The experimental polyclinic as a tool of implementation of organizational innovations in the Moscow health care

The article considers the problem of implementation of organizational innovations into primary health care of large megalopolises. By the example of Moscow the results of digital transformation, personnel and organizational challenges and experience of piloting new solutions in outpatient conditions are analyzed. It is demonstrated that, despite of high level of digitization and institutional support of innovations, organization of primary health care continues to face systemic problems of organizational nature. On the basis of analysis of scientific publications, normative legal acts and official statistics data the necessity to organize experimental polyclinic is substantiated. Such a ground is called to become testing ground for fine-tuning of new organizational technologies up to their scaling to the entire network that minimizes risks of unsuccessful implementations and improves efficiency of use of resources of metropolitan health care system.