Primary care physicians: performance indicators in the Russian Federation and federal districts for 2010–2019

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Abstract

BACKGROUND: The organization of outpatient care has undergone various transformations in the past 20 years, with the main being the development of a new outpatient clinic model and the introduction of a general practitioner in replacement of a primary care physician.

AIM: This study aimed to assess the performance of primary care physicians in the Russian Federation and federal districts (FD) from 2010 to 2019.

MATERIALS AND METHODS: Based on data from the Federal Statistical Observation Form No. 30 “Information on a Medical Institution”, the performance indicators of primary care physicians in the Russian Federation and FDs from 2010 to 2019 were calculated and analyzed.

RESULTS: During the study period, the function of physicians’ position in the Russian Federation remained almost unchanged (−0.2%) and amounted to 5060.4 visits per physician per year in 2019, whereas the FDs showed multidirectional changes ranging from +13.1% in the Southern FD to −9.3% in the Central FD. In the Russian Federation, a decrease in both the total number of visits to primary care physicians per 1000 adults (−16.2%, from 1983 to 1661.9) and outpatient visits (−8.9%, from 1642.7 to 1496.4) and a simultaneous decrease in the share of home visits from 17.2% to 10.0% (−41.9%) were observed. In the structure of outpatient visits, a decrease in visits for diseases (−16.5%, from 84.7% to 70.8%) was registered, whereas the share of preventive visits doubled (from 15.3% to 29.1%). In contrast, regarding the structure of home visits, the share of visits for diseases increased, whereas the share of preventive visits decreased.

CONCLUSIONS: The described processes may be explained by reforming the polyclinic model with an emphasis on strengthening the role of general practitioners and the gradual replacement of primary care physicians.

About the authors

Marina N. Banteva

Federal Research Institute for Health Organization and Informatics

Author for correspondence.
Email: ba.mani@yandex.ru
ORCID iD: 0000-0002-2521-4377
SPIN-code: 4529-3252

MD, Cand. Sci. (Med.)

Russian Federation, 11, Dobrolyubova str., Moscow, 127254

Elena M. Manoshkina

Federal Research Institute for Health Organization and Informatics

Email: manoshkina@mednet.ru
ORCID iD: 0000-0001-6161-440X
SPIN-code: 5949-9970

MD, Cand. Sci. (Med.)

Russian Federation, 11, Dobrolyubova str., Moscow, 127254

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