The aim of the study was to substantiate a set of measures aimed at increasing the availability of primary health care for patients with diabetes at the regional level. A comparative analysis of resource provision (personnel potential and hospital beds) in medical organizations (MO) providing primary health care and specialized medical care to patients with type 1 and type 2 diabetes was conducted for the period 2014—2023. A comparative analysis of the economic efficiency of providing medical care to patients with diabetes living in the region was conducted before and after the start of operation of the interdistrict center. Analytical and statistical research methods, as well as the method of organizational experiment were used. When processing and analyzing the material for comparing populations by quantitative characteristics, Student's T test (t) was used. To compare populations by qualitative characteristics, McNemar's criterion (χ2) was used. The reliability of the analyzed data was determined at a value of p < 0.05. After the creation of the interdistrict center, by 2024, the average distance for a trip to an endocrinologist consultation was reduced by 70% with a decrease in the cost of these trips per patient by 66%, the number of face to face consultations in the regional endocrinology center by 38% compared to data for 2018. The creation of an interdistrict center with a concentration of primary specialized medical care on its basis, a change in the routing of patients with diabetes mellitus with the provision of primary health care by general practitioners and district therapists and the use of telemedicine technologies between all participants in the process (specialist, primary care physician and patient) helps to increase the availability of medical care for this category of patients living in rural areas of the region.

primary health care, accessibility of medical care, diabetes mellitus, inter district center, rural population..