The regional system of health risk management in a subject of the Russian Federation

Introduction. The article discusses the main organizational and methodological aspects, as well as the stages and results of the creation and functioning of a regional system for managing public health risks posed by adverse environmental factors based on the results of socio-hygienic monitoring.

Objective. To elaborate and implement organizational and methodological approaches to developing a regional health risk management system that is adequate to modern threats and challenges to the sanitary and epidemiological wellbeing of the population based on the example of the Sverdlovsk Region and using data of socio-hygienic (public health) monitoring.

Materials and methods. Public health monitoring data collected in 89 towns of the Sverdlovsk Region were used to do the cost–effectiveness and cost–benefit analyses of public health risk management measures.

Results. Priority tasks and measures for securing sanitary and epidemiological wellbeing of the population are substantiated annually at the regional, municipal, and business entity levels based on the results of a system analysis and using risk assessment techniques. Public health monitoring is the foundation for the created regional system of public health risk management that provides information and analytical support for managerial decision-making.

Conclusions. The established priority directions for ensuring sanitary and epidemiological wellbeing of the population have been used to plan targeted programs and budgets of the activities of federal and local government authorities and to inform the population. Based on the findings, we demonstrate the economic efficiency and social effectiveness of achieving key performance indicators on ensuring sanitary and epidemiological wellbeing, reducing health risks, and increasing life expectancy by all management entities. We also propose strategic tasks for the development of the public health monitoring system and implementation of managerial decisions.

Compliance with ethical standards. Ethics approval was not required for this study.

Contribution:
Kozlovskikh D.N., Gurvich V.B. — study conception and design, revision of the manuscript;
Dikonskaya O.V. — revision of the manuscript;
Yarushin S.V. — study conception and design, draft manuscript preparation, data collection, analysis and interpretation of results;
Kochneva N.I. — draft manuscript preparation, data collection, analysis and interpretation of results;
Kadnikova E.P. — study conception and design, draft manuscript preparation, data collection, literature review;
Malykh O.L. — draft manuscript preparation and revision.
All authors are responsible for the integrity of all parts and approval of the final version of the manuscript. 

Gratitude. The authors would like to express their sincere gratitude to Prof. Sergey V. Kuzmin, Dr. Sci. (Med.), Director of the Federal Research Center for Hygiene named after F.F. Erisman, for his valuable advisory assistance in carrying out the work. 

Conflict of interest. The authors declare no conflict of interest. 

Acknowledgments. The study was carried out as part of the of the Federal Service for Supervision in Protection of the Rights of Consumer and Man Wellbeing research program for 2021–2025 “Scientific substantiation of the national system for ensuring sanitary and epidemiological wellbeing, managing health risks and improving the quality of life of the Russian population”.

Received: September 02, 2022 / Accepted: October 3, 2022 / Published: October 23, 2022