Results of implementing a new model of medical care organization and delivery in primary healthcare

Objective: to evaluate the changes in the achievement level of the criteria for the «New Model of Organization of Medical Care» (New Model), which occurred in 2023, against the context of the transformation in the management system for the federal project «Development of Primary Health Care» (FP), and the increased coverage of lean production training (LP). Material and methods. An assessment and comparison of the achievement of the criteria of the New Model in medical organizations (MOs) in the first and fourth quarters of 2023 was conducted. The impact of LP training on the achievement of these criteria was also assessed. Results. In the quarter 4 of 2023, a significant increase in the Percentages of the MOs was established, which reached criteria 2 for managing patient flows (p<0.001; p<0.001), criteria 3 for organizing the MOs space (p<0.001; p<0.001; p<0.001), criteria 4 for organizing pre-appointment and admission of patients by a doctor (p<0.001; p<0.001; p<0.001; p<0.001). An increase in the coverage of LP training contributes to an increase in the Share of MOs who have reached criteria 2 for managing patient flows (p=0.023; p=0.012), criteria 3 for organizing the MOs space (p=0.015; p<0.001; p=0.012), criteria 2 for the organizing pre-appointment and admission of patients by a doctor (p=0.016; p=0.03). Conclusion. Against the context of the transformation of the FP management system and the increase in the coverage of LP training in 2023, a significant increase in the level of achievement of the criteria of the New model was established.