Normative support and assessment of the availability of otorhinolaryngological care for children and adolescents

Diseases of the ear, throat, nose in children and adolescents are one of the most pressing public health problems due to their high prevalence and medical and social significance, both in our country and abroad. The condition for increasing the effectiveness of otolaryngological care for children and adolescents is to ensure its accessibility. P u r p o s e : analysis of regulatory support and assessment of the availability of medical care for children and adolescents in the field of otorhinolaryngology. M a t e r i a l s a n d m e t h o d s . Methods of legal analysis, expert assessments, as well as expert, mathematical-statistical and analytical methods were applied. F i n d i n g s . Studies conducted in 2022 on the basis of children’s polyclinics in the city of Ramenskoye, Moscow Region, revealed “bottlenecks” in the legal regulation of the issues of access to medical care for children and adolescents in children’s polyclinics. A methodology for an integral assessment of the availability of otorhinolaryngological care for children and adolescents in the conditions of children’s polyclinics has been developed. The deviation of the integral evaluation index according to the proposed method by 18,0% relative to the optimal level was revealed, which requires involvement of local authorities in solving problems.