IMPROVING PRIMARY HEALTH CARE FOR THE COAL INDUSTRY WORKERS (USING THE EXAMPLE OF THE KEMEROVO REGION – KUZBASS)

Highlights The article presents proposals for improving primary health care for the coal industry workers by creating specialist outpatient clinics, integrating medical organizations at all levels, and incorporating an interdepartmental approach for various ministries and departments to preserve the health of the able-bodied population. Aim . To develop a promising model for organizing health services for coal industry employees in the Kuzbass (using the Kemerovo region – Kuzbass data). Methods . The object of the study is the organization of primary health care (PHC) for coal industry employees. The subject of the study are the coal industry employees. The analytical method and content analysis of domestic and foreign literature and regulatory documents regarding the organization of primary health care for employees (federal laws of the Russian Federation, regulatory documents of the Ministry of Healthcare, Ministry of Labor and Social Protection of the Russian Federation and Kemerovo region-Kuzbass) were used in this review. Results . The new model of the organization of PHC for coal industry employees has three levels of interdepartmental interaction. The first level involves new specialized outpatient clinics for the working population that should be created within territorial polyclinics as the main link in the provision of primary health care with the support from enterprises and the occupational pathology service providers of the region. The second level involves the identification of cardiovascular risk factors, diagnosis of cardiovascular diseases, and developing personal preventive measures for patients. The third level of the model is managerial, it aims to develop preventive programs to negate occupational-related adverse factors and implement them at personal, workplace and interdepartmental levels. Conclusion . The interdepartmental approach involving all participants of the process will be able to achieve the target parameters by improving the PHC model for the working population. The developed model will shorten the wait times, simplify document management, ensuring continuity, monitoring of cardiovascular risk factors, outpatient management of patients with premorbid disorders, and interdepartmental responsibility for outcomes.