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»275310.25742/NRIPH.2024.02.013Обзорная статьяRegulatory legal aspects of providing primary health care to the adult population of Moscow during the transition to general medical practiceAgamovZagir Kh.azxur@rambler.ruhttps://orcid.org/0000-0002-3745-4888BelkinStanislav A.dr.belkin76@mail.ruSarkisyanArmen D.a.sarkisyan@rambler.ruhttps://orcid.org/0000-0003-2867-0033КоshkakaryanАrman L.armlev@mail.ruhttps://orcid.org/0009-0009-7057-8987AgamovaGulnara A.noreply@nriph.ruDoronshoevaDiana A.noreply@nriph.ruAziatcevaEvgenija V.noreply@nriph.ruCity рolyclinic №115N. A. Semashko National Research Institute of Public Health6Сlinical diagnostic center №4«Medsi group» Joint Stock CompanyCity рolyclinic №219Сlinical diagnostic center №4040620242818429042025Copyright © 2025,2025<p>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.</p>primary health carecity polyclinicdoctor's visitgeneral practitionerdistrict physicianпервичная медико-санитарная помощьгородская поликлиникапосещение врачаврач общей практикиврач-терапевт участковый[Shevsky V.I., Sheiman I.M., Shishkin S.V. New models of primary health care: international experience and Russian perspectives. Social aspects of population health. [Social'nye aspekty zdorov'a naselenia]. 2022;68(2):2 (in Russian). DOI: 10.21045/2071-5021-2022-68-2-2][Kalininskaya A.A., Lazarev A.V., Allenov A.M., Merekina M.D., Kizeev M.V. The results and perspectives of primary health care reforming in Moscow. Problems of social hygiene, public health and history of medicine. [Problemy social'noj gigieny, zdravoohranenija i istorii mediciny]. 2022;30(2):270—274 (in Russian). DOI: 10.32687/0869-866X-2022-30-2- 270—274][Starodubov V.I., Ivanova M.A., Bant'eva M.N., Sokolovskaja T.A., Armashevskaja O.V. Activity and availability of primary care specialists. Russian Medical Journal. [Rossijskiy medicinskiy zhurnal].2014;(6):4—7 (in Russian).][Shevsky I.M. & Sheiman V.I. Personnel policy in healthcare: a comparative analysis of Russian and international practice. Issues of state and municipal management. [Voprosy gosudarstvennogo i munitsipal'nogo upravleniya]. 2015;(1):143—67 (in Russian).][Agamov Z.Kh. Experience of advanced training of doctors of the city polyclinic on the profile «urology». Experimental and clinical urology. [Eksperimental'naya i klinicheskaya urologiya].2018;(3):3—7 (in Russian).][Tadjiev I.Ya., Belostotsky A.V., Kamynina I.N. The development of general practitioner practice in the Russian Federation. Problems of social hygiene, public health and history of medicine. [Problemy social'noj gigieny, zdravoohranenija i istorii mediciny]. 2018;26(1):20—25 (in Russian). DOI: 10.18821/0869-866X-2018-26-1-20-25][Son I.M., Ivanova M.A., Armashevskaya O.V., Bantyeva M.N. Rules and law regulations for the labor of general practitioner in Russian Federation. Health care manager. [Manager Zdravoochranenia]. 2014;(7):6—14 (in Russian).]