Analysis of Organization of Primary Health Care in Colleges of the Sverdlovsk Region

Abstract

Introduction: In the coming years, in an unstable demographic and socio-economic situation, the workforce of the country will be replenished by teenagers studying in secondary vocational schools (colleges). Health protection of the younger generation is one of the main tasks of our time. Objective: To examine the system of primary health care to secondary vocational school students of the Sverdlovsk Region in the context of amended requirements for medical licensing. Materials and methods: In March 2023, we analyzed regulatory legal documents, data from the Unified Register of Medical Licenses on regional colleges and health facilities with the assigned population. We also compared the results of an anonymous sociological survey of specialists of college health units. Results: We have established amendments in requirements for medical practice licensing, including additional conditions for maintaining electronic registers and exchanging medical data through a Unified Health Information System and the turnover of medicines. There are five basic models of primary health care in colleges within the existing regulatory framework: 1) independent licensing of a medical office by the college; 2) conclusion of contracts for medical care of students with a nearby polyclinic separately for minors and adult students; 3) licensing of a medical office located in the college on behalf of a hospital; 4) organization of a student polyclinic and assigning students to it for the period of study; 5) medical care of students in health units of the enterprise carrying out targeted training for students. Conclusions: The existing models of primary health care do not fully ensure the rights of minors studying in colleges to health protection and require improvement. In the Sverdlovsk Region, the model of independent licensing of medical offices is the most common, which also prevents students from receiving the entire declared volume of primary health care.