GENERAL PRACTITIONER: PERFORMANCE INDICATORS IN THE RUSSIAN FEDERATION AND FEDERAL DISTRICTS IN 2010 – 2019

Significance. In accordance with the Strategy for Healthcare Development in the Russian Federation in 2015-2030, it is planned to strengthen primary health care, as well as to improve the system of education of health care personnel with a focus on training general practitioners (GPs). Therefore, analysis of dynamics in GP performance in recent years is relevant. The purpose of the study: to assess performance indicators of general practitioners in the Russian Federation and Federal districts for the period from 2010 to 2019. Material and methods: based on data from federal statistical observation (form N30) the main performance indicators of general practitioners were calculated and analyzed in dynamics in 2010-2019. The study methods included statistical and analytical ones. Results: during the study period in the Russian Federation in general, there was a slight increase in the actual function of the GP medical position by 5.8% (from 4798.2 to 5074.8) with a simultaneous increase in the number of visits in general and the share of visits to medical organizations (+ 26.6% and 36.5%, respectively). At the same time, the maximum increase in the number of visits is registered in the Central Federal District (2.8 times - from 272.4 to 765.2 per 1000 population and 3.1 times - from 231.7 to 722, respectively). The share of home visits by general practitioners out of all visits in the Russian Federation in 2019 amounted to 7.7%, what is 46.5% less than in 2010. The maximum decrease in this indicator in 2019 is registered in the Central Federal District (-62.2%, from 15.0% to 5.6%). During the study period, the share of outpatient visits to general practitioners for treatment in the Russian Federation in general decreased by 12.4% (from 81.6% to 71.5%), while the share of preventive visits increased by 54.9% (from 18.4% to 28.5%). Conclusion: The described dynamics in the GP performance indicators suggests an increasing role of general practitioners in the structure of primary health care with a higher focus on prevention in their performance.