Email this article 
Status of primary care within the formation of a three-level model of the health care system
- Authors: Stasevich N.Y.1, Smyshlyaev A.V.2, Gabrielyan A.R.1, Demuria L.E.3, Serov D.V.4
- Affiliations:
- N. A. Semashko National Research Institute of Public Health, Moscow, Russian Federation
- Federal Research Institute for Health Organization and Informatics, Moscow, Russia
- Royal Clinic LLC, Moscow, Russia
- City polyclinic No. 46, Moscow, Russia
- Issue: No 3 (2024)
- Pages: 229-234
- Section: Articles
- URL: https://remedium-journal.ru/journal/article/view/1767
- DOI: https://doi.org/10.32687/1561-5936-2024-28-3-229-234
- Cite item
Abstract
In the Russian Federation, the transition to a three-tier healthcare system began in 2012. Regions are adopting different three-level models according to different profiles. At the same time, there is no “single” unified model for the entire healthcare structure. The recommendations of the relevant authorities in the healthcare sector do not provide uniform technologies and methodologies for structuring the local system. Primary health care is the backbone. Despite this, there is a gap between its importance and low public satisfaction with it. Currently, there is a poorly structured organizational and legal status of primary healthcare in the Russian Federation. When analyzing the organizational and legal status of primary care, discrepancies and discrepancies between the law, regulations, nomenclature and methodological recommendations are determined. The declared formation of a three-tier healthcare system must be based on a more understandable architectural healthcare network. It is necessary to harmonize between the types of objects and the types of care they provide, the conditions of provision and forms of medical care.
About the authors
Natalya Yu. Stasevich
N. A. Semashko National Research Institute of Public Health, Moscow, Russian Federation
Email: trif-natalya@yandex.ru
Alexey V. Smyshlyaev
Federal Research Institute for Health Organization and Informatics, Moscow, Russia
Email: alexeysmishlyaev@yandex.ru
Artur R. Gabrielyan
N. A. Semashko National Research Institute of Public Health, Moscow, Russian Federation
Email: gabrielyanarthur@gmail.com
Lyubov E. Demuria
Royal Clinic LLC, Moscow, Russia
Email: demuriaeka@mail.ru
Denis V. Serov
City polyclinic No. 46, Moscow, Russia
Email: serovdv@mos.ru
References
- Khodakova O. V., Senotrusova Yu. E., Deev I. A., Kobyakova O. S. Staffing of doctors in primary healthcare in Russia. Healthcare of the Russian Federation. 2023;(6):463–470. doi: 10.47470/0044-197X-2023-67-6-463-470
- Unmut S. S., Russkikh S. V., Timurzieva A. B. et al. Systematic approach to the process of preparing the adult population for planned hospitalization. Preventive Medicine. 2022;25(8):7–13. doi: 10.17116/profmed2022250817
- Merekina M. D., Kalininskaya A. A., Lazarev A. V. et al. Hospital-substituting forms of work as a reserve for health conservation. Healthcare Manager. 2021;(7):57–65. doi: 10.21045/1811-0185-2021-7-57-65
- Kustov E. V. “Polyclinic. Reboot» — a unified standard for organizing primary health care in the Moscow region in an outpatient setting. Remedium. 2023;27(4):297–304. doi: 10.32687/1561-5936-2023-27-4-297-304
- Yakushin M. A., Bakirova E. A., Yarotsky S. Yu. et al. On the current state and prospects for the development of rural healthcare. Healthcare Manager. 2023;(7):20–32. doi: 10.21045/1811-0185-2023-7-20-32
- Myasnikov A. O., Novikov A. Yu., Sadovskaya M. A. Primary health care as a basic element of the healthcare system at the present stage (basic principles and key tasks). The Scientific Heritage. 2020;(43-1):43–48.
- Zilber N. A., Voevodova O. N., Lyalina A. A. et al. Patient-centric model of healthcare. Preventive measures of the territorial body of Roszdravnadzor as a tool for improving the quality of primary health care. Bulletin of Roszdravnadzor. 2023;(2):27–33.
- Platonova N. I., Melnikov Yu. Yu., Smyshlyaev A. V. Regulatory and legal aspects of the formation of a patient-oriented approach in the system of medical care in the Russian Federation (at the present stage). Medical Law. 2020;(3):26–31.
- Karailanov M. G., Mikheev A. V., Prokin I. G., Apchel A. V. Outpatient complementary technologies in primary care of domestic healthcare. Bulletin of the Russian Military Medical Academy. 2023;25(2):269–274. doi: 10.17816/brmma192514
- Yakupova E. S. Organization of healthcare systems and models of their financing. Management: theory and practice. 2021;(3-4):108–112.
- Vyalykh N. A. Social ideas about the healthcare model in Russian society. Bulletin of Tomsk State University. Philosophy. Sociology. Political science. 2020;(56):157–172. doi: 10.17223/1998863X/56/16
- Evdakov V. A., Melnikov Yu. Yu., Smyshlyaev A. V. Technical condition of buildings of outpatient medical organizations (units) in the Russian Federation. Russian Medical and Biological Bulletin named after Academician I. P. Pavlova. 2021;29(4):457–464. doi: 10.17816/PAVLOVJ83392
- Antropov V. V. Health care financing: European experience and Russian practice. Economics. Taxes. Right. 2019;12(2):115–126. doi: 10.26794/1999-849X-2019-12-2-115-126
- Boyko Yu. P., Fedyakov A. G., Shcherbin A. V., Razin M. A. Problems of organizing outpatient care for patients with carpal tunnel syndrome. Healthcare Manager. 2023;(1):36–41. doi: 10.21045/1811-0185-2023-1-36-41
- Korotkova M. N. Social policy of the state: personalized medicine in the context of modernization of the Russian healthcare system (theory and practice of the Perm region). Society: politics, economics, law. 2020;(5):34–37. doi: 10.24158/pep.2020.5.4
- Smyshlyaev A. V. Features of the implementation of the program-targeted management method in the system of providing primary health care in the Russian Federation at the present stage. State power and local self-government. 2022;(2):32–36. doi: 10.18572/1813-1247-2022-2-32-36
- Mir O. Kh., Akhmedov A., Tursunov R. A., Olimov D. A. Issues of organizing medical care in the light of current models of healthcare systems in the world. Analytical review. Social aspects of public health. 2022;68(3):6. doi: 10.21045/2071-5021-2022-68-3-6
- Makhonko N. I., Erokhina T. V., Tarasova E. A. Legal mechanism for implementing the creation of sustainable healthcare systems. Bulletin of the Saratov State Law Academy. 2021;(3):234–240. doi: 10.24412/2227-7315-2021-3-234-240
- Skvirskaya G. P. Volnukhin A. V. Main directions for improving activities in the field of public health and healthcare management in modern conditions in the Russian Federation. Modern problems of healthcare and medical statistics. 2020;(2):348–366. doi: 10.24411/2312-2935-2020-00051
- Chub N. V., Petrov N. V. Ensuring accessibility of medical care as a novelty of the constitutional and legal status of the institution of local self-government in the Russian Federation: personnel, infrastructure, territories. State power and local self-government. 2022;(6):33–37. doi: 10.18572/1813-1247-2022-6-33-37
- Evdakov V. A., Melnikov Yu. Yu., Smyshlyaev A. V. Indicators of staffing of the population with paramedical personnel in outpatient healthcare in the Russian Federation in the period 2010–2018. Kuban Scientific Medical Bulletin. 2020;27(3):56–64. doi: 10.25207/1608-6228-2020-27-3-56-64
- Platonova N. I., Smyshlyaev A. V., Melnikov Yu Yu. Principles of legal regulation of the provision of primary health care by authorized state (municipal) medical organizations in outpatient settings in the Russian Federation. Legal Research. 2018;(7):1–9.
- Ortskhanova M. A., Kitieva M. I., Polonkoeva F. Ya. Models of economic systems of the national health care system. Competitiveness in the global world: economics, science, technology. 2022;(6):44–45.
- Verbin Yu. I. Features of legal support for the protection of the health of citizens in developed countries of the European Union and the Russian Federation. Sochi Journal of Economy. 2019;13(4):555–564.
