Improvement of health centers performance

Aim. Development of a model of strengthening and preservation of health to improve the activities of children’s and adult health centers.

Methods. A statistical method was used: dynamic analysis of the number of population of Russian Federation in 2010-2015, analysis of budget funds received for preventive work by medical prevention centers in 2014. By the use of a modeling method the scheme of organizational support of children’s and adult health centers was developed.

Results. Designed structure for children and adult health centers with a new direction of activity will contribute to more rational organizational support at various levels of health care, as well as improving the quality and effectiveness of preventive care. The proposed new titles of health centers (child center for health preservation; center for reproductive, family and personal health for adults) reflect the direction of their activities, basically provide improvement of family health at all stages of family development (childhood, youth, working-age and old people) and orientation to a healthy lifestyle. The peculiarity of the new direction of centers’ activity is greater attention to reproductive and mental health. Promoting mental health in adults should begin in childhood. Increased activity of children’s centers will strengthen health throughout life.

Conclusion. Health center should be located in a medical organization; its name should reflect the direction of its activities; the basis of the center for the adults should become a family; strengthening of reproductive and sexual health will contribute to improvement of demographic situation in the country; it is necessary to increase funding for preventive care for the population.