Development of various aspects of primary health care in the context of national health systems of the Commonwealth of Independent States. Part 2: management of primary health care subsystems, structural elements, processes

Based on an analytical review of information sources on the status and development of various aspects of primary health care (PHC) in the world and in selected countries, as well as international evidence-based recommendations in a series of reviews, to assess international experience and guidelines for the development of PHC in selected members of the Commonwealth of Independent States (CIS), in particular, with respect to the management aspect. To prepare the review, a database of publications, regulatory legal documents and Internet resources was used based on selected keywords and concepts related to the management of PHC and its characteristics. Priority was given to last decade materials concerning the CIS member states. The characteristics of national PHC management were identified, systematized and arranged in following sections: principles of PHC subsystems, structural elements, processes. The second part presents the analysis of the development of PHC management and its characteristics, including the implementation of recommendations with proven effectiveness in the CIS member states. The analysis of sources on the experience of the CIS member states in the medical examination and follow-up of patients with chronic diseases gave grounds to propose a more precise name for continuous health care in managing health throughout life — the principle of permanence.

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