vspВопросы современной педиатрииCurrent Pediatrics1682-55271682-5535Издательство «ПедиатрЪ»10.15690/vsp.v13i2.967vsp-201Research ArticleСОЦИАЛЬНАЯ ПЕДИАТРИЯ И ОРГАНИЗАЦИЯ ЗДРАВООХРАНЕНИЯSOCIAL PEDIATRICS AND HEALTH CAREМНОГОУРОВНЕВАЯ СИСТЕМА ОКАЗАНИЯ МЕДИЦИНСКОЙ ПОМОЩИ ДЕТСКОМУ НАСЕЛЕНИЮMULTILEVEL SYSTEM OF MEDICAL CARE TO CHILDREN’S POPULATIONБарановА. А.BaranovA. A.baranov@nczd.ruАльбицкийВ. Ю.Al'bitskiiV. Yu.

Valeriy Al’bitskiy, Doctor of Medical Science, professor, Honoured Science Worker of the Russian Federation, head of the department of social pediatrics of the Scientific Center of Children Health

albicky@nczd.ruТерлецкаяР. Н.TerletskayaR. N.albicky@nczd.ruЗелинскаяД. И.ZelinskayaD. I.albicky@nczd.ruНаучный центр здоровья детей, Москва; Первый Московский государственный медицинский университет им. И.М. СеченоваРоссияScientific Centre of Children Health, Moscow I.M. Sechenov First Moscow State Medical UniversityRussian FederationНаучный центр здоровья детей, МоскваРоссияScientific Centre of Children Health, MoscowRussian Federation201401042014132Вопросы современной педиатрии510Copyright © Баранов А.А., Альбицкий В.Ю., Терлецкая Р.Н., Зелинская Д.И., 20142014Баранов А.А., Альбицкий В.Ю., Терлецкая Р.Н., Зелинская Д.И.Baranov A.A., Al'bitskii V.Y., Terletskaya R.N., Zelinskaya D.I.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://vsp.spr-journal.ru/jour/article/view/201

Дана характеристика многоуровневой системы медицинской помощи населению экономически развитых стран (профилактический, патронажный и госпитальный этап). Отмечены ее преимущества в повышении качества и доступности медицинских услуг. Представлена информация о первом опыте организации трехуровневой медицинской помощи населению в Российской Федерации. Обсуждаются особенности организации данной системы медицинской помощи для детей. Предложены первоочередные меры для внедрения трехуровневой системы оказания различных видов медицинской помощи в педиатрическую практику. Отмечается необходимость разработки четких понятий трехуровневой медицинской помощи: определение, что такое «трехуровневая система» и «трехуровневый подход», какой признак (территориальность, собственность, контингент, вид помощи, специализация помощи и т.д.) будет лежать в основе отнесения учреждения и/или вида помощи к тому или иному уровню. Представляется важным обозначить основные цели и задачи каждого уровня медицинской помощи. Только на основании этого базового подхода к внедрению трехуровневой организации медицинской помощи в субъектах Российской Федерации возможна реализация предстоящего этапа модернизации здравоохранения с учетом региональной специфики и наименьшими потерями как для населения, так и для медицинских работников

The characteristic of multilevel system of medical care is given to the population of economically developed countries (preventive, patronage and hospital stages). Advantages in improvement of quality and availability of medical services are noted it. Information on the first experience of the organization of three-level medical care to the population is provided in the Russian Federation. Features of the organization of this system of medical care for children are discussed. Prime measures for introduction of three-level system of rendering different types of medical care in pediatric practice are offered. Need of development of accurate concepts of three-level medical care is noted: definition that such «three-level system» and «three-level approach», what sign (territoriality, property, contingent, type of the help, help specialization, etc.) will be cornerstone of reference of establishment and/or a type of the help to this or that level. It is obviously important to designate main objectives and problems of each level of medical care. Only on the basis of this basic approach to introduction of the three-level organization of medical care in subjects of the Russian Federation realization of the forthcoming stage of modernization of health care taking into account regional specifics and smallest losses both for the population, and for medical workers is possible.

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The authors declare that there are no conflicts of interest present.