7. Nikolay А. Nesterenko

Health Category Content and Its Effect on the Activities of the Sanatorium-Resort Complex: A Socio-Economic Approach

  • Contact details
  • Abstract
  • References

Nikolay А. Nesterenko

Lecture at the Department of St. Petersburg institute of foreign economic relations, economy

Liteynyy Ave 42, St. Petersburg, Russian Federation, 191014

The present study is relevant because the state of the Russian healthcare system increasingly affects the ability to maintain the health and capacity for work of the country’s economically active population. The transition from a paternalistic healthcare model to a marketbased model has diminished the role of the sanitarium-resort complex as a factor in maintaining the health of Russian workers and restoring the capacity for work of ill or injured people.
Aim. This study aims to examine the present state of the health category and its effect on the activities of the sanatorium-resort complex, using a socio-economic approach.
Tasks. The authors examine the existing methods and criteria of health assessment and evaluate the efficiency of the national social policy towards wage workers in Russia, based on an analysis of the population’s health indicators.
Methods. The study uses such methods as systems analysis, systematization, and synthesis and employs the socio-economic approach to determine the essence of the “health” concept in the country.
Results. The overall condition of the healthcare system and social and labor relations in Russian enterprises are not geared towards maintaining the capacity for work and health of employees. In Russia, restorative medicine has evolved into a self-contained scientific and practical field that can significantly affect the state of healthcare in Russia for workers using drug-free sanatorium-resort methods.
Conclusion. Based on the performed analysis, it is concluded that the government should play a larger part in the regulation of the sanatorium-resort complex.

Keywords: health, capacity for work, sanatorium-resort complex, health value assessment, human capital, working conditions, restorative medicine


  1. Veselkova I. N. Demograficheskiy i trudovoy potentsial naseleniya Rossii [Demographic and labor potential of the population of Russia]. Sotsiologiya vlasti, 2003, no. 3, pp. 131–139.
  2. Grigor’ev F. G. Aktual’nye voprosy funktsionirovaniya zdravookhraneniya v usloviyakh rynka [Actual issues of functioning of public health services in the conditions of the market]. Zdravookhranenie Rossiyskoy Federatsii, 1993, no. 6, pp. 6–7.
  3. Il’inskiy I. V. Investitsii v budushchee: obrazovanie v innovatsionnom vosproizvodstve [Investing in the future: Education in innovative reproduction]. St. Petersburg: SPb. State Univ. of Economics and Finance Publ., 1996. 163 p.
  4. Bugaeva I. A. Sotsiologicheskiy analiz zdorov’ya naseleniya i modernizatsiya sotsiokul’turnoy regulyatsii [Sociological analysis of the health of population, and the modernization of socio-cultural regulation]. Izvestiya Sankt-Peterburgskogo gosudarstvennogo ekonomicheskogo universiteta,2017, no. 6 (108), pp. 135–139.
  5. Marshall A. Principles of economics. London: Macmillan & Co. Publ., 1920. 627 p. (Russ. ed.: Marshall A. Printsipy ekonomicheskoy nauki (in 3 vols). Moscow: Progress Publ., 1993. Vol. 2, pp. 309 p.).
  6. Akopyan A. S. Zdravookhranenie v rynochnoy Rossii [Healthcare and Russian market economy]. Obshchestvennye nauki i sovremennost’, 2004, no. 6, pp. 56–67.
  7. Rimashevskaya N. M., ed. Zhenshchina, muzhchina, sem’ya v Rossii: poslednyaya tret’ XX veka. Proekt “Taganrog” [Woman, man, family in Russia: the last third of the 20th century. Project “Taganrog”]. Moscow: RAS Inst. of Social and Economic Problems of Population, 2001. 320 p.
  8. Okrepilov V. V. Evolyutsiya kachestva [Evolution of quality]. St. Petersburg: Nauka Publ., 2008. 636 p.
  9. Sanders B. Measuring community health levels. American Journal of Public Health, 1964, no. 54, pp. 1063–1070.
  10. Andreev E. M., Shkol’nikov V. M., McKee M. Prodolzhitel’nost’ zdorovoy zhizni [Duration of a healthy life]. Voprosy statistiki, 2002, no. 11, pp. 16–21.
  11. Murray C. J. L., Salomon J. A., Mathers C. D. A critical examination of summary measures of population health. Bulletin of the World Health Organization, 2000, vol. 78, no. 8, pp. 981–994.
  12. Sullivan D. F. A single index of mortality and morbidity. HSMHA Health Report, 1971, no. 86, pp. 347– 354.
  13. Ramonov A. V. The system of integrated indicators of public health: The methodology of analysis and the possibility of application in Russia. Cand. sociol. sci. Diss. Moscow: HSE Publ., 2013. 201 p. (in Russ.).
  14. Duganov M. D. Otsenka effektivnosti raskhodov na zdravookhranenie na regional’nom i munitsipal’nom urovnyakh [Assessment of the effectiveness of health care expenditure at the regional and municipal levels]. Moscow: Inst. for the Economy in Transition Publ., 2007. 112 p.
  15. Kalemli-Ozcan S., Ryder H. E., Weil D. N. Mortality decline, human capital investment, and economicgrowth. Journal of Development Economics, 2000, vol. 62, no. 1, pp. 1–23.
  16. Alsan M., Bloom D. E., Canning D. The effect of population health on foreign direct investment. Cambridge: National Bureau of Economic Research, 2004. 25 p.
  17. Plotnikov V. A. Sotsial’nye zakonomernosti i model’ ekonomicheskogo razvitiya Rossii [Social patterns and model of economic development in Russia]. St. Petersburg: Lema Publ., 2011. 79 p.
  18. Experts: Russian men live a little and do not work long. Novye izvestiya. Available at: https://newizv.ru/news/politics/26-01-2018/eksperty-rossiyskiemuzhchiny-i-zhivut-malo-i-rabotayut-nemnogo-27c0e4a2-b14f-46c9-8c39-1ccc1b8c21c5. (in Russ.).
  19. Lomskaya T., Bazanova E., Papchenkova M., Sterkin F. We are accumulating. While we have reserves, we are respected in the world. Vedomosti, November 29, 2017. Available at: https://www.vedomosti.ru/economics/characters/2017/11/29/743589-mi-kopim. (in Russ.).
  20. The human resources situation in the health sector is deteriorating. Medvestnik. Available at: https://medvestnik.ru/content/news/Kadrovaya-situaciyav-zdravoohranenii-uhudshaetsya.html. (in Russ.).
  21. Share of employees of organizations that have the right to compensation for work in harmful and (or) dangerous working conditions by economic activities. Trud-Ekspert. Upravlenie. Available at: http://www.trudcontrol.ru/press/statistics/23917/udelniy-vesrabotnikov-organizaciy-imeushih-pravo-na-kompensacii-za-rabotu-vo-vrednih-i-ili-opasnih-usloviyah-truda-po-vidam-ekonomicheskoy-deyatelnosti. (in Russ.).
  22. Starodubov V. I. Osnovnye napravleniya razvitiya sanatorno-kurortnogo kompleksa Rossiyskoy Federatsii [Main directions of the development of the sanatorium and resort complex of the Russian Federation]. Kurortnye vedomosti, 2004, no. 4–5.
  23. Razumov A. N. Aktual’nye problemy razvitiya kurortnogo dela v Rossii [Actual problems of resort development in Russia]. Aktual’nye problemy vosstanovitel’noy meditsiny, kurortologii i fizioterapii: mat. mezhdunar. kongr. “Zdravnitsa — 2004”, Sankt-Peterburg, 5–8 oktyabrya 2004 g. [Actual problems of restorative medicine, balneology and physiotherapy: Proc. int. congr. “Zdravnitsa — 2004”, St. Petersburg, Oct. 5–8, 2004]. Moscow, 2004, pp. 9–12.
  24. Borisov V. A. Ratsionalizatsiya upravleniya protsessom reabilitatsii bol’nykh v sanatorii na baze komp’yuternykh tekhnologiy [Rationalization of the management of patients rehabilitation process in a sanatorium on the basis of computer technologies]. Voprosy kurortologii, fizioterapii i lechebnoy fizicheskoy kul’tury, 1999, no. 2, pp. 35–39.
  25. Mozokina S. L. Meditsinskaya reabilitatsiya i sanatorno-kurortnoe lechenie [Medical rehabilitation and sanatorium treatment]. Teoriya i praktika servisa: ekonomika, sotsial’naya sfera, tekhnologii, 2015,

Subscribe to electronic version of the article