C. Anticipated Response to Three Common Injuries by Rural and Remote Area Residents. Social Science & Medicine, 1995, vol. 41, iss. 5, pp. 739–745.
  3. Lankila T., Näyhä S., Rautio A. et al. Is Geographical Distance a Barrier in the Use of Public Primary Health Services among Rural and Urban Young Adults. Experience from Northern Finland. Public Health, 2016, vol. 131, pp. 82–91.
  4. Douthit N., Kiv S., Dwolatzky T., Biswas S. Exposing Some Important Barriers to Health Care Access in the Rural USA. Public Health, 2015, vol. 129, iss. 6, pp. 611–620.
  5. Wanasinghe Y.A.D.S. Spatial Variations in the Provision of Health Care Facilities in Sri Lanka. Health & Place, 1995, vol. 1, iss. 4, pp. 235–242.
  6. Adegoke A.A., Atiyaye F.B., Abubakar A.S. et al. Job Satisfaction and Retention of Midwives in Rural Nigeria. Midwifery, 2015, vol. 31, iss. 10, pp. 946–956.
  7. Zehnder J., Tell C. Developing Robotic Surgical Programs in Rural Hospitals. AORN Journal, 2010, vol. 92, iss. 1, pp. 72–86.
  8. Atiyeh B.S., Gunn S.W.A., Hayek S.N. Provision of Essential Surgery in Remote and Rural Areas of Developed as well as Low and Middle Income Countries. International Journal of Surgery, 2010, vol. 8, iss. 8, pp. 581–585.
  9. Shabunova A.A., Kondakova N.A. [The regional experience of implementation of the modernization program of health, 2014]. Zdravookhranenie Rossiiskoi Federatsii = Health Care of the Russian Federation, 2014, no. 2, pp. 8–13. (In Russ.)
  10. Figueroa S. Policy Barriers for Advanced Practice Nurses in Rural Health Care. Health Policy and Technology, 2013, vol. 2, iss. 4, pp. 196–202.
  11. Studennikova N.S. [The main causes of depopulation of the Russian Federation]. Teoreticheskie i prikladnye voprosy nauki i obrazovaniya: materialy Mezhdunarodnoi zaochnoi nauchno-prakticheskoi konferentsii [Proc. Int. Cor. Sci. Pract. Conf. Theoretical and Applied Science and Education]. Tambov, 2015, pp. 109–112.
  12. Shchepin O.P., Belov V.B., Shchepin V.O. [The dynamics of mortality of population of the Russian Federation]. Problemy sotsial'noi gigieny, zdravookhraneniya i istorii meditsiny = Problems of Social Hygiene, Healthcare and History of Medicine, 2006, no. 6, pp. 6–10. (In Russ.)
  13. Lisitsyn V.I., Fedchenko P.Yu. [Regional trends and patterns of mortality of the working age population: Evidence from the Novgorod oblast]. Zdravookhranenie Rossiiskoi Federatsii = Health Care of the Russian Federation, 2013, no. 2, pp. 43–47. (In Russ.)
  14. Ivanova A.E., Semenova V.G., Sabgaida T.P., Evdokushkina G.N. [Problems and reserves for mortality reduction in the Lipetsk oblast]. Sotsial'nye aspekty zdorov'ya naseleniya, 2008, no. 1. (In Russ.) Available at: Link.
  15. Starodubov V.I., Mikhailova Yu.V., Leonov S.A. [Human resources of health of the Russian Federation: state, problems, and the main development trends]. Sotsial'nye aspekty zdorov'ya naseleniya, 2010, no. 1. (In Russ.) Available at: Link.
  16. Toropov D.I. [Directions and mechanisms of realization of State policy in the field of sustainable development of rural areas]. Problemy i perspektivy ustoichivogo sel'skogo razvitiya: materialy Vserossiiskoi nauchno-prakticheskoi konferentsii [Proc. All-Russ. Sci. Pract. Conf. Problems and Prospects of Sustainable Rural Development]. Orel, 2013, pp. 5–9.
  17. Polukhina M.G., Bogachev A.I. Aktual'nye problemy razvitiya sotsial'noi infrastruktury v svete obespecheniya ustoichivosti sel'skikh territorii: monografiya [Actual problems of development of the social infrastructure in the light of sustainability of rural territories: a monograph]. Orel, Orel State Agrarian Univ. Publ., 2016, 146 p.
  18. Polukhina M.G. [The rural public health facilities at the Federal, regional, and local levels]. APK: ekonomika, upravlenie = AIC: Economy, Management, 2015, no. 4, pp. 90–94. (In Russ.)

View all articles of issue


ISSN 2311-875X (Online)
ISSN 2073-2872 (Print)

Journal current issue

Vol. 14, Iss. 11
November 2018