Management of health care for patients with heart failure in the Northwestern, North Caucasian, Volga and Southern Federal Districts of the Russian Federation: 6-year changes and future prospects
N. E. Zvartau,
S. V. Villevalde,
A. O. Konradi,
I. B. Tuaeva,
A. S. Galyavich,
A. V. Khripoun,
A. E. Soloveva,
G. V. Endubaeva,
A. E. Medvedev,
A. M. Erastov,
M. V. Dubinina,
D. N. Nedbaeva,
D. R. Dautov,
E. V. Shlyakhto https://doi.org/10.15829/1560-4071-2025-6276
EDN: ZHDPXF
Abstract
In connection with the increase in the prevalence and incidence of heart failure, the development of health care systems for patients with this disease in the constituent entities of the Russian Federation is relevant. Over the past 6 years, measures to improve the cardiology service have been implemented in the regions of the Northwestern, North Caucasian, Volga and Southern Federal Districts under the leadership of the Ministry of Health of the Russian Federation in cooperation with the National Medical Research Centers. Teams of chief non-staff cardiologists continue to actively participate in updating the regulatory framework, as well as expanding the programs of preferential medication provision as part of providing care to patients with heart failure. In some regions, organizational barriers remain, the elimination of which requires a comprehensive modernization of regional healthcare systems with the involvement of multidisciplinary teams.
About the Authors
N. E. Zvartau
Almazov National Medical Research Centre
Russian Federation
Competing Interests:
Russian Federation
MD, PhD, Deputy Director for work with regions, Head of the Division of the Federal Projects Implementation, Associate Professor at the Department of Faculty Therapy with the Clinic, Institute of Medical Education
St. Petersburg
Competing Interests:
нет
S. V. Villevalde
Almazov National Medical Research Centre
Russian Federation
Competing Interests:
Russian Federation
MD, PhD, Doctor of medical sciences, Professor, Head of the Analysis and Prospective Planning service at the Division for the Implementation of Federal Projects, Head of the Department of Cardiology, Faculty of Highly Qualified Personnel Training, Institute of Medical Education
St. Petersburg
Competing Interests:
нет
A. O. Konradi
Almazov National Medical Research Centre
Russian Federation
Competing Interests:
Russian Federation
MD, PhD, Doctor of medical sciences, Professor, Academician of the Russian Academy of Sciences, Head of the Department of Organization, Management and Economics of Healthcare at the Institute of Medical Education, Deputy Director General for Research, Chief Cardiologist of the Northwestern Federal District
St. Petersburg
Competing Interests:
нет
I. B. Tuaeva
North Osetian State Medical Academy Ministry of Health of the Russian Federation
Russian Federation
Competing Interests:
Russian Federation
MD, PhD, Associate Professor, Head of the Department of Healthcare Organization with Psychology and Pedagogy, Chief Cardiologist of the North Caucasian Federal District
Vladikavkaz
Competing Interests:
нет
A. S. Galyavich
Kazan State Medical University Ministry of Health of the Russian Federation
Russian Federation
Competing Interests:
Russian Federation
MD, PhD, Doctor of medical sciences, Professor, Head of the Department of Cardiology, Chief Cardiologist of the Volga Federal District
Kazan
Competing Interests:
нет
A. V. Khripoun
Rostov State Medical University of the Ministry of Health of Russia
Russian Federation
Competing Interests:
Russian Federation
MD, PhD, Associate Professor of the Department of Internal Medicine No. 1, Chief Cardiologist of the Southern Federal District
Rostov-on-Don
Competing Interests:
нет
A. E. Soloveva
Almazov National Medical Research Centre
Russian Federation
Competing Interests:
Russian Federation
MD, PhD, Head of the department of scientific support of staffing at the Division for the Federal Projects Implementation
St. Petersburg
Competing Interests:
нет
G. V. Endubaeva
Almazov National Medical Research Centre
Russian Federation
Russian Federation
MD, Leading Specialist, Head of the Monitoring Group for the Special Presentation of Programs at the Division for the Federal Projects Implementation
St. Petersburg
A. E. Medvedev
Almazov National Medical Research Centre
Russian Federation
Competing Interests:
Russian Federation
MD, postgraduate student at the Department of Cardiology, Faculty of Advanced Training, Institute of Medical Education, Specialist of the Monitoring Group for the Special Presentation of Programs at the Division for the Federal Projects Implementation
St. Petersburg
Competing Interests:
нет
A. M. Erastov
Almazov National Medical Research Centre
Russian Federation
Competing Interests:
Russian Federation
MD, PhD, Leading specialist of the Department of Monitoring and Analysis of Regional Health Indicators of the Regional Health Development Service at the Division for the Federal Projects Implementation
St. Petersburg
Competing Interests:
нет
M. V. Dubinina
Almazov National Medical Research Centre
Russian Federation
Competing Interests:
Russian Federation
MD, specialist of the department of monitoring and analysis of regional health indicators of the regional health development service at the division of the federal projects’ implementation
St. Petersburg
Competing Interests:
нет
D. N. Nedbaeva
Almazov National Medical Research Centre
Russian Federation
Competing Interests:
Russian Federation
specialist of the Department for Monitoring and Analysis of Regional Health Indicators of the Regional Health Development Service at the Division for the Federal Projects Implementation
St. Petersburg
Competing Interests:
нет
D. R. Dautov
Almazov National Medical Research Centre
Russian Federation
Competing Interests:
Russian Federation
MD, postgraduate student at the Department of Cardiology, Faculty of Advanced Training, Institute of Medical Education, Cardiologist of the Department of Information Support and Telemedicine at the Division for the Federal Projects Implementation
St. Petersburg
Competing Interests:
нет
E. V. Shlyakhto
Almazov National Medical Research Centre
Russian Federation
Competing Interests:
Russian Federation
MD, PhD, Doctor of medical sciences, Professor, Academician of the Russian Academy of Sciences, Director General of the Almazov National Medical Research Centre, chief specialist cardiologist of the Russian Ministry of Health North-West, North Caucasus, Volga and Southern Federal Districts, Kherson and Zaporozhye region
St. Petersburg
Competing Interests:
нет
References
1. Shahim B, Kapelios CJ, Savarese G, et al. Global Public Health Burden of Heart Failure: An Updated Review. Card Fail Rev. 2023;9:e11. doi: 10.15420/cfr.2023.05.
2. Polyakov DS, Fomin IV, Belenkov YuN, et al. Chronic heart failure in the Russian Federation: what has changed over 20 years of follow-up? Results of the EPOCH-CHF study. Kardiologiia. 2021;61(4):4-14. (In Russ.) doi: 10.18087/cardio.2021.4.n1628.
3. Crespo-Leiro MG, Anker SD, Maggioni AP, et al. Heart Failure Association (HFA) of the European Society of Cardiology (ESC). European Society of Cardiology Heart Failure Long-Term Registry (ESC-HF-LT): 1-year follow-up outcomes and differences across regions. Eur J Heart Fail. 2016;18(6):613-25. doi: 10.1002/ejhf.566. Erratum in: Eur J Heart Fail. 2017;19(3):438. doi: 10.1002/ejhf.772.
4. Soloveva AE, Endubaeva GV, Avdonina NG, et al. ICD-10 code-based definition of heart failure in Saint Petersburg electronic health records: prevalence, health care utilization and outcomes. Russian Journal of Cardiology. 2021;26(3S):4621. (In Russ.) doi: 10.15829/1560-4071-2021-4621.
5. Zvartau NE, Solovyova AE, Endubaeva GV, et al. Analysis of the information about the incidence of heart failure, associated mortality and burden on the healthcare system, based on the encoding data in 15 subjects of the Russian Federation. Russian Journal of Cardiology. 2023;28(2S):5339. (In Russ.) doi: 10.15829/1560-4071-2023-5339. EDN YOUIRD.
6. Galyavich AS, Tereshchenko SN, Uskach TM, et al. 2024 Clinical practice guidelines for Chronic heart failure. Russian Journal of Cardiology. 2024;29(11):6162. (In Russ.) doi: 10.15829/1560-4071-2024-6162. EDN WKIDLJ.
7. Sitnikova MYu, Fedotov PA, Lyasnikova EA, et al. Modern principles of HF diagnosis and treatment. The training manual. St. Petersburg: Info-ra; 2018. 100 p. (In Russ.)
8. Xia J, Brownell NK, Fonarow GC, et al. New models for heart failure care delivery. Prog Cardiovasc Dis. 2024;82:70-89. doi: 10.1016/j.pcad.2024.01.009.
9. Villevalde SV, Soloveva AE, Zvartau NE, et al. Principles of organization of medical care for patients with heart failure in the system of cardiovascular risk management: focus on continuity of care and patient routing. Practical materials. Russian Journal of Cardiology. 2021;26(3S):4558. (In Russ.) doi: 10.15829/1560-4071-2021-4558.
10. Shlyakhto EV. Classification of heart failure: focus on prevention. Russian Journal of Cardiology. 2023;28(1):5351. (In Russ.) doi: 10.15829/1560-4071-2023-5351. EDN RVHDCY.
Supplementary files
- Over the past 6 years, measures to improve cardiology services have been implemented in the regions of the Northwestern (NWFD), North Caucasian (NCFD), Volga (VFD) and Southern Federal Districts (SFD) under the leadership of the Ministry of Healthcare of the Russian Federation in cooperation with the National Medical Research Centers.
- In 2024, components of health care for patients with heart failure were implemented in 8 out of 11 regions in the NWFD, in all 7 and 14 regions in the NCFD and VFD, respectively, and in 7 out of 8 regions in the Southern Federal District.
- Further development of specialized health care programs for patients with heart failure is required in the regions of the NWFD, NCFD, VFD and SFD with the involvement of territorial multidisciplinary teams to overcome the existing barriers.
Review
For citations:
Zvartau N.E., Villevalde S.V., Konradi A.O., Tuaeva I.B., Galyavich A.S., Khripoun A.V., Soloveva A.E., Endubaeva G.V., Medvedev A.E., Erastov A.M., Dubinina M.V., Nedbaeva D.N., Dautov D.R., Shlyakhto E.V. Management of health care for patients with heart failure in the Northwestern, North Caucasian, Volga and Southern Federal Districts of the Russian Federation: 6-year changes and future prospects. Russian Journal of Cardiology. 2025;30(3):6276. (In Russ.) https://doi.org/10.15829/1560-4071-2025-6276. EDN: ZHDPXF
Views:
107
Email this article 