Results of Organizational and Methodological Support for "Anchor" Medical Organizations: Progress and Conclusions for 2019‒2024

Introduction. The implementation of the Federal Project "Development of the Network of National Medical Research Centers and the Introduction of Innovative Medical Technologies" brought a structural transformation of the domestic health care system. The key tool of this model was the formation of a vertically integrated network of medical organizations, the central elements of which are the National medical centers and "anchor" medical organizations.

Aim: to assess the effectiveness of organizational and methodological support of regional children's medical organizations (3rd group), or medical organizations performing their function (hereinafter referring as "anchor" medical organizations) in the "Pediatrics" speciality for 2019‒2024, to identify the dynamics of key indicators, to determine stable trends and problem areas in the development of children's health care at the regional level.

Materials and methods. Results (analytical reports) of away organizational and methodological measures on the "Pediatrics" speciality in the supervised regions of the Central, South and North Caucasian federal districts of specialists of the National Medical Research Center for Children's Health. For the entire period of implementation of the federal project since 2019 year by 2024 year, more than 160 away events were held.

Results. The regulatory framework for routing has been updated in 30 of the 32 supervised regions, the diagnostic potential and material and technical base of "anchor" medical organizations have been significantly improved, the quality of medical care in pediatric departments, including specialized ones, has increased by more than 2 times, and system errors have decreased. In the leading regions (Krasnodar and Stavropol Territories, Lipetsk, Moscow, Oryol, Rostov Regions), new clinical standards have been successfully introduced.

Conclusion. The model of "anchor" medical organizations within the framework of the Federal Project has confirmed its effectiveness for creating a vertically integrated health care system. System organizational and methodological support from the National Medical Research Center for Children's Health is a key factor in achieving and ensuring the unification of standards and the transfer of innovations. The improvements achieved are sustainable, which allows us to recommend this model for preservation in the future, with increased attention to staffing, digitalization and the development of a quality management system in the industry.

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