Medico-economic evaluation of efficacy of targeted medical aid within frames of radiation epidemiological monitoring of affected population health status

«Radiation and Risk», 2008, vol. 17, no. 3, pp.29-37


Biryukov A. P. – Laboratory Head, Ph. D. Medical Radiological Research Center of RAMS, Obninsk. Contacts: 4 Korolyov str., Obninsk, Kaluga region, Russia, 249036. (495) 956-94-12, (48439) 9-32-81; e-mail: This email address is being protected from spambots. You need JavaScript enabled to view it. .
Drynova N. N. – Graduate Student. Medical Radiological Research Center of RAMS, Obninsk.
Rumyantsev P.O. – Leading Researcher, PhD. Medical Radiological Research Center of RAMS, Obninsk.


Results of evaluation of medico-economic impact of targeted medical aid rendered with frames of radiation-epidemiological monitoring on health status of the affected population are discussed in the article. The used approach allows authors to estimate cost-effectiveness of specific medical examination and to show the method for assessment of financial charges required for the implementation of prophylaxis programs addressed to groups of the affected population under enhanced potential risk. According to the analysis of medical data of 316 151 children residing in Bryansk oblast it is possible to increase considerably cost-effectiveness and quality of medical care provided to the population exposed to low dose radiation due to reasonable use of modern medico-organizational approaches and formation of groups under enhanced radiation risk.

Key words
Radiation, health effects of the Chernobyl accident, targeted medical aid, cost-effectiveness.


1. Vyalkov A.I. Performance Indicators of medical institutions. Head Physician. 2005. No. 4. PP. 27-37.

2. Izmerov N.F. Today and tomorrow, labor medicine. Labor Medicine and Industrial Ecology. 2003. No. 5. PP. 1-6.

3. Lisitsyn Yu.P., Polunina N. B. Public health and healthcare: Textbook for universities. Moscow, Medicine Publ., 2002. 416 p.

4. Oganov R. G., Khalfin, R. A. A guide for health prevention (the national project "Health-2007"). Moscow, GEOTAR-Media Publ., 2007. P. 464.

5. Khalfin R.A., Volkov S.N., Gribanova T.N., Yermakov S.P. Improvement of the health protection system with the use of public health monitoring. Yekaterinburg, 1997. 99 p.

6. Khisamutdinova Z.A., Zhukov V.A., Artyukhov A.S. Social and hygienic substantiation of target programs of health protection and organization of medical care to the population of the Republic of Tatarstan. 2003. No. 3. PP. 41-45.

7. Shevchenko Yu. L. on the implementation of the concept of health and medical science, tasks for 2001-2005 and for the period up to 2010. Health of the Russian Federation. 2001. No. 4. PP.3-9.

8. Schepin V. O. the Structural functional reorganization of the system of treatment-and-prophylactic aid to the population of the Russian Federation in the last decade. Problems of social hygiene, healthcare and history of medicine. 2003. No. 1. PP. 34-38.

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