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Main arrow Archive of previous Issues arrow ╣3 2016 (49) arrow HISTORICAL ASPECTS OF PRIMARY HEALTH CARE REFORMING IN RUSSIA
Thursday, 30 June 2016

DOI: 10.21045/2071-5021-2016-49-3-4

Karaylanov M.G.1, Rusev I.T.1, Fedotkina S.A.1,2, Prokin, I.G.1

1Military Medical Academy named after S.M. Kirov, Saint-Petersburg
2Saint-Petersburg State University

Contacts: Mikhail G. Karaylanov, e-mail: This e-mail address is being protected from spam bots, you need JavaScript enabled to view it


Primary health care is an integral part of the process of socio-economic development of the society and national healthcare system. It is the first level of encounter with the national healthcare system and represents a first step in the continuous process of national health protection. Territorial accessibility of primary health care is provided by the rational deployment of health care facilities with due regard to, residentsĺ settlement. Its development is much affected by doctors of outpatient clinics, who provide timely and quality medical care to the population according to their specialty in the clinic and at home, as well as implement activities aimed at prevention and reduction of morbidity with temporary disability, occupational diseases and injuries. Significance of this study is determined by importance to study historical background related to the development and gradual formation of primary health care in Russia up to the present moment, organization of medical care at outpatient clinics and a gradual transition to the health insurance system.

Improvement of primary health care in Russia resulted in a valuable outcome that medical services are provided on the basis of the district territorial principle, which forms the basis for organizing primary health care at the outpatient level with the subsequent referrals to narrow specialty physicians. Due to the recent healthcare modernization program outpatient care facilities were equipped with modern innovative medical devices to ensure delivery of high quality primary health care.

Currently, in accordance with the State healthcare development program in the country a special attention is being paid to improvement of primary health care, its accessibility and quality. Historical background related to formation, development and reformation of the Russian primary health care is important for improving the entire healthcare system.

Keywords: primary health care; historical background; reforming; clinic; access to health care.


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