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The modern trends in health care (strategies of optimizing costs, value-oriented medical care) require systematic development of laboratory services for administrative territories. The study was carried out to provide support for decision-making by systematizing models of laboratory services on the basis of principles of systematic approach. Four basic models (centralization, outsourcing, horizontal integration, point-of-care) were analyzed. The study applied such research methods as analytical and strategic SWOT-analysis. The SWOT-analysis was implemented using list of standard characteristics for each model of laboratory service organization. Each model is distinguished by complex combination of strengths, weaknesses, lines of functioning and development. The availability of implementing particular model depends on delicate balance of opportunities and risks against the background of local characteristics of administrative subject. The dynamics of the social economic and infrastructural development of administrative subject can significantly affect effectiveness of model implementation. The objective set of characteristics was obtained for each model of laboratory service organization. Actually it is impossible to select particular model for specific administrative subject. Hence, scientific substantiation of "flexible" model is needed to implement.

Equipment of the Russian X-Ray Mammological Service in 2005-2006 is analyzed. The prospects for reequipment are considered taking into account the widespread development of digital technologies.

Implementation of the National Project "Health" in the area of X-ray diagnostic equipment supply to public health organizations is considered. The prospects for replacement of outdated X-ray equipment within the framework of the National Project are discussed. Advantages of digital X-ray diagnostic equipment and the expedience of its wide use in the implementation of the National Project are substantiated.

Described in the paper is a portable small-size X-ray dosimeter DER-0.1 M designed by the Research Institute for Introscopy, Research Production Amalgamation "Spectr", for monitoring the dose and its intensity in the manufacturing and exploitation of general-purpose and specialized X-ray units. A flat-parallel ionizing chamber is used in the device as a radiation detector. The related technical characteristics are contained in the paper.

While processing blood values by an automatic classifying system, human beings can be divided into healthy (normal) and unhealthy (ill) persons. In so doing, one can evaluate the status of the body's individual systems (gastrointestinal tract, respiratory organs, locomotor apparatus, heart and vessels, urinary, endocrine, hemopoietic, and female genital organs, the central nervous system), which allows a physician to find a source of poor health from the very onset of disease.

Specialist gynecology care practice development in a center of consultation and diagnosis with more than 15,000 women beneficiaries in its books and 26 military clinics for consultation services.

Modern status of laboratory diagnostic service at the state and municipal medical institutions of regional public health is assessed as exemplified by the Archangelsk district. Qualitative parameters of the resource provision and variations thereof at institutions of different type, potential, and localization are analyzed. Availability of diagnostic service for the urban and rural population is assessed. Basic approaches to public health reforms in a region are formulated as the priority condition of improving the diagnostic service, rational utilization of resources, and available and proper medical care of the population.

The paper discusses the problem of automation of the functional diagnostic service system on the basis of up-to-date informational technologies, gives recommendations on the minimum list of diagnostic procedures used for various service levels in medical institutions, outlines requirements for hard- and softwares needed for designing this system of integrated processing, provides specific recommendations on the structure of automatic complexes for the first two levels of functional diagnostic service.

The paper deals with the problem in automatic medical information control and processing in the diagnostic center. It provides strong evidence for the hard- and software, as well as the pattern of entering data to be stored in the database. It also describes how the system is employed in the Omsk diagnostic center.

The author demonstrates a possibility of diagnosing hypertrophic cardiomyopathy (HCMP) at the diagnostic center where the main facilities required for examining cardiological patients are available. Provides the results of examining 23 patients with HCMP (according to sex, age, symptoms, clinical course, localization of myocardial hypertrophy, the presence of obstructive and nonobstructive forms, cases of familial diseases). Describes patients seen for HCMP during 6-10 years, in whom idiopathic hypertrophic subaortic stenosis (IHSS) transformed to symmetric HCMP with hypertrophy of the interventricular septum and free walls of the left and right ventricles associated with changes in the clinical picture of the disease. It is assumed that in some cases, IHSS may be a stage in the development of symmetric HCMP. In the course of the disease, the localization of myocardial hypertrophy, the presence of obstruction and the clinical picture are variable rather than permanent characteristics.

The article provides an evaluation of activities of consulting and diagnostic centres (CDC) which operate on the basis of Moscow multi-disciplinary hospitals. The existence of CDC oriented towards secondary (after screening at polyclinics and according to their referrals) screening of patients in accordance with in-depth programme and provision of consultations is justified and permits to raise the quality of medical care for the population.

The paper is concerned with introduction under outpatient conditions of an instrumental diagnostic complex including, apart from routine electrocardiographic and x-ray examinations, more specialized techniques, namely phonocardiography and echocardiography. Based on examination of 273 patients with different heart diseases the authors worded indications for echocardiography with emphasis on the necessity of rejecting or confirming the diagnosis, of specifying the diagnosis upon the deciding on the surgical treatment, and so forth. The authors conclude that it is necessary to use the instrumental diagnostic complex under outpatient conditions. They stress, however, that its successful use completely depends on the number of outpatients. The present paper is of interest for physicians specialized in functional diagnosis made in- and outpatiently.