Шадеркин И.А.

The prostate cancer (PCa) is nowadays one of the most common and progressively growing diseases in the area of oncourology. The yearly growth of the PCa incidence is 3%. The screening introduction was not effective, leading to the new problems with overdiagnosis, overtreatment and corresponding financial burden and growth in number of complications. As a result of this a new complex staged standardized program was developed in the National Scientific Institute of Urology for the treatment of patients with prostate cancer, which was introduced in Voronezh district in 2010.

The limited resources of health care system, combined with an aging population and an increase of proportion of diseases of involutional origin leads to the need to optimize the algorithms of diagnosis and treatment of these diseases. BPH is a gender-associated, socially significant disease, as it accounts for over 40% of all diseases of men older than 50 years, and this is the reason of the significant economic contributions in the cost structure of the health system.

Introduction: BPH –gender, social disease, as it accounts more than 40% of all diseases of men older 50 years. Analyzing the effectiveness of diagnosis and treatment of BPH in the Russian Federation at the example of the Voronezh region in 2009, it revealed that 40.9% of patients with BPH treated at the hospital were delivered by ambulance for emergency indication, underlining the shortages of prophylaxis and low detectability of diseases.

As for April 2013, 62% of the physicians use Internet to approach the professional information. We have estimated, that more than half of the urologists have a desire and need to access the Internet resources for self-education purposes. Given the big size of Russian Federation this could be realized using the distant education technologies and modern Internet-based platforms.

This literature review is dedicated to the problem of prostate cancer local recurrence. Prostate cancer takes one of the leading places in the structure of cancer incidence and mortality. With an aging population, the number of such patients will only increase. Modern radical treatments have a high, but not sufficient efficiency. Relapse after radical prostatectomy, is observed in 29% – 40% of patients within the next 10 years after surgery.

Introduction. A modern state of the health care system in Russia could be characterized not only through the limitation of the financing, but also through the ineffective usage of the money. This problem was underlined in the message of the President of the Russian Federation V.V. Putin. He had precisely described the strategic directions of the health care reforming via the modernization. In the course of modernization in Voronezh region a program of the standardized effective urologic aid “Urology” was developed and integrated.

In 2006 national project (NP) "Health" started in Russia - the first and the most expensive of four national projects, thanks to which the primary care has been strengthened. Activities of the national project "Health" had a major impact on the demographic situation in the country, leading to an increase in the birth rate, reduction of mortality at all ages, increased life expectancy.

XXI century without exaggeration to be called the century of information. During the last three years there has been a technological breakthrough, manifested by advent of new equipment and improvement of communication channels.