The article presents the modern strategy of an outpatient cardiovascular care improvement. The modernization of primary health care in outpatient network is based on primary and secondary prevention of cardiovascular diseases including an improvement of outpatient observation, development of an outpatient high-risk offices network, advancement of telemedical consulting, increase of preferential medication provision effectiveness, increase of quality management patients with chronic heart failure and development of vertically integrated medical information system. Improvement of cardiovascular outpatient care will reduce cardiovascular mortality in the whole population.

As a result of the Program “Modernization of primary health care in the Russian Federation” medical care has been developed at all levels of its provision, starting from primary health care and up to specialized.
Aim. Аanalysis of the current state of the outpatient health care link and the results of its activities in ensuring the availability of medical care to the population in the field of “cardiovascular surgery”.
Material and methods. The sources of information were the information provided by the subjects of the Russian Federation at the request of the Bakulev National Medical Research Center for Cardiovascular Surgery (Bakulev NMRCCS), official statistical reporting data, materials obtained during field events in supervised regions of the Russian Federation on the organization of medical care in the field of “cardiovascular surgery” by specialists from Bakulev NMRCCS. The organization of providing medical care in the profile “cardiovascular surgery” at the level of the polyclinic level in 38 regions Russian Federation supervised by the Bakulev NMRCCS was studied.
Results. The article presents the current state of staffing of outpatient clinics, their relationships with higher-level medical organizations and measures to improve their work in general. The role of the introduction of registers of patients with diseases of the cardiovascular system and the importance of a unified information system in improving the quality of medical care is noted. The importance of telemedicine technologies in increasing the availability of medical care is shown.
Discussion. Most of the subjects of Russia have improved the provision of their residents with cardiologists. Successful modernization of the primary care depends on the introduction of the unified state information system of healthcare at all levels of healthcare, starting from the possibility of making an independent appointment with a doctor in an electronic schedule of outpatient appointments. The high prevalence of cardiovascular diseases mortality requires the decision on a unified form of registers for the main diseases. Also, the modernization program should include provisions on the activation of the use of telemedicine technologies.
Conclusion. Thus, the target program “Modernization of primary health care in the Russian Federation” is one of the most relevant events in the domestic health care. One of the criteria for the effectiveness of polyclinic departments can be considered the number of residents of the subjects of the Russian Federation who received highly specialized medical care.

The aim of the study is to conduct an analysis of the activities of multi-professional teams that provide assistance to patients on an outpatient basis suffering from mental and behavioral disorders.
Methods of work. The data were obtained during the processing of federal statistical observation forms No. 30 “Information about the medical organization” and No. 36 “Information about the contingents of mentally ill patients” in the Russian Federation as a whole in dynamics over 5 years (from 2016 to 2020). Both extensive and intensive values were analyzed. The calculations of the rate of increase (decrease).
Results. Brigade forms of medical care for patients with mental disorders are a promising direction in the development of mental health services. Thus, the indicator of the proportion of patients suffering from chronic and protracted mental disorders with severe persistent or often exacerbating painful manifestations, covered by brigade forms of mental health care, in the total number of patients undergoing dispensary observation, was achieved in 2019, however, due to the spread of COVID-19, was not achieved in 2020. There has been a slight increase in the provision of the population with psychiatrists, medical psychologists and social work specialists. At the same time, the provision of the population with psychotherapists and social workers is decreasing. Despite the absence of regulated norms for the composition of such teams, classically all of the above specialists are part of polyprofessional teams.
Conclusions. The current shortage of personnel, as well as the decline of psychotherapists and social workers, indicate the need to take measures to attract specialists to mental health services. In addition, the development of a regulatory document governing the composition of the teams is required.

The aim of the study is to assess the state of primary health care for the child population in the constituent entities of the Russian Federation supervised by the National Medical Research Center of Children’s Health, and to develop proposals for its further improvement.
Materials and methods. The sources of information were specially designed passports of the regions and statistical data of the Federal State Statistics Service. The provision, staffing of primary health care with pediatricians, district pediatricians and pediatric surgeons, their qualifications and the coefficient of combination, as well as the proportion of visits by children to medical organizations for preventive purposes and the proportion of children taken under dispensary observation were assessed.
Results. Problems were identified in the organization of primary health care for the child population, concerning, first of all, staffing – a low level of pediatricians, district pediatricians and pediatric surgeons, which determined the insufficient staffing and high combination (having more than one job) coefficient of doctors of this profile. A significant part of the territories did not reach the planned level of the proportion of visits by children to medical organizations for preventive purposes and the proportion of children taken under dispensary observation, both in general and for certain classes of diseases (musculoskeletal, gastrointestinal, circulatory, endocrine system and eye).
Conclusion. Proposals for further improving the organization of primary health care are aimed at improving the personnel situation (targeted training of doctors taking into account the needs of the region, monitoring their qualification level improvement, social support) and improving the quality of organization and conducting preventive medical examinations of the child population.

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).