The article elaborates issue of scientific substantiation of differentiated approach to implementation of project activities in medical organizations considering differences in resource support and motivational readiness of personnel. The study sampling included 100 polyclinics of the Moscow Oblast participating in implementation of the project “Polyclinic Reloading”. The checklists reflecting 100 criteria of effectiveness of the project were grouped together by 6 blocks. The evaluation of architectural and resource conditions was carried out in 224 medical organizations. The psychological questionnaire survey covered 1 598 workers of polyclinics. The expert survey covered 28 chief physicians involved in project implementation. the descriptive, correlative and dispersive statistical methods were applied. The average level of implementation of project criteria according check-list made up to 88.3%. However, only 16% of institutions achieved all target indicators. The analysis revealed significant differences among medical organizations in terms of architectural conditions and psychological readiness of personnel. According to experts, the most influential factors were insufficient equipment with facilities, staff shortage, higher workload and lower motivation of workers. The moderate correlation was established between area of buildings and attached population (rs = 0.49; p < 0.001) that indicates at absence of planned dependence between capacity and factual load. The implementation of projects requires adaptation to specific conditions in medical organization. The differentiated approach to implementation of project activity permits to consider resources, architecture and level of personnel involvement.

primary health care, project-based activity, lean technologies, human resources potential, infrastructure, psychological readiness.