Efficiency of implementing the program «Zemsky feldsher»: possibilities and challenges

The research results presented in the article are relevant in light of the current challenges facing the Russian healthcare system, especially in remote and rural areas where there is an acute shortage of medical personnel. The «Zemsky Feldsher» program is aimed at attracting specialists to these regions, which makes it a key element in ensuring the availability of medical ser vices. Objective. Evaluation of the effectiveness of the implementation of the Zemsky Feldsher program in the context of improving the availability of medical services in rural areas of Russia, as well as identifying the key problems and limitations faced by this initiative. Results. The historical aspects and principles of the Zemsky Feldsher program and similar programs of domestic and foreign authors were studied; the satisfaction of the Zemsky Feldsher program participants with their professional activities was analyzed; the opinion of experienced specialists about the potential of the Zemsky Feldsher program participants was studied; the opinion of patients receiving medical care at FAPs where the Zemsky Feldsher program participants work was studied; an assessment was made of the satisfaction of general practitioners of the outpatient departments of the Central District Hospital with the work of FAP specialists who are par ticipants in the Zemsky Feldsher program. Conclusion. The prospects for the development of the Zemsky Feldsher program directly depend on improving the working conditions and training for paramedics. Providing quality education, creating comfortable working conditions and support from the state are key factors contributing to the successful implementation of the program.