General practitioner (family doctor).

In order to accelerate reforms in healthcare, industry adaptation to the market economy necessitated the introduction of new principles for the provision of primary medical and sanitary aid to the population, which are based on General practitioner (family doctor). General practice is one of the forms of organization of primary health care. General practitioner (family doctor) is a specialist, shirokolanovsky in the major medical specialties and capable of providing the multidisciplinary outpatient care for common illnesses and emergencies. For the implementation of phased transition to the organization of medical care by the General practitioner (the family doctor), preparation of highly qualified specialists in primary care, harmonization of requirements to the organization and the assessment of their work, increased medical care in the prehospital CLAIM 1. Addition of the nomenclature of medical specializations and medical functions at health care facilities. 2. The regulations on the General practitioner (the family doctor). 3. The qualification profile of the General practitioner (family doctor). 4. Model curriculum and program podgotovitelno with higher education in the specialty of General practitioner (family doctor). 5. The position of nurse of General practice. 6. The qualification profile and the curriculum of preparation of nurses in General practice. 7. Indicative list of areas with the table of equipment of the Cabinet of the General practitioner (family physician) working outside the clinic. 8. The approximate list of equipment of bag – packing. ORDER: 1. The heads of the management bodies and health institutions, rectors of medical universities and institutes of postgraduate education, Directors of medical schools: 1.1. To develop a program of phased transition to the organization of primary health care predominantly on the principle of the General practitioner (family doctor) for each administrative territory taking into account local conditions, by coordinating it with the program and the timing of the transition to medical insurance of the population. 1.2. To conduct a broad organizational work among health professionals and explanatory work with the population on the need for structural and functional transformation of primary care in the transition to health insurance, its goals, objectives and expected results. 1.3. To provide, starting with the 1992/93 school year, training of General practitioners (family doctors), nurses in accordance with approved programs and qualification characteristics. 1.4. Recommend to set the number of the serviced population in General practitioner no more than 1,500 people, a family doctor, taking into account child population not more than 1200 people, and if necessary, the number can vary in either direction. 2. The heads of the management bodies and health institutions: 2.1. To provide given the resource potential necessary conditions for the gradual transition to the work of the General practitioner (family doctor): selection and reconstruction of the premises, equipment medical equipment and instruments, medicines and medical products. 2.2. To allow patient care leased, government and personal vehicle with payment in the prescribed manner. 2.3. The remuneration of the General practitioner (family doctor) to produce on a contract basis, in accordance with existing regulations (or acts). In a similar manner is the remuneration and nurses in General practice. 3. The Central Institute of improvement of doctors (Gavryushov V.) in cooperation with the Office of medical assistance to the population (Rutkowski, O. V.), Department of personnel (I. A. Toroptsev) to submit to 01.10.92 guidance – guidelines for the certification of proficiency of the General practitioner in addition to the list of conformity medical specialties medical posts for assessment, instructional and methodological guidelines for the certification of qualification of a nurse of General practice. 4. Management personnel (Toroptsev, A. I.) to provide annual requests from the health authorities on the specialization and advanced training of physicians in the General practitioner. 5. The management of educational and research institutions (Morozov P. N.): 5.1. To start with the 1992/93 school year, training in clinical residency due to specialty doctor in General practice to meet the needs of the institutions. 5.2. To develop and approve in the established procedure training and policy documents training paramedic General practice with a training period of 3 years and 10 months on the basis of secondary school to 01.01.93. Since 1993 to start preparing specified specialist. 6. The management of care to the population (Rutkowski, O. V.), Department of maternal and child (Zelinskaya D. I.), Department of training and coordination of scientific research (Morozov P. N.) together with leading specialists of the Ministry of health of Russia, with the involvement of relevant institutions: 6.1. To provide practical guidance and to monitor the implementation of the phased transition to the organization of primary care on the principle of a General practitioner in administrative territories of the Republic. 6.2. Conduct analysis of activity of medical institutions operating on a new principle, the accumulated positive experience to discuss at the Board meeting of the Ministry of health of Russia. 7. Control over execution of the order to assign to Deputy Ministers according to the directions. Is allowed to propagate the order in the required number of copies. The Minister of health of the Russian Federation.

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