ASSESSMENT OF COMPLIANCE OF MEDICAL ORGANIZATIONS OF THE TRANS-BAIKAL TERRITORY WITH THE CRITERIA OF THE FIRST LEVEL OF A NEW MODEL OF A MEDICAL ORGANIZATION PROVIDING PRIMARY HEALTH CARE

The aim of the research: to assess the achievement of the criteria of the first level of a New model of a medical organization providing primary health care, using the example of medical organizations in the Trans- Baikal Territory.

Materials and methods. The basis of the study was the state medical organizations providing primary health care in the Trans-Baikal Territory (n = 4). Using the Methodology for assessing the achievement of the target values of the criteria of the first level of the "New model of a medical organization providing primary health care", an assessment of medical organizations was carried out according to 9 criteria. Research materials: local regulations of medical organizations, the form of federal statistical observation, floor plans of polyclinics, doctors' work schedules, information from medical information systems.

Results. When evaluating the first criterion of the new model in medical organizations, violations were identified related to the intersection of patient flows, during preventive medical examination, with the flows of patients who applied for the disease, the reason for which was the lack of separation of the admission of specialist doctors in time and space. When analyzing the criterion related to the assessment of navigation, the optimal level of this system in polyclinics was noted. The criterion related to the system of informing visitors about the organization of medical activities of the polyclinic was fulfilled by only one medical organization. When evaluating the criteria from the block "accessibility of medical care", the studied medical organizations did not demonstrate a high level of achievement of the target values of the indicators.

Conclusions. The introduction of a new model of a medical organization providing primary health care is necessary to set up processes aimed at improving the availability and quality of medical care, focusing on values for the patient. According to the results of the study, it was revealed that none of the studied medical organizations achieved all the criteria of the first level of the new model of a medical organization providing primary health care. The current situation requires management decisions aimed at transforming the processes of providing medical care in the clinic.

1. Mikhno N.V., Evstafeva Yu.V., Khodakova O.V. Identification of the risks of harm to health in the provision of medical care based on the analysis of patient complaints. Sovremennye problemy zdravookhraneniya i meditsinskoy statistiki. 2022. 3. 642-663. DOI: 10.24412/2312-2935-2022-3-642-663 (In Russian).

2. Central Research Institute: The availability of medical care at the primary level largely shapes people's satisfaction with healthcare in general. URL: https://mednet.ru/novosti/dostupnost-mediczinskoj-pomoshhi- na-urovne-pervichnogo-zvena-vo-mnogom-formiruet-udovletvoryonnost-lyudej-zdravooxraneniem-v- czelom (Accessed September 20, 2024) (In Russian).

3. Passport of the federal project "Development of the primary health care system". URL: https://minzdrav.gov.ru/poleznye-resursy/natsproektzdravoohranenie/pervichka (Accessed September 20, 2024) (In Russian).

4. Passport of the priority project "Creation of a new model of a medical organization providing primary health care" (approved by the Presidium of the Council under the President of the Russian Federation for Strategic Development and Priority Projects dated 07/26/2017 Protocol No. 8). URL: https://www.garant.ru/products/ipo/prime/doc/71635156 / (Accessed September 20, 2024) (In Russian).

5. Bobrovich V.V., Evstafeva Yu.V., Romanova E.N., Andreeva E.V. Lean manufacturing technologies in the healthcare system. Zabaykal'skiy meditsinskiy vestnik. Chita. 2022. 1. 27-34. DOI: 10.52485/19986173_2022_1_27 (In Russian).

6. A new model of a medical organization providing primary health care (3rd edition with additions and clarifications). Methodological recommendations. Karakulina E.V., Vvedensky G.G., Khodyreva I.N., Kroshka D.V. [et al.] M.: Federal State Budgetary Institution "NMIC TPM" of the Ministry of Health of Russia, 2023, – 146 p. DOI: 10.15829/FPPMSP-NMMO2023. EDN WDYLXI" URL: https://static-0.minzdrav.gov.ru/system/attachments/attaches/000/062/352/original/%D0%9C%D0%A0_%D0%9A%D1%80%D0%B8%D1%82%D0%B5%D1%80%D0%B8%D0%B8_11.05.2023.pdf?1688539270 (Accessed September 20, 2024) (In Russian).

7. Kurmangulov A.A. Effective navigation in medical organizations. Tyumen: RIC "Ivex", 2021. 352 p. (In Russian)

8. Mezentseva T.A., Kurmangulov A.A., Mikhaylova D.O. Analysis of the work of medical organizations providing assistance to the child population in the framework of creating a New model. Meditsinskaya nauka i obrazovanie Urala. 2024. T.25. 1 (117). 79–85. DOI: 10.36361/18148999_2024_25_1_79 (In Russian).

9. Federal Law No. 323-FZ dated 11/21/2011 "On the Basics of Public Health Protection in the Russian Federation". "ConsultantPlus" URL: https://www.consultant.ru/document/cons_doc_LAW_121895/ (Accessed September 20, 2024).

10. Federal Law No. 326-FZ dated 11/29/2010 "On Compulsory Medical Insurance in the Russian Federation". "ConsultantPlus" URL: https://www.consultant.ru/document/cons_doc_LAW_107289 / (Date of reference: September 20, 2024) (In Russian).

11. Kamkin E.G., Karakulina E.V., Bakulin P.S. et al. Methodological recommendations "Organization of an appointment with a doctor, including through the unified portal of state and municipal services and unified regional call centers (third edition, revised and supplemented)". Moscow, 2023. DOI: 10.21045/978-5-94116-133-1-2023 (In Russian).