Mechanism for Implementing the State Guarantee Program for Medical Services at the Primary Level

Conclusions: The ways to improve the implementation of SGPMS at both the state and PMC facility levels may include: adjusting the global budget and contracts based on healthcare needs assessment at the regional level; enhancing comprehensive contract strategy and procurement tools; improving financial incentives for PMC; increasing the efficiency of healthcare expenditures; and improving the functioning of mental health services. The improvement of SGPMS implementation at the primary level is determined by the medical enterprise, specifically: activating preventive activities in primary care; enhancing strategic planning to achieve specific goals; investing in the development and renewal of infrastructure; accelerating the implementation of digital solutions and integrated data systems for remote consultations; seeking effective financial incentives for healthcare facility staff; and developing monitoring of effectiveness and management of primary healthcare activities.