Bulletin of Semashko National Research Institute of Public HealthBulletin of Semashko National Research Institute of Public Health2415-84102415-8429FSSBI «N.A. Semashko National Research Institute of Public Health»271410.69541/NRIPH.2025.01.012Научная статьяNew technology for organizing primary pre-hospital health care to residents of small rural settlementSavinovaTatyana L.noreply@nriph.ruDenisovaNatalya A.doctor_bajanova@mail.ruhttps://orcid.org/0000-0002-2774-4072VolodinAnatoly V.avolodvl@mail.ruhttps://orcid.org/0000-0002-3840-6845Ministry of Health of the Orenburg RegionFederal State Budgetary Educational Institution of Higher Education «Orenburg State Medical University» of the Ministry of Health of RussiaN. A. Semashko National Research Institute of Public HealthGAPOU «Orenburg Regional Medical College»020420251788325042025Copyright © 2025,2025<p>Multifactorial negative etiology of medical and demographic indicators of the rural population is worse than the urban one.<br />A new organizational technology Paramedic Assistant is proposed in small settlements, tested in the Orenburg region. Positive results<br />of the project were obtained: visits to people with limited mobility increased by 2.8 times (from 237 people in 2022 to 836 in 2023), and<br />the number of visits to residents increased by 2 times</p>primary health careparamedic assistantaccessibility of medical carerural populationпервичная медико-санитарная помощьпомощник фельдшерадоступность медицинской помощисельское население[Kalinskaya A. A., Bayanova N. A. Scientific rationale for assessing the territorial accessibility of primary medical care to the rural population. Kazan Medical Journal. 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