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Development of various aspects of primary health care in the context of national health systems of the Commonwealth of Independent States. Part 2: management of primary health care subsystems, structural elements, processes

https://doi.org/10.15829/3034-4123-2024-17

EDN: LCWZPW

Abstract

Based on an analytical review of information sources on the status and development of various aspects of primary health care (PHC) in the world and in selected countries, as well as international evidence-based recommendations in a series of reviews, to assess international experience and guidelines for the development of PHC in selected members of the Commonwealth of Independent States (CIS), in particular, with respect to the management aspect. To prepare the review, a database of publications, regulatory legal documents and Internet resources was used based on selected keywords and concepts related to the management of PHC and its characteristics. Priority was given to last decade materials concerning the CIS member states. The characteristics of national PHC management were identified, systematized and arranged in following sections: principles of PHC subsystems, structural elements, processes. 

The second part presents the analysis of the development of PHC management and its characteristics, including the implementation of recommendations with proven effectiveness in the CIS member states. The analysis of sources on the experience of the CIS member states in the medical examination and follow-up of patients with chronic diseases gave grounds to propose a more precise name for continuous health care in managing health throughout life — the principle of permanence.

About the Authors

O. M. Drapkina
National Medical Research Center for Therapy and Preventive Medicine; Russian University of Medicine
Russian Federation

 

Moscow



R. N. Shepel
National Medical Research Center for Therapy and Preventive Medicine; Russian University of Medicine
Russian Federation

Moscow



A. V. Korotkova
National Medical Research Center for Therapy and Preventive Medicine
Russian Federation

Moscow



Yu. S. Naumova
National Medical Research Center for Therapy and Preventive Medicine
Russian Federation

Moscow



G. O. Hagverdiyev
Public Health and Reforms Center
Azerbaijan

Baku



A. A. Shcherbinsky
Republican Scientific and Practical Center for Medical Technologies, Informatization, Management and Health Economics
Belarus

Minsk



M. M. Sachek
Institute for Advanced Training and Retraining of Healthcare Personnel of Belarusian State Medical University
Belarus

Minsk



G. U. Kulkaeva
Salidat Kairbekova National Research Center for Health Development
Kazakhstan

Astana



N. N. Brimkulov
I. K. Akhunbaev Kyrgyz State Medical Academy
Kyrgyzstan

Bishkek



G. M. Muhsinzoda
Ministry of Health and Social Protection of the Republic of Tajikistan
Tajikistan

Dushanbe



I. R. Uralieva
School of Public Health of the Tashkent Medical Academy
Uzbekistan

Tashkent



E. Yu. Ogneva
Russian Research Institute of Health
Russian Federation

Moscow



References

1. Zarbailova NC. Professional standard of general practitioner / family physician in the increasing burden of diseases. Bulletin of Semashko National Research Institute of Public Health. 2017;5:29-35. EDN: ZUCHZP.

2. Starshinin AV, Timofeeva A A. Modern models of polyclinic management: literature review. Zdorove megapolisa. 2023;4(2):101-111. (In Russ.) EDN: CGQSYV.

3. Brimkulov NN, Sydykova SZh, Zhajloobaeva AT, et al. Family doctors are leaders on the path to better health (for World Family Doctor Day – May 19). Vestnik Kyrgyzskoj gosudarstvennoj medicinskoj akademii imeni IK Ahunbaeva. 2018;1:31-36. (In Russ.) EDN: XZNZED.

4. Son IM, Men'shikova LI, Krjakova MJu, et al. Brigade form of a labor organization in the medical site as a perspective direction for primary health care improving. Profilakticheskaya medicina. 2023;26(11):7-13. (In Russ.) doi:10.17116/profmed2023261117. EDN: FVLCZO.

5. Brimkulov NN. Family medicine: the past, the present and the future (on the materials of the 1st Congress of general practitioners and family doctors, Bishkek, Kyrgyzstan, 29-30 October 2015). Rossijskij semejnyj vrach. 2015;19(3):33-36. (In Russ.) EDN: VPMKGZ.

6. Shevsky V, Sheiman I, Shishkin S. New models of primary health care: international experience and Russian perspectives. Socialnye aspekty zdorovya naseleniya. 2022;68(2):2. (In Russ.) EDN: QCRAMF.

7. Merekina MD, Kalininskaya AA, Lazarev AV Stationary-substituting forms of work as a health preservation reserve. Menedzher zdravoohraneniya. 2021;7:57-65. (In Russ.) doi:10.21045/1811-0185-2021-7-57-65. EDN: YBGKFA.

8. Kalininskaya AA, Bakirova EA, Kizeev MV, et al. Scientific substantiation of proposals for improving medical care for villagers. Menedzher zdravoohraneniya. 2023;3:13-24. (In Russ.) doi:10.21045/1811-0185-2023-3-13-24. EDN: NQEJLR.

9. Rugol LV, Son IM, Kirillov VI, et al. Organizational technologies that increase the availability of health care for the population. Profilakticheskaya medicina. 2020;23(2):26-34. (In Russ.) doi:10.17116/profmed20202302126. EDN: KBCBYP.

10. Bagnenko SF, Minnullin IP, Miroshnichenko AG, et al. Directions for improving the organization of emergency medical services, specialized medical care and medical evacuation in subject of Russian Federation. Vestnik Roszdravnadzora. 2019;3:70-74. (In Russ.) doi:10.35576/article_5d135f4a728e49.79827942. EDN: EHDKHN.

11. Chua CMS, Chua JYX, & Shorey S. Chua CMS, Chua JYaX, et al. Effectiveness of home-based interventions in improving loneliness and social connectedness among older adults: A systematic review and meta-analysis. Aging & Mental Health, 2023;1-10. doi:10.1080/13607863.2023.2237919. EDN: GMSMOU.

12. Collins D, Ciobanu A, Curocichin G, et al. Protocol for the evaluation of a pilot implementation of essential interventions for the prevention of cardiovascular diseases in primary healthcare in the Republic of Moldova. BMJ Open. 2019;9(7):e025705. doi:10.1136/bmjopen-2018-025705. EDN: ZEJLDZ.

13. Gazheva AV, Gorbatov SYu, Kravchuk AA, et al. Review of modern approaches to the organization of medical examinations, screenings in the primary health care system: Expert review. GBU g. Moskvy "Nauchno-issledovatelskij institut organizacii zdravoohraneniya i medicinskogo menedzhmenta Departamenta zdravoohraneniya goroda Moskvy", 2023. р. 168. (In Russ.) ISBN 978-5-907547-97-1. EDN: GDZGWJ.

14. Sachek MM, Shchaveleva MV, Boldyreva IN. Tools that increase the quality of life of the population. The evolution of medical examination in the healthcare system of the Republic of Belarus. O‘zbekiston harbiy tibbiyoti, 2024;3:26-32.

15. Starshinin AV, Aksenova EI, Gavrilenko OF, at al. Monitoring of patients with chronic diseases. World experience. M: GBU g. Moskvy "Nauchno-issledovatelskij institut organizacii zdravoohraneniya i medicinskogo menedzhmenta Departamenta zdravoohraneniya goroda Moskvy". 2023. р. 340. (In Russ.) ISBN: 978-5-907547-39-1.

16. Verbunt EJ, Newman G, Creagh NS, et al. Primary care practice-based interventions and their effect on participation in population-based cancer screening programs: A systematic narrative review. Primary Health Care Research & Development. 2024; 25:e12. doi:10.1017/s1463423623000713. EDN: BADECV.

17. Green ET, Cox NS, Arden CM, et al. What is the effect of a brief intervention to promote physical activity when delivered in a health care setting? A systematic review. Health Promotion Journal of Australia. 2023;34(4):809-824. doi: 10.1002/hpja.697. EDN: FZGDFM.

18. Howarth A, Smith JaG, Perkins-Porras L, et al. Effects of Brief Mindfulness-Based Interventions on Health-Related Outcomes: a Systematic Review. Mindfulness. 2019;10 (10). p. 1957-1968. doi: 10.1007/s12671-019-01163-1. EDN: DPNVNY.

19. LiY, Cao Y, Ding M, LiG, et al. (2022). Non-pharmacological interventions for older patients with hypertension: A systematic review and network meta-analysis. Geriatric Nursing 2022;47:71-80. doi:10.1016/j.gerinurse.2022.06.015. EDN: NQTPBK.

20. Bakhit M, Fien S, Abukmail E, et al. Cardiovascular disease risk communication and prevention: A meta-analysis. European Heart Journal. 2024. doi:10.1093/eurheartj/ehae002. – EDN EFAHOJ

21. Martínez Vispo C, López-Durán A, Suárez-Castro D, et al. Remote vs inperson group-based smoking cessation interventions: smokers characteristics and intervention outcomes. Tob Prev Cessation. 2023;9:Suppl2. doi:10.18332/ tpc/172702. EDN: CVJDOZ.


Supplementary files

What is already known about the subject?

  • The member states of the Commonwealth of Independent States (CIS) develop primary health care as a priority, improving existing and implementing novel management solutions.
  • Most CIS countries apply the territorial-district principle, but the "radar" principle based on the concept of "case of disease" is still used in management.

What might this study add?

  • The analysis of the management characteristics of primary health care subsystems in the CIS countries showed a certain and varying degree of their readiness for continuous and constant healthcare provision throughout the life — the principle of permanence (as we propose to call it).

Review

For citations:


Drapkina OM, Shepel RN, Korotkova AV, Naumova YS, Hagverdiyev GO, Shcherbinsky AA, Sachek MM, Kulkaeva GU, Brimkulov NN, Muhsinzoda GM, Uralieva IR, Ogneva EY. Development of various aspects of primary health care in the context of national health systems of the Commonwealth of Independent States. Part 2: management of primary health care subsystems, structural elements, processes. Primary Health Care (Russian Federation). 2024;1(2):6-26. (In Russ.) https://doi.org/10.15829/3034-4123-2024-17. EDN: LCWZPW

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ISSN 3034-4123 (Print)
ISSN 3034-4565 (Online)