In focus of legal changes: transformation of legal and structural framework for primary healthcare management

Aim. A comprehensive study and assessment of legal changes in the Russian Federation concerning the management and provision of primary healthcare (PHC) for April and May 2025.
Material and methods. The study included a study of regulatory legal acts of the Russian Federation published in April and May 2025, as well as law enforcement innovations of the Review of Judicial Practice of the Supreme Court of the Russian Federation. The author’s analysis identified significant transformations in the organizational and functional structure of PHC system, including an assessment of their impact on clinical practice and dynamic processes of medical services delivery. The study placed particular emphasis on studying the factors determining the increase in the availability and quality of healthcare.
Results. The study shows that the legal changes introduced form the institutional prerequisites for optimizing PHC functioning in Russia, creating conditions for strengthening the public health structure and increasing the efficiency of care. The data obtained suggest that the implementation of these regulatory innovations will contribute not only to improving key public health indicators, but also to increasing the level of patient satisfaction with the quality of care. This in the long term can lead to improvement in the healthcare system as a whole.
Conclusion. Analysis of the legal trends and the Review of Judicial Practice of the Supreme Court of the Russian Federation, adopted (published) in April and May 2025, shows their significant impact on the transformation of PHC system in Russia. The study revealed that key procedural and institutional innovations are aimed at ensuring wide healthcare accessibility, introducing innovative diagnostic and treatment technologies, as well as systematically improving the professional level of medical personnel. The implementation of these measures creates institutional prerequisites for high-quality modernization of medical institutions, which objectively leads to an increase in the standards of care and an increase in patient satisfaction. The legislative initiatives under consideration create a conceptual basis for the progressive development of Russian healthcare aimed at achieving a sustainable improvement in public health indicators and optimizing the healthcare system.

1. Savchenko DO, Naumov PY. Legal changes: focus on primary health care. Primary Health Care (Russian Federation). 2025;2(1):26-31. (In Russ.) https://doi.org/10.15829/3034-4123-2025-45. EDN: IHKNKY