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Взаимодействие звеньев оказания медицинской помощи: результаты опроса врачей

Strengthening providers integration to improve health indicators is an important direction of healthcare development. Comparison of the 2012 survey and 2020 survey suggests some improvements in interaction between district physicians and outpatient specialists, however its level is hardly adequate. Interaction between district physicians and emergency care providers in polyclinics has improved. Interaction between polyclinic and hospital physicians before and after hospital admission is very limited and has deteriorated over the period under study. The level of outpatient physicians’ awareness of emergency calls and hospital admissions of their patients is low. Interaction between polyclinics and hospitals on the one hand, and rehabilitation units and social care providers on the other hand, is also low. Information on the location and volumes of care provided to patients is still inaccessible for most physicians. This limits continuity of care. The study shows that the Russian healthcare system remains fragmental. This is the result of low priority of integrative activities, as well as low involvement of health managers in these activities.