Problems of Social Hygiene, Public Health and History of MedicineProblems of Social Hygiene, Public Health and History of Medicine0869-866X2412-2106Joint-Stock Company Chicot41610.32687/0869-866X-2020-28-s2-1094-1100Научная статьяIMPROVEMENT OF ORGANIZATIONAL APPROACHES TO REGULAR MEDICAL CHECKUP SERVICE IN THE METROPOLITAN HEALTHCARE SYSTEMVolkovaO. A.volkovaoa3@zdrav.mos.ruSmirnovaE. V.-State Budgetary Institution “Research Institute for Healthcare Organization and Medical Management of Moscow Healthcare Department”15122020281094110006042021Copyright © 2020,2020An adequate response to the challenges people face in the context of continuing urbanization, increasing life expectancy and, at the same time, falling birth rates, is to maximize the containment of chronic non-communicable diseases (NCDs) by high level of healthcare organization and medical services provided to the patients with such pathologies. Global economic losses caused by NCDs result in disability and early mortality among working population as well as in significant treatment costs increasing with the advancement of the disease. That is why outpatient care for NCD patients which includes behaviour factors monitoring is an urgent task for the world and Russian healthcare.In this regard, the goal of this study is to find organizational solutions to improve regular medical checkup service for NCD patients in the metropolitan healthcare system, relying on the data provided by medical organizations in the form of statistical observations.Thus, the results of correlation analysis have revealed a connection between the increased number of individuals in the second and third health groups and individuals scheduled for a regular medical checkup at the end of the year and its absence between the clinical examination results and the number of firstly diagnosed patients. It is also reported that the number of diseases registered for a regular medical checkup at the end of the reporting period (year) has increased, so patients with polymorbid conditions are supposed to prevail among the others on these days and require a special approach to their management.Taking into account the results obtained, possible ways for optimizing the organizational model of a regular medical checkup are the following: special hours (days) for such patients admission, permanent cooperation of a doctor (local general practitioner, GP, family doctor) and a health worker with a secondary medical education (to deal with organizational issues), etc.chronic non-communicable diseases (NCDs)regular medical checkupprimary careincidenceхронические неинфекционные заболеваниядиспансерное наблюдениепервичная медицинская помощьзаболеваемость1.Всемирная организация здравоохранения. Топ-10 ведущих причин смерти. Информационный бюллетень. 2018. Режим доступа: https://www.who.int/en/news-room/fact-sheets/detail/the-top-10-causes-of-death (дата обращения 22.02.2020).2.Европейское бюро Всемирной организации здравоохранения. Доклад о состоянии здоровья в Европе 2018. Больше, чем просто цифры: фактические данные для всех. Копенгаген, 2019. Режим доступа: https://apps.who.int/iris/bitstream/handle/10665/330083/9789289054515-rus.pdf (дата обращения 22.04.2019).3.Бойцов С. А. Актуальные направления и новые данные в эпидемиологии и профилактике неинфекционных заболеваний. Терапевтический архив. 2016;88(1):4-10. doi: 10.17116/terarkh20168814-10.4.Шейман И. М., Шевский В. И., Сажина С. В. Приоритет первичной медико-санитарной помощи - декларация или реальность? Социальные аспекты здоровья населения. 2019;65(1):3.5.Вялков А. И., Сквирская Г. П., Сон И. М., Сененко А. Ш., Купеева И. А., Розанов В. Б. и др. Современные подходы к преобразованию медицинских организаций, оказывающих помощь населению в амбулаторных условиях. Проблемы социальной гигиены, здравоохранения и истории медицины. 2017;25(4):216-20.6.Бударин С. С., Эльбек Ю. В. Анализ использования ресурсов, необходимых для осуществления деятельности медицинских организаций, оказывающих первичную медико-санитарную помощь амбулаторно. Медицинские технологии. Оценка и выбор. 2018;(3):28-35. doi: 10.31556/2219-0678.2018.33.3.028-0357.Бударин С. С., Эльбек Ю. В. Анализ результатов диспансеризации определенных групп взрослого населения на основе форм отраслевой статистической отчетности. Вестник Росздравнадзора. 2020;(1):66-74.8.Little P., Everitt H., Williamson I., Warner G., Moore M., Gould C. et al. Preferences of patients forpatient centred approach to consultation in primary care: observational study. BMJ. 2001;322(7284): 468-72. doi: 10.1136/bmj.322.7284.468.9.Karam M., Brault I., Durmea T. V., Macq J. Comparing interprofessional and interorganizational collaboration in healthcare: a systematic review of the qualitative research. Int. J. Nurs. Stud. 2018;79:70-83. doi: 10.1016/j.ijnurstu.2017.11.002.