The key area of implementation of artificial intelligence (AI) technologies in healthcare in Russia is the creation and integration of AI-based medical devices (AI-based MDs) into the digital contours of the constituent entities of the Russian Federation. In 2018–2024, 4 billion 712 million rubles were invested in the creation and development of various AI products for healthcare, 69 % of which came from government sources. The subordinate scientific centers of the Ministry of Health of Russia are implementing 215 research projects in this area. 21 national and preliminary technical standards have been developed and approved. As of January 1, 2025, 39 AI-based MDs were registered in Russia. As a result, a total of 412 regional projects for the implementation of AI-based MDs were carried out, 83 % of which involve image analysis, and 16 % involve analysis of electronic health records. Currently, a set of measures is being developed to actively introduce AI technologies into healthcare, including the development of legal frameworks, attracting investments, conducting scientific research, and developing new products.

For healthcare management purposes, it is important to have up-to-date operational data on mortality. A system of weekly analytical reports on population mortality was developed by the Ministry of Health of the Russian Federation during the COVID-19 period. The results of this monitoring formed the basis for making management decisions to improve the organization of medical care. Aim. Develop a mortality analysis model for use in health care management based on population mortality data. Materials and methods. The source of data on registered deaths for the period from 2019 to 2023 is the Federal Register of Medical Death Certificates of the Unified State Information System in the Healthcare Sector (FRMDC EGISZ), the Federal State Statistics Service, and the Federal Register of COVID-19 Patients. Data processing and visualization were performed using Microsoft Excel, PowerPoint and automatically based on the EGISZ. Results. The results of the weekly data of the FRMDC EGISZ are compared with the monthly mortality data published by Rosstat. The approach used allows maximum coverage of the contribution of acute infectious diseases, and patient mortality rates reflect the quality of medical care. Based on the selected indicators, an integral index is calculated that reflects the level of risk associated with COVID-19. Conclusion. Existing information systems and proven approaches to data analysis make it possible to improve the efficiency of management, while the set of indicators and the frequency of their calculation can be adapted to the needs of healthcare management.

At present, ensuring high quality standards of professional training of doctors is one of the leading priorities for both the medical education system and the national health care system. And in this regard, the accreditation procedure acts as a mechanism of independent assessment of the quality of medical education and readiness of medical graduates to work independently, taking into account the requirements of practical healthcare. Aim. To study the level of satisfaction of medical specialists with the primary accreditation procedure and determine ways to improve it. Materials and methods. The study of accredited persons’ opinions about the procedure of primary accreditation was implemented in July-August 2024 on the basis of Sechenov University (online questionnaire survey, n = 17,058, 78 accreditation centers in the Russian Federation). Results. According to the data obtained, the majority of the study participants are satisfied with the primary accreditation procedure and believe that it improves the quality of medical services provided to patients, is an important process for assess ing and confirming the qualifications of medical specialists, motivates accredited persons to improve their knowledge and skills in their specialty, but contributes to an increase in the stress level of university graduates. The respondents’ satisfaction with the primary accreditation procedure was largely due to their high level of awareness (95.7 %) and readiness for accreditation tests: 31.4 % of accredited persons rated their readiness at 10 points (on a 10-point scale); 49.8 % chose the answer options “9 points” and “8 points”; 11.9 % believe that their level of readiness corresponded to 7 points. Only 5.9 % admitted that they were not sufficiently prepared for the accreditation tests (scores from 4 to 6 points), and 0.9 % indicated that they were practically unprepared for the initial accreditation (choice in the range of 1–3 points). Conclusion. The results of a comprehensive study of the satisfaction of medical specialists with the primary accreditation procedure indicate its importance as a tool for independent assessment of the quality of professional training, while potential areas for optimizing the organizational support of the accreditation process have been identified.

Global competition for human recourses significantly increases the importance of education exports, including for Russia. The national development goals include increasing the number of foreign students up to 500,000 by 2030. Aim. To analyze the dynamics of the number of foreign medical students at Russian universities, with a perspective up to 2030, and to provide proposals for approaches to increasing the number of foreign students. Materials and methods. Data on the admission, number and graduation of foreign medical students were obtained from the federal statistical form “Information on the organization carrying out educational activities in higher education programs” posted on the website of the Ministry of Science and Higher Education of Russia. Statistical processing methods were used to analyze the data; forecasts were obtained using simple exponential smoothing methods. Results. The total number of students in medical specialties in 2024 showed an increase, amounting to 79,709 and 6740 people for extra-budgetary and budgetary forms of education funding, which corresponded to 24 % and 14 % of foreigners in all areas of training. Taking into account current admission rates and the average length of study in medical specialties, the estimated number of international students in medical programs may reach 140–142 thousand people by 2030 (excluding quota students). This indicator can be significantly influenced by the number of students who are expelled during their studies (up to 33 % in some specialties), which requires definite attention. Conclusion. Foreign citizens are interested in medical education in Russia, but to ensure sustainable growth during the period from 2025 to 2030, it is necessary to implement a comprehensive strategy aimed at increasing the attractiveness and competitiveness of Russian medical education, as well as creating favorable conditions for foreign students.

Post-traumatic stress disorder (PTSD) is a condition that occurs in direct participants of potentially traumatic events, such as natural or man-made disasters, physical or sexual violence, combat, accidents, and is characterized by obsessive re-experiencing of such events. Effective medical care for patients with PTSD requires not only individualized approach but also a well-structured organizational and methodological framework. This article reviews key aspects of organizing medical care for patients with PTSD, new approaches to early detection, treatment, and rehabilitation. Aim. Analysis of organizational and methodological aspects of providing specialized psychiatric and narcological care to patients with PTSD in the Russian Federation and other countries and to present an innovative psychosocial and medical rehabilitation program. Materials and methods. Based on comprehensive approach to studying the problem, a new organizational and methodological model of providing medical care to patients with PTSD was developed. It includes a comprehensive medical and psychosocial rehabilitation program developed by specialists of the V.P. Serbsky National Medical Research Center for Psychiatry and Narcology of the Russian Federation Ministry of Health. The rehabilitation program was tested in 2024 at the center’s branches: Moscow Research Institute of Psychiatry, the National Research Centre on Addictions, and the Khmolino Clinical Rehabilitation Center. Results. The methodological basis for developing the program included legal, organizational and economic foundations for protecting citizens’ health; clinical guidelines; national guidelines on psychiatry, psychotherapy and narcology; analysis of Russia’s and other countries’ experience in providing care to individuals with PTSD. The presented organizational and methodological model for providing specialized psychiatric and narcological care for patients with PTSD and comorbid disorders is based on comprehensive, rather than frequently used sequential approach. Conclusion. Given the diversity of traumatic factors, of clinical manifestations of PTSD, and its course, as well as the high incidence of comorbid mental, substance abuse, and somatic disorders, a shift from a sequential model of patient management to a comprehensive approach is needed. This will facilitate higher treatment adherence and maximize therapeutic effectiveness. Key factors for success also include development of a unified methodology and conceptual framework to apply screening techniques and early motivational interventions, specialist training, and introducing advanced innovative technologies into medical practice.