The purpose of this study is to analyze trends in the staffing of first-level medical specialists in health care organizations providing primary health care during the transition to general medical practice (using the example of a urologist). Materials and methods. Collection of basic health indicators of the population of the city of Moscow, the activities of medical organizations of the state healthcare system of the city of Moscow for 2015–2022; unified medical information and analytical system; normative legal acts. Methods of descriptive statistics and analytical were used. Results. An increasing shortage of urologists in medical organizations providing primary health care to the adult population and a discrepancy between existing staff positions and calculated standard values have been revealed. There is an increase in the need for primary specialized health care and specialized medical care in the “urology” profile. Conclusion. Management decisions are needed in the following areas: eliminating the personnel shortage of urologists; normative and legal regulation of the list of urological diseases for which local therapists and general practitioners could deal with the diagnostic and treatment process independently and the indications for which consultations with a urologist are prescribed, with the introduction of programs to improve the level of qualifications of district physicians and general practitioners according to the profile “urology”; consideration of the issue of including urologists in the second level of primary specialized health care. Taking into account the changing structure of medical care in the urology profile, both in outpatient and inpatient settings, time-lapse studies of the work of urologists are needed for a possible revision of existing recommendations on staffing standards.

primary health care, primary specialized health care, urologist, city polyclinic, doctor's visit, general practitioner, district physician.