REMEDIUMREMEDIUM1561-59362658-3534Joint-Stock Company Chicot170410.32687/1561-5936-2024-28-2-192-195Original ArticleOn the issue of staffing urologists in medical organizations in Moscow during the transition to general medical practiceAgamovZagir Kh.azxur@rambler.ruSarkisyanArmen D.a.sarkisyan@rambler.ruBelkinStanislav A.dr.belkin76@mail.ruКоshkakaryanАrman L.armlev@mail.ruN. A. Semashko National Research Institute of Public Health, Moscow, Russian FederationCity рolyclinic No. 115, Moscow, RussiaCentral State Medical Academy of department of presidential affairs, Moscow, RussiaСlinical diagnostic center No. 4, Moscow, RussiaCity рolyclinic No. 219, Moscow, Russia15122024219219515102025Copyright © 2024,2024The 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 careprimary specialized health careurologistcity polyclinicdoctor's visitgeneral practitionerdistrict physicianпервичная медико-санитарная помощьпервичная специализированная медико-санитарная помощьврач-урологгородская поликлиникапосещение врачаврач общей практики (семейный врач)врач-терапевт участковый1.Агамов З. Х. К вопросу о реформах здравоохранения Москвы (обзор публикаций) // Проблемы социальной гигиены, здравоохранения и истории медицины. 2022. Т. 30, №3. С. 455–463. DOI: 10.32687/0869-866X-2022-30-3-455-4632.Калининская А. А., Лазарев А. В., Алленов А. М. и др. Результаты и перспективы реформирования первичной медико-санитарной помощи в Москве // Проблемы социальной гигиены, здравоохранения и истории медицины. 2022. Т. 30, №2. С. 270–274. DOI: 10.32687/0869-866X-2022-30-2-270-2743.Agamov Z. Kh. Оn the issue of Moscow health care reforms: a review of publications. Problems of social hygiene, public health and history of medicine. 2022;30(3):455–463. (In Russ.) DOI: 10.32687/0869-866X-2022-30-3-455-4634.Kalininskaya A. A., Lazarev A. V., Allenov A. M. et al. The results and perspectives of primary health care reforming in Moscow. Problemy social'noj gigieny, zdravoohranenija i istorii mediciny. 2022; 30(2):270–274. (In Russ.). DOI: 10.32687/0869-866X-2022-30-2-270-274