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<article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" article-type="research-article" dtd-version="1.1d1" xml:lang="en"><front><journal-meta><journal-id journal-id-type="publisher">Problems of Social Hygiene, Public Health and History of Medicine</journal-id><journal-title-group><journal-title>Problems of Social Hygiene, Public Health and History of Medicine</journal-title></journal-title-group><issn publication-format="print">0869-866X</issn><issn publication-format="electronic">2412-2106</issn><publisher><publisher-name>Joint-Stock Company Chicot</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="publisher-id">345</article-id><article-id pub-id-type="doi">10.32687/0869-866X-2020-28-4-645-650</article-id><article-categories><subj-group subj-group-type="heading"><subject>Научная статья</subject></subj-group></article-categories><title-group><article-title>The role on medical education in implementation of program “Zemstvo doctor”</article-title></title-group><contrib-group><contrib contrib-type="author"><name name-style="western"><surname>Kopytov</surname><given-names>A. A.</given-names></name><bio></bio><email>kopitov.aleks@yandex.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author"><name name-style="western"><surname>Zudin</surname><given-names>A. B.</given-names></name><bio></bio><email>-</email><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author"><name name-style="western"><surname>Aksenova</surname><given-names>E. I.</given-names></name><bio></bio><email>-</email><xref ref-type="aff" rid="aff-3"/></contrib><contrib contrib-type="author"><name name-style="western"><surname>Nadutkina</surname><given-names>I. E.</given-names></name><bio></bio><email>-</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author"><name name-style="western"><surname>Volkova</surname><given-names>O. A.</given-names></name><bio></bio><email>-</email><xref ref-type="aff" rid="aff-3"/></contrib></contrib-group><aff id="aff-1">The Federal State Autonomous Educational Institution of Higher Education “The Belgorod State National Research University”</aff><aff id="aff-2">N. A. Semashko National Research Institute of Public Health</aff><aff id="aff-3">The State Budget Institution “The Research Institute of Health Care Organization and Medical Management of the Moscow Health Care Department”</aff><pub-date date-type="epub" iso-8601-date="2020-12-15" publication-format="electronic"><day>15</day><month>12</month><year>2020</year></pub-date><volume>28</volume><issue>4</issue><fpage>645</fpage><lpage>650</lpage><history><pub-date date-type="received" iso-8601-date="2021-04-06"><day>06</day><month>04</month><year>2021</year></pub-date></history><permissions><copyright-statement>Copyright © 2020,</copyright-statement><copyright-year>2020</copyright-year></permissions><abstract>The article presents the results of study concerning improving medical care quality in rural areas. The purpose was to investigate the characteristics of medical personnel training in the framework of the “Zemstvo Doctor” program. The activities of the University were analyzed concerning implementation of professional training of medical personnel and including continuing medical education. To achieve this goal, efficiency of educational programs development considering contribution of the “Zemstvo doctor” program implementation was evaluated. The study was carried out in 2013-2019 on the basis of the Medical Institute of Belgorod State National Research University. The structured interview was applied as methodology of collecting primary data. The fact of decreasing of medical profession prestige that occurs against the background of implementation of the state program “Zemstvo Doctor” was established. The overcoming of this situation is necessary to improve medical care quality in rural areas. The focusing on existing regional features of medical care support and taking into account characteristics of health of population are required. In this respect the key factor is the training of rural physicians to employ high-tech technologies, including digital simulation and telecommunications equipment. The relevance of the state program “Zemstvo Doctor” is obvious, but the medical education system has no official instructions concerning the need of correcting educational programs. The efficiency of changes applied to educational programs was determined by subjective assessment of the need and the clinical experience of physicians-lecturers who are involved in resolving scientific and practical problems of health care in rural areas.</abstract><kwd-group xml:lang="en"><kwd>professional training</kwd><kwd>medical personnel</kwd><kwd>rural doctors</kwd></kwd-group><kwd-group xml:lang="ru"><kwd>профессиональная подготовка</kwd><kwd>медицинский персонал</kwd><kwd>сельский врач</kwd></kwd-group></article-meta></front><body></body><back><ref-list><ref id="B1"><label>1.</label><mixed-citation>Камнев И. Ю., Перевезенцев Е. А., Леванов В. М., Гурвич Н. И. Кадровый дефицит: программа «Земский доктор» - исторические итоги и перспективы. В кн.: Актуальные проблемы управления здоровьем населения Тематический сборник научных трудов по результатам второй Всероссийской научно-практической конференции с международным участием. Нижний Новгород: Приволжский исследовательский медицинский университет; 2019. С. 34-9.</mixed-citation></ref><ref id="B2"><label>2.</label><mixed-citation>Брынза Н. С., Горбунова О. П., Сунгатуллина Л. А., Кинчагулова М. В., Литвинов И. С., Суханова Т. В. Исследование факторов мотивации участников программы «Земский доктор» в тюменском муниципальном районе. Медицинская наука и образование Урала. 2017;18(89):88-91.</mixed-citation></ref><ref id="B3"><label>3.</label><mixed-citation>Об основах охраны здоровья граждан в Российской Федерации: Федеральный закон от 21.11.2011 № 323-Ф, с изм. и доп. от 08.01.2020. Официальный сайт Российского Министерства Здравоохранения. Режим доступа: https://www.rosminzdrav.ru/documents/7025 (дата обращения 28.02.2020).</mixed-citation></ref><ref id="B4"><label>4.</label><mixed-citation>Xavier L. N., Oliveira G. L., Gomes A. A., Machado M. F. A. S., Eloia S. M. C. Analisando as metodologias ativas na formação dos profissionais de saúde: uma revisao integrativa. Sanare. 2014;13(1):73-83.</mixed-citation></ref><ref id="B5"><label>5.</label><mixed-citation>Tscymbalystov A. V., Kopytov A. A., Volkova O. А., Leontiev V. K., Besschetnova O. V. Preclinical manifestations of students’ eating disorders as an impact of the information and communication university environment. Int. J. Advanc. Biotechnol. Res. (IJBR). 2018;9(1):1002-7.</mixed-citation></ref><ref id="B6"><label>6.</label><mixed-citation>Tscymbalystov A. V., Volkova O. А., Besschetnova O. V., Kopytov A. A., Artyomova Y. S., Leontiev V. K. Activating technologies of social service as a factor of improving social self-personality of elderly and disabled people in Russia. Int. J. Pharm. Res. 2018;10(4):346-9. doi: 10.31838/ijpr/2018.10.04.035</mixed-citation></ref><ref id="B7"><label>7.</label><mixed-citation>Галкин К. А. Когда работа не заканчивается. Профессиональные роли и отношение к помощи в нерабочее время у молодых сельских врачей. Мониторинг общественного мнения: экономические и социальные перемены. 2019;(3):179-91. doi: 10.14515/191monitoring.2019.3.11</mixed-citation></ref><ref id="B8"><label>8.</label><mixed-citation>Vasconcelos A. C. F., Stedefeldt E., Frutuoso M. F. P. Uma experiencia de integracao ensino-servico e a mudanca de praticas profissionais: com a palavra, os profissionais de saude. Interface (Botucatu). 2016;20(56):147-58. doi: 10.5205/reuol.12834-30982-1-SM.1110201706</mixed-citation></ref><ref id="B9"><label>9.</label><mixed-citation>Vargas Makuch D. M., Sanson Zagonel I. P. Pedagogical approach in the implementation of curriculum programs in nurse training. Escola Anna Nery. 2017;21(4). doi: 10.1590/2177-9465-ean-2017-0025</mixed-citation></ref><ref id="B10"><label>10.</label><mixed-citation>Авдеева Е. А., Гаврилюк О. А., Тепляшина Е. А. Педагогические условия организации исследовательской деятельности аспирантов медицинского университета как фактор повышения психолого-педагогической компетентности врача. Перспективы науки и образования. 2019;37(1):51-67. doi: 10.32744/pse.2019.1.4</mixed-citation></ref><ref id="B11"><label>11.</label><mixed-citation>Медицинская статистика. Режим доступа: https://www (дата обращения 15.03.2020).</mixed-citation></ref><ref id="B12"><label>12.</label><mixed-citation>Шеркунова О. Приема не будет: как врачи бастуют против нищенских окладов. 2019. Режим доступа: https://www.gazeta.ru/business/2019/10/06/12690055.shtml (дата обращения 15.03.2020).</mixed-citation></ref></ref-list></back></article>
