IMPROVING ACCESS TO HIGH-TECH MEDICAL CARE FOR RESIDENTS OF SMALL TOWNS IN THE KEMEROVO REGION THROUGH THE DEVELOPMENT OF THE HUMAN RESOURCE POTENTIAL OF MEDICAL INSTITUTIONS

Highlights The article shows the positive impact of measures aimed at the improvement of human resources in primary care on the availability of high-tech medical care for patients with circulatory diseases for the population of small territories, and analyzes the effectiveness of the conducted educational and organizational activities for medical personnel. The findings allowed us to identify targets for improvement of knowledge among primary health care workers, which is a basic value in the development of staff potential of employees at the municipal level. Aim. To assess the effectiveness of measures of improving human resources in primary health care, aimed at enhancement of the quality of selection and availability of HTMC for patients with diseases of the circulatory system. Methods. The study was carried by employees of the Federal State Budgetary Institution “Research Institute for Complex Issues of Cardiovascular Diseases” (hereinafter referred to as the Research Institute of Cardiovascular Diseases) at the State Budgetary Healthcare Institution “Guryevsk District Hospital”. The subject of the study is the level of training of primary care medical workers in terms of diagnostics, treatment and routing of patients with diseases of the circulatory system. The methods used in the present study included analytical, statistical, sociological. The object of the study – physicians and paramedics of medical organization. Time period of the study: 01.07.2023–29.12.2023. Results. Increase in the level of knowledge among primary health care workers on topical issues of identification and selection of patients for open surgery for cardiovascular diseases, as well as the implementation of organizational measures aimed at the improvement of working conditions, affect the availability of specialized care, including HTMC. In 2023 compared to 2022, there was a 37% (p = 0,001) increase (p = 0,001) in the number of telemedicine consultations made to select patients for HTМС, a 65% (p = 0.001) increase (p = 0,001) in the number of diagnostic CAGs, and a 69% (p = 0,001) increase (p = 0,001) in the number of planned HTМС technologies performed. Conclusion . The analysis of performance indicators in the study period indicates the impact of educational and organizational activities, including telemedicine consultations, on improving the level of knowledge among medical workers, which is an important condition for the improvement of human resource potential and contributes to improving the accessibility of HTMC in diseases of the circulatory system to the population of small territories. The presented experience can be replicated for at any medical organization.