Problems and prospects for the development of primary health care in St. Petersburg based on the results of an expert assessment of the chief physicians of polyclinics using lean technologies to improve the outpatient service

Garifullin T.Yu.; Avdeeva M.V.; Filatov V.N.; Hurtzilava O.G.; Chentsov D.V.; Sonin A.S.

doi:https://doi.org/10.17116/profmed20222505121

Garifullin T.Yu.

North-Western State Medical University named after I.I. Mechnikov of the Ministry of Health of Russia

Avdeeva M.V.

North-Western State Medical University named after I.I. Mechnikov;
St. Petersburg State Pediatric Medical University

ORCID: 0000-0002-4334-5434

Filatov V.N.

North-Western State Medical University named after I.I. Mechnikov of the Ministry of Health of Russia

Hurtzilava O.G.

North-Western State Medical University named after I.I. Mechnikov

Chentsov D.V.

City Center for Medical Prevention

Sonin A.S.

City Center for Medical Prevention

Problems and prospects for the development of primary health care in St. Petersburg based on the results of an expert assessment of the chief physicians of polyclinics using lean technologies to improve the outpatient service

Authors:

Garifullin T.Yu., Avdeeva M.V., Filatov V.N., Hurtzilava O.G., Chentsov D.V., Sonin A.S.

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Journal: Russian Journal of Preventive Medicine. 2022;25(5): 21‑27

DOI: 10.17116/profmed20222505121

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To cite this article:

Garifullin TYu, Avdeeva MV, Filatov VN, Hurtzilava OG, Chentsov DV, Sonin AS. Problems and prospects for the development of primary health care in St. Petersburg based on the results of an expert assessment of the chief physicians of polyclinics using lean technologies to improve the outpatient service. Russian Journal of Preventive Medicine. 2022;25(5):21‑27. (In Russ.)
https://doi.org/10.17116/profmed20222505121

Подписка 2026 Профилактическая медицина (Russian Journal of Preventive Medicine)

Использование инфографики авторами научных работ

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Abstract:

Improving the organization of primary health care based on lean manufacturing technologies is an urgent task of modern medicine.

PURPOSE OF THE STUDY

To determine the problems and prospects for the further development of primary health care in St. Petersburg based on the results of an expert assessment of the activities of the chief physicians of polyclinics who apply lean management strategies and technologies to improve the work of the outpatient service.

MATERIAL AND METHODS

A survey was conducted of the chief physicians of polyclinics (n=56) participating in the implementation of the project «A new model of a medical organization providing primary health care». The questionnaire included 43 questions related to the introduction of lean technologies in the activities of outpatient clinics in St. Petersburg.

RESULTS

Among the main work processes that need to be improved, the experts singled out the work of the radiology department (71.5%), the registry (61.2%), the blood collection point (53.0%); medical and diagnostic appointment with a specialist doctor (51.0%); medical examination of certain groups of the adult population (28.5%); dispensary observation (26.5%). Among the main problems that arise in the implementation of projects to improve work processes, the heads of medical organizations noted the difficulties of involving the team (85.7%), the lack of knowledge for the implementation of improvement projects (40.8%); difficulties in mapping processes (34.7%); inconsistency of opinions regarding the project implementation plan (22.4%). Among the topical directions of the strategic development of primary health care, 44.9% of the heads of city polyclinics noted the elimination of the shortage of personnel; 30.6% — healthcare informatization; 26.5% — introduction of telemedicine technologies into wide medical practice; 12.3% — effective management of the quality and safety of medical activities.

CONCLUSION

Expert analysis allows obtaining additional information necessary for the formation of a strategy for the development of primary health care at the regional level.

Keywords:

lean polyclinic

new model of medical organization

primary health care

lean technologies

lean production

Authors:

Garifullin T.Yu.

North-Western State Medical University named after I.I. Mechnikov of the Ministry of Health of Russia

Avdeeva M.V.

North-Western State Medical University named after I.I. Mechnikov;
St. Petersburg State Pediatric Medical University

ORCID: 0000-0002-4334-5434

Filatov V.N.

North-Western State Medical University named after I.I. Mechnikov of the Ministry of Health of Russia

Hurtzilava O.G.

North-Western State Medical University named after I.I. Mechnikov

Chentsov D.V.

City Center for Medical Prevention

Sonin A.S.

City Center for Medical Prevention

Received:

10.11.2021

Accepted:

23.03.2022

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References:

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