The Development of General Practitioner Practice in the Russian Federation

Abstract

The purpose of study. To analyze problems and perspectives of development of primary medical sanitary care according the principle of general practitioner practices in the Russian Federation. The article presents historical aspects of main stages of development of service of general practices in our country. Also article considers characteristics of development of general practitioner practices in various regions. In particular, from 2011, number of departments of service increased up to 2.5 times and number of rural out-patient clinics increased up to 1.6 times. The experience of implementation of system of general practitioner practices demonstrates that after corresponding training general practitioner is able to undertake up to one third-one fourth of all visits of patients to specialists. In spite of particular achievements, nowadays no real reform of primary health care occurred mainly because of complicity of problems of reforming not only primary health care but factually all health care services, resources inadequacy and shortcoming of system of professional training of personnel and insufficient development of legal and financial base.