MEDICAL AND ORGANIZATIONAL ASPECTS OF PROVIDING MEDICAL CARE IN THE FIELD OF OBSTETRICS AND GYNECOLOGY AT THE REGIONAL LEVEL

The purpose of the study was to study the medical and organizational aspects of providing medical care in the field of obstetrics and gynecology at the regional level by conducting a survey of medical staff working in medical organizations in the Tula region. 408 respondents took part in the survey. Of these, 56 heads of structural divisions, 53 secondary medical workers, and 299 specialist doctors. The study of the medical and organizational aspects of providing medical care in the field of obstetrics and gynecology has shown that promising areas for the development of the maternity and childhood care system are the formation of new regional routes for women of fertile age, pregnant women, women in labor and women in labor with the formation of a unified organizational and functional structure for reproductive health. The organization of the coordination centers activities as the main provider of medical and preventive services with an integrated information system for automated support of management decisions using artificial intelligence technologies is aimed at providing affordable and high quality obstetric and gynecological care to the population. Updating route management processes, taking into account the identified aspects of improvement, will increase the efficiency of planning and use of resources in the obstetric care system, will rationalize the use of the bed fund, human resources and technical equipment of medical organizations.