REMEDIUMREMEDIUM1561-59362658-3534Joint-Stock Company Chicot176710.32687/1561-5936-2024-28-3-229-234Original ArticleStatus of primary care within the formation of a three-level model of the health care systemStasevichNatalya Yu.trif-natalya@yandex.ruSmyshlyaevAlexey V.alexeysmishlyaev@yandex.ruGabrielyanArtur R.gabrielyanarthur@gmail.comDemuriaLyubov E.demuriaeka@mail.ruSerovDenis V.serovdv@mos.ruN. A. Semashko National Research Institute of Public Health, Moscow, Russian FederationFederal Research Institute for Health Organization and Informatics, Moscow, RussiaRoyal Clinic LLC, Moscow, RussiaCity polyclinic No. 46, Moscow, Russia15122024322923416102025Copyright © 2024,2024In 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. 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