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<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">natszdrav</journal-id><journal-title-group><journal-title xml:lang="ru">Национальное здравоохранение</journal-title><trans-title-group xml:lang="en"><trans-title>National Health Care (Russia)</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">2713-069X</issn><issn pub-type="epub">2713-0703</issn><publisher><publisher-name>Federal State Autonomous Educational Institution of Higher Education I.M. Sechenov First Moscow State Medical University of the Ministry of Health of the Russian Federation (Sechenov University)</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.47093/2713-069X.2021.2.4.36-43</article-id><article-id custom-type="elpub" pub-id-type="custom">natszdrav-188</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>МОДЕРНИЗАЦИЯ ПЕРВИЧНОГО ЗВЕНА ЗДРАВООХРАНЕНИЯ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>MODERNIZATION OF PRIMARY HEALTH CARE</subject></subj-group></article-categories><title-group><article-title>Пациентский исполнительный контроль (ПИК) в системе оказания первичной медико-санитарной помощи на примере идиопатического сколиоза у детей</article-title><trans-title-group xml:lang="en"><trans-title>Patient executive control (PEC) in the primary health care system on the example of idiopathic scoliosis in children</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-3603-8946</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Тесакова</surname><given-names>Д. Д.</given-names></name><name name-style="western" xml:lang="en"><surname>Tesakova</surname><given-names>D. D.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Тесакова Дарья Дмитриевна – канд. мед. наук, начальник отдела международного сотрудничества и внешних связей, врач травматолог-ортопед; доцент кафедры травматологии и ортопедии </p><p>ул. Приорова, д. 10, г. Москва, 127299</p><p>ул. Баррикадная, д. 2/1, стр. 1, г. Москва, 125993</p></bio><bio xml:lang="en"><p>Daria D. Tesakova – Cand. of Sci. (Medicine), Head of the Department of International Cooperation and External Relations, Traumatologist-orthopedist; Associate Professor, Department of Traumatology and Ortopaedics, RMACPI </p><p>Priorova str., 10, Moscow, 127299</p><p>Barrikadnaya str., 2/1, bld. 1, Moscow, 125993</p></bio><email xlink:type="simple">dr-tesakova@yandex.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-8293-0521</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Рябых</surname><given-names>С. О.</given-names></name><name name-style="western" xml:lang="en"><surname>Ryabykh</surname><given-names>S. O.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Рябых Сергей Олегович – д-р мед. наук, заместитель директора по образованию и взаимодействию с регионами</p><p>ул. М. Ульяновой, д. 6, г. Курган, 640014</p></bio><bio xml:lang="en"><p>Sergey O. Ryabykh – Dr. of Sci. (Medicine), Deputy Director for Education and Interaction with Regions </p><p>M. Ulyanovoy str., 6, Kurgan, 640014</p></bio><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-5935-5776</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Хан</surname><given-names>Н. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Khan</surname><given-names>N. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Хан Нинель Викторовна – канд. экон. наук, доцент, эксперт Института управления и регионального развития </p><p>проспект Вернадского, д. 82, г. Москва, 117571</p></bio><bio xml:lang="en"><p>Ninel V. Khan – Cand. of Sci. (Economic), Associate Professor </p><p>Vernadsky ave., 82, Moscow, 117571</p></bio><xref ref-type="aff" rid="aff-3"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-0733-2414</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Бурцев</surname><given-names>А. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Burtsev</surname><given-names>A. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Бурцев Александр Владимирович – д-р мед. наук, и. о. директора</p><p>ул. М. Ульяновой, д. 6, г. Курган, 640014</p></bio><bio xml:lang="en"><p>Alexander V. Burtsev – Dr. of Sci. (Medicine), Acting Director </p><p>M. Ulyanovoy str., 6, Kurgan, 640014</p></bio><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-0890-8174</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Тесаков</surname><given-names>Д. К.</given-names></name><name name-style="western" xml:lang="en"><surname>Tesakov</surname><given-names>D. K.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Тесаков Дмитрий Кимович – канд. мед. наук, ведущий научный сотрудник </p><p>ул. Лейтенанта Кижеватова, д. 60, корпус 4, г. Минск, 220024</p></bio><bio xml:lang="en"><p>Dmitry K. Tesakov – Cand. of Sci. (Medicine), leading researcher </p><p>Lieutenanta Kizhevatova str., 60, building 4, Minsk, 220024</p></bio><xref ref-type="aff" rid="aff-4"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Пуляткина</surname><given-names>И. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Pulyatkina</surname><given-names>I. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Пуляткина Ирина Владимировна – ученый секретарь </p><p>ул. Приорова, д. 10, г. Москва, 127299</p></bio><bio xml:lang="en"><p>Irina V. Pulyatkina – Scientific Secretary </p><p>Priorova str., 10, Moscow, 127299</p></bio><xref ref-type="aff" rid="aff-5"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-3234-8936</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Губин</surname><given-names>А. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Gubin</surname><given-names>A. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Губин Александр Вадимович – д-р мед. наук, профессор, директор </p><p>ул. Приорова, д. 10, г. Москва, 127299</p></bio><bio xml:lang="en"><p>Alexander V. Gubin – Dr. of Sci. (Medicine), Professor, Director  </p><p>Priorova str., 10, Moscow, 127299</p></bio><xref ref-type="aff" rid="aff-5"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>ФГБУ «Национальный медицинский исследовательский центр травматологии и ортопедии им. академика Н.Н. Приорова» Министерства здравоохранения Российской Федерации; ФГБОУ ДПО «Российская медицинская академия непрерывного профессионального образования» Министерства здравоохранения Российской Федерации</institution><country>Россия</country></aff><aff xml:lang="en"><institution>National Priorov Medical Research Center for Traumatology and Orthopaedics; Russian Medical Academy of Continuous Professional Education</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru"><institution>ФГБУ «Национальный медицинский исследовательский центр травматологии и ортопедии имени академика Г.А. Илизарова» Министерства здравоохранения Российской Федерации</institution><country>Россия</country></aff><aff xml:lang="en"><institution>National Ilizarov Medical Research Centre for Traumatology and Ortopaedics</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-3"><aff xml:lang="ru"><institution>Институт управления и регионального развития ФГБОУ ВО «Российская академия народного хозяйства и государственной службы при Президенте Российской Федерации»</institution><country>Россия</country></aff><aff xml:lang="en"><institution>The Russian Presidential Academy of National Economy and Public Administration</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-4"><aff xml:lang="ru"><institution>ГУ «Республиканский научно-практический центр травматологии и ортопедии» Министерства здравоохранения Республики Беларусь</institution><country>Беларусь</country></aff><aff xml:lang="en"><institution>Republican Scientific and Practical Center of Traumatology and Orthopedics of Belarus</institution><country>Belarus</country></aff></aff-alternatives><aff-alternatives id="aff-5"><aff xml:lang="ru"><institution>ФГБУ «Национальный медицинский исследовательский центр травматологии и ортопедии им. академика Н.Н. Приорова» Министерства здравоохранения Российской Федерации</institution><country>Россия</country></aff><aff xml:lang="en"><institution>National Priorov Medical Research Center for Traumatology and Orthopaedics</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2021</year></pub-date><pub-date pub-type="epub"><day>19</day><month>10</month><year>2022</year></pub-date><volume>2</volume><issue>4</issue><fpage>36</fpage><lpage>43</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Тесакова Д.Д., Рябых С.О., Хан Н.В., Бурцев А.В., Тесаков Д.К., Пуляткина И.В., Губин А.В., 2022</copyright-statement><copyright-year>2022</copyright-year><copyright-holder xml:lang="ru">Тесакова Д.Д., Рябых С.О., Хан Н.В., Бурцев А.В., Тесаков Д.К., Пуляткина И.В., Губин А.В.</copyright-holder><copyright-holder xml:lang="en">Tesakova D.D., Ryabykh S.O., Khan N.V., Burtsev A.V., Tesakov D.K., Pulyatkina I.V., Gubin A.V.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://www.natszdrav.ru/jour/article/view/188">https://www.natszdrav.ru/jour/article/view/188</self-uri><abstract><p>В публикации освещено понятие пациентского исполнительного контроля (ПИК) в детской и подростковой ортопедии, а также средства его достижения, что предлагается для использования в отечественной системе здравоохранения. Авторами определены ключевые направления модернизации первичного звена при оказании ортопедотравматологической помощи детскому и подростковому населению при идиопатическом сколиозе. Среди них особое место занимает разработка и апробация чек-листов и шкал оценки ортопедического статуса для специалистов первичного звена, планирование и реализация пилотного проекта по раннему выявлению патологии, назначению и проведению консервативного корсетного корригирующего лечения с целью снижения степени сколиотической деформации позвоночника у растущих пациентов, клинического обоснования включения компенсации расходов по реализации данного лечения в систему обязательного медицинского страхования.</p></abstract><trans-abstract xml:lang="en"><p>The publication highlights the concept of patient executive control (PEC) in pediatric and adolescent orthopedics, as well as the means of achieving it, which is proposed for use in the domestic health care system. The authors identified the key areas of modernization of primary care in the provision of orthopedic and traumatological care to children and adolescents with idiopathic scoliosis. Among them, a special place is occupied by the development and testing of checklists and scales for assessing the orthopedic status for primary care specialists, planning and implementation of a pilot project on early detection of pathology, prescribing and conducting conservative brace treatment in order to reduce the degree of scoliotic deformity of the spine in growing patients, clinical justification for the inclusion of compensation for the costs of implementing this treatment in the compulsory health insurance system (CHI).</p></trans-abstract><kwd-group xml:lang="ru"><kwd>организация здравоохранения</kwd><kwd>профилактическая медицина в ортопедии</kwd><kwd>первичное звено в ортопедии и травматологии</kwd><kwd>идиопатический сколиоз</kwd><kwd>корсетное корригирующее лечение</kwd></kwd-group><kwd-group xml:lang="en"><kwd>health care organization</kwd><kwd>preventive medicine in orthopedics</kwd><kwd>primary care in orthopedics and traumatology</kwd><kwd>idiopathic scoliosis</kwd><kwd>brace treatment</kwd></kwd-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">ФБУЗ «Центр гигиенического образования населения» Роспотребнадзора. 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