ТРАНСФОРМАЦИЯ ОНКОЛОГИЧЕСКОГО КОМПОНЕНТА ДИСПАНСЕРИЗАЦИИ ОПРЕДЕЛЁННЫХ ГРУПП ВЗРОСЛОГО НАСЕЛЕНИЯ С 2013 ПО 2021 ГОД

Abstract

Significance. The regulatory framework should correspond to the real situation in the field of public health protection. At the present stage of health care development, compliance of regulatory legal acts with the real situation related to activities of medical organizations in the Russian Federation is becoming crucial. High prevalence of chronic non-communicable diseases and socially significant diseases, as well as a complicated epidemiological situation caused by the spread of the coronavirus infection, necessitates a clear regulation of actions of the primary health care workers, especially in terms of providing planned medical care in outpatient settings, including medical examination of certain groups of the adult population in terms of its oncological component. Purpose: to conduct a retrospective analysis of the orders of the Ministry of Health of the Russian Federation regulating procedures for medical examination of certain groups of the adult population and collection of statistical data through the form of industry statistical reporting, in regard to the oncological component of the medical examination. Material and methods. Content analysis of the orders of the Ministry of Health of the Russian Federation, regulating procedures for medical examination of certain groups of the adult population, and orders approving the forms of industry statistical reporting in the period from 2013 to 2021. Results. Introduction of each new order regulating the procedure for medical examination of certain groups of the adult population has been changing the oncological component of the medical examination and, ultimately, it was formulated in separate appendices of the orders of the Ministry of Health of the Russian Federation №124n dated 13.03.2019 and №404n dated 27.04.2021. Conclusions. A higher focus on detecting cancer at early stages resulted in assigning the oncological component of the medical examination in a separate appendix.