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Project: Support for Health Systems Development

EU.1995.A
01/01/1995 - 30/04/1998 (40 months)

Project goals

To develop GP-based primary health care services in four pilot regions; to develop a management culture in Russian hospitals; to develop a demonstration project on maternal and child health; to develop economic evaluation techniques and operational research skills in the pilot regions; to spread information on the pilot interventions nationally.

Results

Fifteen GP offices were established and equipped with Project support, proved to be effective still four years after Project completion. Moreover, Samara and St. Petersburg are today at the forefront of GP based primary health care. This is certainly not the outcome of this one project only, but the results of various activities in this area over an extended period.


The project demonstrated how circumspect research should accompany the structural reform. The outcome of this work submitted valuable information about advantages and disadvantages of the model and, thus of issues that deserve particular attention while implementing the GP-based service model. It is concluded from the outcome of this Project, that structural and operational changes in the health care system need to be assisted by critical monitoring that helps adapting new services to the real requirements.


It is recommended, from the conclusions derived from this Project, to use for replication practical experience gathered in establishing GP offices in the pilot regions of this Project. This, however, should be accompanied by i) medium-term strategic planning for wider coverage of the population with GP services over a defined period of time, and ii) new management structures and functions of both the out-patient and the hospital sectors.

Location

  • Kemerovo oblast
  • Russian Federation
  • Saint-Petersburg
  • Samara oblast
  • Sverdlovsk oblast
  • Related Organisations

    Counterparts:   no information
    Beneficiaries:   Ministry of Health and Social Development of the Russian Federation
    Министерство здравоохравнения и социального развития Самарской области
    Commitee of Public Health of Saint Petersburg
    Health Department of Kemerovskaya oblast
    Health Department of Sverdlovskaya oblast
    President's Medical Centre
    Financiers:   European Union (EU), EU-Russia Cooperation Programme (formerly known as Tacis)
    Contractors:   Credes

    Project Budget

    no information

    Personnel

    The following table contains the persons involved in the project and the organisations they belong to. In order to get contact details about a person or an organisation, please click on its name.

     
    Position in project
    Name of
    the Expert
     
    Current work place
    Place of
    Performance
    Monitoring and Evaluation Team Yurishev Y.
    Project Director/Contractor Rainhorn J.
    Russian Federal level Beneficiary Semenov V.
    Russian Beneficiary in St.-Petersburg Petrov Y.
    Task manager Hopster R.
    Russian Beneficiary in Ekaterinburg, Sverdlovskaya oblast Sklyar M.
    Russian Beneficiary in Samara Pavlov V.
    Russian Federal level Beneficiary Starodubov V. I.

    Project Documents

    The following table lists the documents created by or used in the project. In order to see details about a document, or to download it, please click on its title or on 'details'.

    Document Type Title Format More...
    Analyses Report on Research and Evaluation Component: Annex P // Tacis - Support for Health System Development: Completion Report. - 1997. This document can be downloaded This document has been written by the project View Details of the Document
    Articles Nursing in the post-surgical period (standards of the professional work) // Medical Care. - #5. - p 47-48. This document can be downloaded This document has been written by the project View Details of the Document
    Books Family Medicine of Gatchina (establishment, first results). - SPb: Foliant, 2001. This document can be downloaded This document has been written by the project View Details of the Document
    Concepts Concept of the development of the health care system and state policy in health protection of the population of the Samara region for 2001-2005. This document can be downloaded This document has been written by the project View Details of the Document
    Concepts Enhancing the role of GP. This document can be downloaded This document has been written by the project View Details of the Document
    Concepts General Practice: Agreed Model of General Practice and System of Training of the GP Specialists: The Samara agreement. - Samara, 1996. This document can be downloaded This document has been written by the project View Details of the Document
    Concepts Resolution of MoH Kollegia on implementation of the “General (family) Practice” program. - 2001. This document can be downloaded This document has been written by the project View Details of the Document
    Concepts Resolution on the concept of development Samara city health care system for 1997-2000. - Samara, 1997. This document can be downloaded This document has been written by the project View Details of the Document
    Concepts Scheme of Collaboration between Departments of Polyclinic # 1 in the System of Early Diagnosis of the Breast Cancer. - Samara. This document can be downloaded This document has been written by the project View Details of the Document
    Concepts Smolninskiye Principles of the Primary Medical Care Reform in Russia. This document can be downloaded This document has been written by the project View Details of the Document
    Contracts Contract with the Administrator of the GP Practice. - Samara. This document can be downloaded This document has been written by the project View Details of the Document
    Contracts Contract with the General Practitioner. - Samara. This document can be downloaded This document has been written by the project View Details of the Document
    Contracts Terms of reference for the general practitioner. This document can be downloaded This document has been written by the project View Details of the Document
    Contracts Terms of reference of the medical nurse of a GP unit of polyclinic. This document can be downloaded This document has been written by the project View Details of the Document
    Contracts Terms of reference of the medical nurse of the general practice This document can be downloaded This document has been written by the project View Details of the Document
    Information material Project News. - 1997. This document can be downloaded This document has been written by the project View Details of the Document
    Lists Completion Report, Annex A - 31 October 1997 This document can be downloaded This document has been written by the project View Details of the Document
    Lists Criteria for Control on Decrease of Medical Costs of GP Services. This document can be downloaded This document has been written by the project View Details of the Document
    Lists List of books available in English only from GP office in Nevskiy rayon, St. Petersburg. This document can be downloaded This document has been written by the project View Details of the Document
    Lists Plan of follow-ups of a healthy adult This document can be downloaded This document has been written by the project View Details of the Document
    Lists Preliminary List of Equipment for Model General Practices. This document can be downloaded This document has been written by the project View Details of the Document
    Lists Price list CA-1-2002 for the paid services to the population. JSC “Samara Diagnostic Center”. This document can be downloaded This document has been written by the project View Details of the Document
    Lists Supplement # 2 to the resolution of the Samara regional agreement commission on fees for medical services, paid from the mandatory health insurance funds: Price list # У-35-01-2001/4- стац. for services of the Samara oblast hospitals. This document can be downloaded This document has been written by the project View Details of the Document
    Lists Supplement # 5 to the resolution of the Samara regional agreement commission on fees for medical services, paid from the mandatory health insurance funds: Price list # У-35-01-2001/4- пол. for ambulatory and polyclinical services. This document can be downloaded This document has been written by the project View Details of the Document
    Methodological materials Case history of the ambulatory patient. - SPbMAPS. This document can be downloaded This document has been written by the project View Details of the Document
    Methodological materials Certificate on preventive vaccination. SPb. This document can be downloaded This document has been written by the project View Details of the Document
    Methodological materials Collaboration between GP and Other Different Specialists This document can be downloaded This document has been written by the project View Details of the Document
    Methodological materials Detailed Task Force Report on General Practice Regulatory Framework: Annex M - Appendix 1 // Tacis - Support for Health System Development; Completion Report. - 1997. This document can be downloaded This document has been written by the project View Details of the Document
    Methodological materials Links with Other Donors: Annex E // Tacis - Support for Health System Development Completion Report. - 1997. This document can be downloaded This document has been written by the project View Details of the Document
    Methodological materials Manual on home treatment. This document can be downloaded This document has been written by the project View Details of the Document
    Methodological materials Medical organisational and resource provision of the step-by-step shift to the GP system in the HC system: Methodical instructions of the MoH. - Moscow, 1997. This document can be downloaded This document has been written by the project View Details of the Document
    Methodological materials Medical organisational basis of restructuring hospital and outpatient services based on regional progressive models of development. Methodical recommendations of the MoH # 99/17. -Moscow, 1999. This document can be downloaded This document has been written by the project View Details of the Document
    Methodological materials Medical passport of the client. - GP Department of the Polyclinic # 34, Petrogradskiy rayon, Saint-Petersburg This document can be downloaded This document has been written by the project View Details of the Document
    Methodological materials Methodical recommendations on GP service development. - Moscow, 1997. - Part 2. This document can be downloaded This document has been written by the project View Details of the Document
    Methodological materials Methodical recommendations on GP service development. - Moscow, 1997. - Part 3. This document can be downloaded This document has been written by the project View Details of the Document
    Methodological materials Methodical recommendations on GP service development. Part 1. - Moscow, 1997 This document can be downloaded This document has been written by the project View Details of the Document
    Methodological materials Methodical recommendations on organisation of the day care hospitals in the health care facilities. - Moscow, 2000. This document can be downloaded This document has been written by the project View Details of the Document
    Methodological materials On Reorganisation of Specialist Service at the Medical Facilities of Promyshlenny Rayon during the Transition to GP This document can be downloaded This document has been written by the project View Details of the Document
    Methodological materials Pass for the ambulatory patient. Polyclinic # 73, Pontonny village, Leningrad oblast. This document can be downloaded This document has been written by the project View Details of the Document
    Methodological materials Protocol of the drenage of the external ear by the syringe This document can be downloaded This document has been written by the project View Details of the Document
    Methodological materials Tactics of treatment of patients with stenocardia in a GP setting. This document can be downloaded This document has been written by the project View Details of the Document
    Methodological materials Treatment blocks in the GP practice. - SPbMAPS, 1999 This document can be downloaded This document has been written by the project View Details of the Document
    Methodological materials Urgent Ophthalmology in GP practice. - S. Petersburg: SPbMAPS, 1999. This document can be downloaded This document has been written by the project View Details of the Document
    Normative documents Governor of Samara oblast regulation on the concept of development of the health care system and health protection of the population of the Samara region for 2001-2005. This document can be downloaded This document has been written by the project View Details of the Document
    Normative documents Governor of Samara oblast regulation on the draft law of Samara region “About approval of the territorial programme of state garanties on providing the population of the Samara region with the free medical care for the year 2002”. - Samara, 2002. This document can be downloaded This document has been written by the project View Details of the Document
    Normative documents Governor of Samara oblast’s regulation on the approval of the rules of mandatory health insurance of the population of Samara region. - Samara, 1998. This document can be downloaded This document has been written by the project View Details of the Document
    Normative documents Governor of Samara oblast’s regulation on the concept of development of the health care system and health protection of the population of the Samara region for 1996-2000. - Samara, 1996. This document can be downloaded This document has been written by the project View Details of the Document
    Normative documents Regulation on forming a GP department and collaboration with health care facilities and insurance companies. - Samara, 1996. This document can be downloaded This document has been written by the project View Details of the Document
    Normative documents Regulation on the payment of the medical service in the system of the mandatory health insurance of the population of Samara region. - Samara, 2001. This document can be downloaded This document has been written by the project View Details of the Document
    Normative documents St. Petersburg Law on the targeted program “Family Medicine for years 2001-2004” This document can be downloaded This document has been written by the project View Details of the Document
    Plans Implementation Plan for the Regional Experiment Program on Early Diagnosis of the Oncology Diseases among Women of Samara Region. This document can be downloaded This document has been written by the project View Details of the Document
    Plans Programme of reforming primary health care in city polyclinic # 1. This document can be downloaded This document has been written by the project View Details of the Document
    Plans Programme of reorganization of the primary health care based on the general practice approach. - Samara, 1996. This document can be downloaded This document has been written by the project View Details of the Document
    Plans Reorganisation Plan of the Primary Medical-Sanitary Service in the Polyclinic # 1 for 1996-2000 This document can be downloaded This document has been written by the project View Details of the Document
    Protocols Barcelona Conference Materials. November 18-20, 1996, Barcelona: Support for Health Care Delivery Development in the Russian Federation. - Tacis, Credes, 1996. This document can be downloaded This document has been written by the project View Details of the Document
    Protocols Ekaterinburg Symposium Materials, March 25-29, 1996: Support for health system development in the Russian Federation, Credes. - 1996. - V. 2. This document can be downloaded This document has been written by the project View Details of the Document
    Protocols Ekaterinburg Symposium Materials, March 25-29, 1996: Support for health system development in the Russian Federation, Credes. - 1996. . - V. 1. This document can be downloaded This document has been written by the project View Details of the Document
    Protocols Proceedings of St. Petersburg Symposium: Annex G// Tacis - Support for Health System Development: Completion Report. - 1997. This document can be downloaded This document has been written by the project View Details of the Document
    Protocols Proceedings of the Barcelona Conference: Annex L // Tacis - Support for Health System Development: Completion Report. -1997. This document can be downloaded This document has been written by the project View Details of the Document
    Protocols Proceedings of the Ekaterinburg Symposium: Annex I // Tacis - Support for Health System Development: Completion Report. - 1997. This document can be downloaded This document has been written by the project View Details of the Document
    Protocols Proceedings of the Samara Symposium: Annex J // Tacis - Support for Health System Development: Completion Report. - 1997. This document can be downloaded This document has been written by the project View Details of the Document
    Protocols Proceedings of the St. Petersburg Academic Meeting: Annex K // Tacis - Support for Health System Development: Completion Report. - 1997. This document can be downloaded This document has been written by the project View Details of the Document
    Protocols Trainers’ Symposium Materials on GPs and GP Nurses Training in St. Petersburg July 1-3, 1996, St. Petersburg, Credes. - 1996. This document can be downloaded This document has been written by the project View Details of the Document
    Reports Completion Report, Annex D - 31 October 1997 This document can be downloaded This document has been written by the project View Details of the Document
    Reports Completion Report. - 1997. This document can be downloaded This document has been written by the project View Details of the Document
    Reports Draft Final Report. - 15 August 1997. This document can be downloaded This document has been written by the project View Details of the Document
    Reports History of Nursing. This document can be downloaded This document has been written by the project View Details of the Document
    Reports Inception Report, Technical. - May 1995. This document can be downloaded This document has been written by the project View Details of the Document
    Reports Progress Report, Technical. - April 1997, vol. 1 This document can be downloaded This document has been written by the project View Details of the Document
    Reports Report of the Health Financing Study Tour to the Netherlands: Annex B // Tacis - Support for Health System: Development Completion Report. - 1997. This document can be downloaded This document has been written by the project View Details of the Document
    Reports Report on Hospital Management Component: Annex O // Tacis - Support for Health System Development: Completion Report. - 1997. This document can be downloaded This document has been written by the project View Details of the Document
    Reports Report on Maternal and Child Health Component: Annex N // Tacis - Support for Health System Development: Completion Report. - 1997. This document can be downloaded This document has been written by the project View Details of the Document
    Reports Summary Version of Joint Task Force Report: Annex M // Tacis - Support for Health System Development: Completion Report. - 1997. This document can be downloaded This document has been written by the project View Details of the Document
    Reports Work of the polyclinic in the new financial mechanism and further reform of the outpatient service: Report at the joint conference of GPs and representatives of Tacis Programme, Samara, April, 1997. - Samara, 1997. This document can be downloaded This document has been written by the project View Details of the Document
    Training materials Detailed Task Force Report on General Practice GP Training Programmes: Annex M - Appendix 2 // Tacis - Support for Health System Development: Completion Report. - 1997. This document can be downloaded This document has been written by the project View Details of the Document
    Training materials Detailed Task Force Report on General Practice Nurse Training Programmes: Annex M - Appendix 3 // Tacis - Support for Health System Development: Completion Report. - 1997. This document can be downloaded This document has been written by the project View Details of the Document
    Topics: 

    This project is characterised by the topics below. Please click on one of these topics to see a list of other projects with that topic.

    Education and training

    Primary health care and community health

    Restructurisation

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     Copyright  2002—2020, Federal Public Health Institute
     The project is funded by WHO/CIDA Health Care Policy and Stewardship Programme in Russia
     Developed in co-operation with the EU funded Tacis "North West Health Replication Project"
    WHO EU