Regulatory legal aspects of providing primary health care to the adult population of Moscow during the transition to general medical practice
- Authors: Agamov Z.K.1,2, Belkin S.A.3, Sarkisyan A.D.4, Коshkakaryan А.L.5, Agamova G.A.4, Doronshoeva D.A.6, Aziatceva E.V.1
- Affiliations:
- City рolyclinic №115
- N. A. Semashko National Research Institute of Public Health
- 6Сlinical diagnostic center №4
- «Medsi group» Joint Stock Company
- City рolyclinic №219
- Сlinical diagnostic center №4
- Issue: No 2 (2024)
- Section: Общественное здоровье и организация здравоохранения
- URL: http://bulleten-nriph.ru/journal/article/view/2753
- DOI: https://doi.org/10.25742/NRIPH.2024.02.013
- Cite item
Abstract
The purpose of this study was to study aspects of the regulatory framework for the diagnostic and treatment process of the activities of a general practitioner, which impede his strengthening in primary care as a multidisciplinary specialist. Materials and methods. An analysis of regulatory legal documents regulating the activities of general practitioners and local therapists was carried out. Results. The analysis did not reveal a scientific justification for the distribution of a particular medical specialty to the first or second level of primary care; the indications for prescribing consultations with specialist doctors by local therapists and GPs have not been determined; In the recommended algorithms for patient management, there are no differences for local therapists and GPs in terms of prescribing consultations with medical specialists. Conclusion. The identified gaps in the regulatory framework for the activities of general practitioners and local therapists hinder the development of general medical practice and require adjustments with a scientific justification for the differences in their functionality and a clear definition of indications for prescribing consultations with specialist doctors.
About the authors
Zagir Kh. Agamov
City рolyclinic №115;N. A. Semashko National Research Institute of Public Health
Author for correspondence.
Email: azxur@rambler.ru
ORCID iD: 0000-0002-3745-4888
Russian Federation, Moscow, Russian Federation;
105064, Moscow, Russian Federation
Stanislav A. Belkin
6Сlinical diagnostic center №4
Email: dr.belkin76@mail.ru
Russian Federation, Moscow, Russian Federation
Armen D. Sarkisyan
«Medsi group» Joint Stock Company
Email: a.sarkisyan@rambler.ru
ORCID iD: 0000-0003-2867-0033
Russian Federation, Moscow, Russian Federation
Аrman L. Коshkakaryan
City рolyclinic №219
Email: armlev@mail.ru
ORCID iD: 0009-0009-7057-8987
Russian Federation, Moscow, Russian Federation
Gulnara A. Agamova
«Medsi group» Joint Stock Company
Email: noreply@nriph.ru
Russian Federation, Moscow, Russian Federation
Diana A. Doronshoeva
Сlinical diagnostic center №4
Email: noreply@nriph.ru
Russian Federation, Moscow, Russian Federation
Evgenija V. Aziatceva
City рolyclinic №115
Email: noreply@nriph.ru
Russian Federation, Moscow, Russian Federation
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