What next for the polyclinic? New models of primary health care are required in many former Soviet Union countries.

ABSTRACT:

Background

There is unfinished reform in primary care in Russia and other former Soviet Union (FSU) countries. The traditional 'Semashko' multi-specialty polyclinic model has been retained, while its major characteristics are increasingly questioned. The search for a new model is on a health policy agenda. It is relevant for many other countries.

Objectives

In this paper, we explore the strengths and weaknesses of the multi-specialty polyclinic model currently found in Russia and other FSU countries, as well as the features of the emerging multi-disciplinary and large-scale primary care models internationally. The comparison of the two is a major research question. Health policy implications are discussed.

Methods

We use data from two physicians' surveys and recent li

SUBMITTER: Edwards N 

PROVIDER: S-EPMC9354434 | biostudies-literature | 2022 Aug

REPOSITORIES: biostudies-literature