PECULIARITIES OF ORGANIZATION OF OUTPATIENT CARE FOR ADULTS AND CHILDREN ON BASE OF MEDICAL CENTER OF YAKUTSK CITY OF THE REPUBLIC OF SAKHA (YAKUTIA)

Aim. To study organization of the outpatient care in Yakutsk, incl. that on the base of Medical Center of Yakutsk in the period from 2012 to 2018. Materials and Methods. For this study, statistical data were used on staffing, attendance, morbidity of the children's and adult population of the city of Yakutsk by ICD-10 classes (per 100 thousand population) for 2012-2018. Statistical data for the work were obtained from an official source – Yakutsk Republican Medical Information and Analytical Center and medical organizations providing primary health care. The work used the data of official statistical reports (forms 7, 12, 17, 30, 36), demographic parameters of the population of the city of Yakutsk. Statistical data processing was carried out using Statistica10 software (Stat Soft Inc., USA)and Microsoft Excel. SWOT analysis of the organization of outpatient care for the population of the city of Yakutsk was carried out. Results. The health status of the population of Yakutsk was characterized by a high level of morbidity in all age groups. Organization of medical care for the population of Yakutsk was characterized by expansion of the network of medical organizations and strengthening of their material and technical base. Introduction of new management mechanisms into the activities of Medical Center in Yakutsk in 2012-2018 allowed to achieve high results of work among the attached population. Conclusions. Development of quality standards for medical and diagnostic services has reduced the number of acts of insurance companies with defects in the provision of medical care and penalties. Introduction of an «effective contract» made it possible to increase the previous level of salaries of medical workers, to additionally attract new workers, and also to increase the efficiency of the organization. Formation in a medical organization of a multilevel performance audit system based on a process approach made it possible to identify the strengths and weaknesses of the organization and develop measures to improve the availability and quality of medical care.