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»314110.69541/NRIPH.2026.01.016Научная статьяResults of assessing the readiness of primary healthcare organizations in the Moscow Region public health system for global challenges based on surveys of healthcare professionals and department headsOrlovSergey Aleksandrovichorlovsergio@mail.ruKononovaIrina Vyacheslavovnair-konon@yandex.ruZabelinMaxim Vasilyevichminzdrav@mosreg.ruN. A. Semashko National Research Institute of Public Health, 105064, Moscow, Russian FederationMinistry of Health of the Moscow Region, 143407, Krasnogorsk, Russian Federation23032026110211125032026Copyright © 1970,1970<p>In the context of persistent risks of biological, man-made, and geopolitical emergencies that increase the vulnerability of primary healthcare, there is a particular urgency for a standardized assessment of its preparedness. Such an assessment must allow for the benchmarking of results and their translation into specific management decisions. The aim of this cross-sectional analytical study was to evaluate the preparedness of the Moscow Region state primary healthcare organizations for global challenges, based on surveys of healthcare professionals and department heads. Data from 147 department heads and 486 healthcare workers were analyzed. Methodological approaches included psychometric validation of the research instruments (Cronbach's alpha, factor analysis), non-parametric and robust inferential analysis, IRT modeling (Rasch model), latent class analysis (LCA), territorial clustering assessment, and ROC/AUC verification. The average preparedness index was 0.8120.167 for department heads and 0.7090.277 for healthcare professionals, revealing a pronounced polarization of profiles. The most deficient areas were resource-intensive and organizationally complex components: human resource reserves and staff rotation, prevention of psycho-emotional burnout, laboratory capacity redundancy, stable communication channels, and regular interagency drills. A significant gap was identified between the existence of formal regulations and the practical application of skills. The findings substantiate the necessity of transitioning from documentary to verifiable preparedness, prioritizing measurable reserves, scenario-based exercises, and targeted measures to mitigate inter-territorial heterogeneity.</p>global challenges, preparedness index, healthcare professional survey, primary health care (PHC), health system resilience, emergenciesглобальные вызовы, индекс готовности, опрос медицинских работников, первичная медико-санитарная помощь, устойчивость системы здравоохранения, чрезвычайные ситуации1.Dhamanti I, Rachman T, Nurhaida I, Muhamad R. Challenges in Implementing the WHO Hospital Readiness Checklist for the COVID-19 Pandemic in Indonesian Hospitals: A Qualitative Study. J Multidiscip Healthc. 2022;(15):1395—1402.2.World Economic Forum; London School of Economics; AstraZeneca и др. Russia: Partnership for Health System Sustainability and Resilience (PHSSR) — Country Report. Geneva: WEF; 2021.3.Qarawi ATA, Ng SJ, Gad A, et al. Study Protocol for a Global Survey: Awareness and Preparedness of Hospital Staff Against Coronavirus Disease (COVID-19) Outbreak. Front Public Health. 2021;(9):580427.4.Wong EL, Qiu H, Chien WT, et al. Comparison of Resilience Among Healthcare Workers During the COVID-19 Pandemics: A Multinational Cross-Sectional Survey in Southeast Asian Jurisdictions. Int J Public Health. 2022;(67):1605505.5.Genç EE. Improving Disaster Preparedness Among Healthcare Professionals: A Comprehensive Approach. Eurasian J Emerg Med. 2025;24(2):132—139. DOI: 10.4274/eajem.galenos.2025.514826.Sullivan N, Tully J, Dameff C, Opara C, Snead M, Selzer J. A National Survey of Hospital Cyber Attack Emergency Operation Preparedness. Disaster Medicine and Public Health Preparedness. 2023;(17):e363. DOI: 10.1017/dmp.2022.2837.Lamberti-Castronuovo A, Valente M, Barone-Adesi F, et al. Primary health care disaster preparedness: A review of the literature and the proposal of a new framework. International Journal of Disaster Risk Reduction. 2022;81(5):103278. DOI: 10.1016/j.ijdrr.2022.1032788.Платонова Т. А., Голубкова А. А., Тутельян А. В. и др. Заболеваемость COVID-19 медицинских работников. Вопросы биобезопасности и факторы профессионального риска. Эпидемиология и Вакцинопрофилактика. 2021;20(2):4—11. DOI: 10.31631/2073-3046-2021-20-2-4-11