Chronic Non-Communicable Disease Prevention in Russian Federation (RF)

In the Soviet Union, there was one of the most developed medical systems all over the world with the main accent to preventive medicine. The main component of chronic disease prevention was named “dispanserization”. It includes nurses, doctor’s control, clinic and laboratory methods of investigation one time a year and dynamic control during the year (if it was needed). Perestroika resulted in breakup of the medicine. In 2006, the Ministry of Public Health decided to reconstruct the system of prevention medicine, but it does not work. For example, in Russia, the average duration of life is the lowest in Europe, it does not rank in first hundred of the most development countries anymore; it is on average 12-15 years lower than in Scandinavia. RF is the country with most smokers from all over the world. In 2006, the Ministry of Public Health decided to reconstruct the system of dispanserization. Some of methods of health observation are not supported by evidence-based-medicine. In 2009, the Ministry of Public Health organized the “center for health”. But also this system does not work.