Aim — to study the opinions of primary care physicians regarding medical prophylaxis of chronic noncommunicable diseases (CNCDs) as part of dispanserisation, their attitude to this issue and activity in this area (as exemplified by certain outpatient medical organizations in the Moscow Region). Material and methods. A medical and sociological study was carried out — an anonymous survey of primary care doctors of 12 medical organizations of the Moscow region, selected according to the method of forming a territorial multi-stage sample. Questionnaires with answers were obtained from 8 clinics, 130 doctors participated in the questionnaire (76.2% were women; average age was 44.1±13.9 years, total medical experience was 18.8±13.9 years). Statistical analysis was performed using the SPSS program, with the calculation of relative values and frequency distribution, the reliability was evaluated using the Student t-criterion and χ2 criterion. Results. The survey showed that 61.4% of doctors consider the dispanserisation to be a necessary preventive measure for the primary CNCDs, 88.2% of doctors agree that the dispanserisation increases attention to disease prevention, ¾ of doctors assess their knowledge and skills for effective preventive counseling as sufficient. Half of the doctors (50.4%) consider brief prophylactic counseling an ineffective preventive measure, 55.9% said that patients are reluctant to discuss issues related to smoking, overweight, physical activity, and the risk of harmful alcohol consumption. Doctors are aware of the principles of motivational counseling — almost everyone finds out the attitude of patients to risk factors for CNCDs, but only 34.6% assess the patient’s willingness to change behavioral risk factors. Advice to their patients on risk factors is given not only by district doctors, but also by specialist doctors. In addition, almost all doctors would like to regularly discuss prevention of CNCDs at medical conferences. Conclusion. The relevance of further studying the problem of the effectiveness of preventive counseling in the practice of doctors and highlighting the priorities for improving the technology of supporting annual preventive counseling is demonstrated. The results of the study may be used to justify the priorities of reorienting primary health care to the real preventive direction by increasing the index of preventive activity of doctors, creating interdisciplinary interaction and continuity between all levels of medical specialists in achieving completeness of the implementation of preventive advice to patients. A commitment to a healthy lifestyle for health workers themselves will contribute to the effectiveness of preventive activities of primary care, which may be facilitated by the introduction of corporate health promotion programs in the practice of medical organizations.
