medinfoАктуальные проблемы теоретической и клинической медициныActual Problems of Theoretical and Clinical Medicine2790-12892790-1297Казахстанско-Российский медицинский университет10.64854/2790-1289-2026-52-2-11medinfo-1114Research ArticleОБЗОР ЛИТЕРАТУРЫREVEWSСОВРМЕННЫЕ ПОДХОДЫ К ОРГАНИЗАЦИИ МЕДИЦИНСКОЙ ПОМОЩИ РАБОТНИКАМ ПРЕДПРИЯТИЙ ГОРНОДОБЫВАЮЩЕЙ ПРОМЫШЛЕННОСТИMODERN APPROACHES TO THE ORGANIZATION OF MEDICAL CARE FOR EMPLOYEES OF MINING INDUSTRY ENTERPRISEShttps://orcid.org/0009-0004-9613-0471ВангайА. Ю.VangayA. Y.alexandra.vangay@gmail.comhttps://orcid.org/0009-0004-9802-0129АбзалиеваС. А.AbzaliyevaS. A.abzaliyeva.symbat@gmail.comhttps://orcid.org/0000-0003-4768-4799РыскуловаА. Р.RyskulovaA. R.r.alma@bk.ruhttps://orcid.org/0000-0003-2452-854XАбзалиевК. Б.AbzaliyevK. B.abzaliev_kuat@mail.ruhttps://orcid.org/0000-0002-8432-6184СарсеноваА. О.SarsenovaA. O.sarsenova.a@mediker.kzhttps://orcid.org/0009-0008-5282-5094Аль-ясинБ. Р.AyaseenB. R.bakerrabah12@gmail.comКМУ «Высшая школа общественного здравоохранения»Казахстан«Kazakhstan School of Public Health» KMUKazakhstanНАО «Казахский национальный университет имени им. Аль-Фараби»Казахстан«Al-Farabi Kazakh National University» NPJSCKazakhstan202603072026021114Copyright © Вангай А., Абзалиева С., Рыскулова А., Абзалиев К., Сарсенова А., Аль-ясин Б., 20262026Вангай А., Абзалиева С., Рыскулова А., Абзалиев К., Сарсенова А., Аль-ясин Б.Vangay A., Abzaliyeva S., Ryskulova A., Abzaliyev K., Sarsenova A., Ayaseen B.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://kazrosmedjournal.krmu.edu.kz/jour/article/view/1114Актуальность

Актуальность. Горнодобывающая промышленность относится к числу наиболее опасных отраслей и характеризуется высоким уровнем профессиональных рисков. На ее долю приходится до 8 % смертельных производственных травм. Распространенность пневмокониоза среди шахтеров достигает 3,7 %, силикоза – до 8 %, при этом в ряде регионов отмечается высокая коморбидность, включая «тройное бремя заболеваний». Данные факторы обуславливают необходимость дальнейшего изучения и совершенствования системы медицинского обеспечения работников.

Цель

Цель: анализ современных научных данных и мирового опыта организации медицинской помощи работникам горнодобывающей отрасли

Материалы и методы

Материалы и методы. Проведен анализ научных публикаций за 2010-2025 гг., посвященных состоянию здоровья, профессиональным рискам и организации медицинской помощи работникам горнодобывающей промышленности. Поиск осуществлялся в базах данных PubMed, Scopus, Web of Science и Google Scholar. В обзор включены исследования на русском и английском языках, соответствующие тематике работы. Полученные данные систематизированы по основным направлениям исследования.

Результаты

Результаты. Установлено, что работники подвергаются воздействию комплекса вредных факторов (пыль, шум, вибрация, химические вещества), что приводит к развитию профессиональных заболеваний, в том числе пневмокониоза и силикоза. В ряде регионов наблюдается феномен «тройного бремени заболеваний» (силикоз, туберкулёз, инфекционные заболевания). Кроме того, выявлена высокая распространённость психоэмоциональных нарушений, а также влияние сменного режима работы на риск травматизма. Показано, что традиционная модель медицинской помощи недостаточно эффективна и требует перехода к профилактически ориентированным подходам.

Выводы

Выводы. Совершенствование организации медицинской помощи работникам горнодобывающей промышленности требует перехода к профилактически ориентированным подходам с использованием цифровых технологий и искусственного интеллекта для прогнозирования рисков ранней диагностики заболеваний.

Relevance

Relevance. The mining industry is one of the most hazardous sectors and is characterized by high occupational risks. It accounts for up to 8 % of fatal occupational injuries. The prevalence of pneumoconiosis among miners is 3.7 %, while that of silicosis is up to 8 %. In some regions, a high level of comorbidity is observed, including the «triple burden of disease». These factors indicate the need for further research and improvements in workers’ medical care systems.

Objective

Objective: to analyze modern scientific data and international experience in the organization of medical care for workers in the mining industry

Materials and Methods

Materials and Methods. An analysis of scientific publications from 2010 to 2025 was conducted, focusing on workers’ health status, occupational risks, and the organization of medical care in the mining industry. The literature search was performed using the PubMed, Scopus, Web of Science, and Google Scholar databases. The review included studies published in Russian and English that were relevant to the research topic. The obtained data were systematized according to the main areas of the study.

Results

Results. Workers are exposed to a complex of harmful factors (dust, noise, vibration, and chemical agents), which can lead to occupational diseases, including pneumoconiosis and silicosis. In some regions, a «triple burden of disease» (silicosis, tuberculosis, infectious diseases) is observed. A high prevalence of mental health disorders and the impact of shift work on injury risk were also identified. Traditional models of medical care were found to be insufficient and require a transition to preventive approaches.

Conclusions

Conclusions. Improving the organization of medical care for mining workers requires a shift toward preventive approaches, using digital technologies and artificial intelligence to predict risks and detect disease early.

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The authors declare that there are no conflicts of interest present.