REMEDIUMREMEDIUM1561-59362658-3534Joint-Stock Company Chicot179710.32687/1561-5936-2025-29-3-277-280Original ArticleOrganizational mechanisms for optimizing primary health care in the context of municipal healthcareNesterenkoOlesya Leonidovnaolesya.nes3@gmail.comBurkovskayaYulia ValeryevnaBurkovskayaYV@zdrav.mos.ruScientific Research Institute of Healthcare Organization and Medical Management of the Moscow Department of Healthcare, Moscow15122025327728017102025Copyright © 2025,2025The article discusses the key organizational mechanisms aimed at improving the efficiency of the primary health care system in municipal healthcare. Special attention is paid to the issues of adaptation of management models, restructuring of resource provision, improvement of personnel policy and introduction of modern management technologies. The barriers and factors influencing the effectiveness of organizational transformations are identified, and the directions for further optimization of primary health care in municipalities are substantiated.primary health care, municipal healthcare, organizational mechanisms, optimization, healthcare, managementпервичная медико-санитарная помощь, муниципальное здравоохранение, организационные механизмы, оптимизация, здравоохранение, управление1.Romanova A. S., Yargina Yu. V. The role of social workers in the system of primary medical and social care. Russia in the space of global transformations: in the focus of the sciences of man, society, nature and technology. Proceedings of the international interdisciplinary scientific conference. The compiler, responsible and scientific editor of the collection is V. P. Shalaev. 2016. pp. 134—135. (In Russ.).2.Bayanova N. A., Kalininskaya A. A. medical and social aspects of the organization of primary health care for the rural population. The monograph. Orenburg: Press Agency; 2018. (In Russ.).3.Orel V. I., Roslova Z. A., Kim A. V., Bezhenar S. I. Medical and social service as an important component of primary health care for children. Vorontsov readings. Saint Petersburg — 2016. Materials of the IX Scientific and Practical Conference with international participation. Dedicated to the memory of Professor Vorontsov Igor Mikhailovich. 2016. pp. 113—114. (In Russ.).4.Prokopenko M. A., Krasnorutskaya O. N., Kolesnikova E. N. The role of hospital-substituting forms of primary medical and social care. Zavadskie readings. Materials of the X scientific and practical conference of young scientists with international participation, dedicated to the 100th anniversary of higher medical education on the Don. 2015. pp. 156—158. (In Russ.).5.Orel V. I., Bezhenar S. I., Buldakova T. I., et al. Scientific and practical vector of problems of primary medical and social care in a megalopolis. Medicine and healthcare organization. 2018;3(2):63—67 (In Russ.).6.Baranov A. A., Ilyin A. G., Konova S. R., Antonova E. V. Improving the system of medical care for children in the framework of primary medical and social care. Pediatrician's Handbook. 2010;(1):8—18 (In Russ.).7.Samadova G. A., Dadabayeva B. S., Dzhabarova K. A., Khusainova A. O. The new structure of the outpatient PHC service is the office of pre-medical admission at the Department of family medicine. Bulletin of Postgraduate Education in healthcare. 2022;(4):70—73 (In Russ.).