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1 . 2024

Medical examination in resource-limited settings


Scientific publications of domestic authors on the organization of medical examinations have been studied. A large proportion of studies is addressed to problem of organizing medical examination of the population in conditions of limited resources, shortage of primary health care staff and long-term underfunding of the industry. The modern conditions have served as an impetus for current low medical activity and dissatisfaction of the population with the quality of clinical examination. The study also highlights legislative measures taken by the state to increase citizens’ responsibility for their health.

Aim. To develop recommendations for improving the quality of clinical examination organization, taking into account the current situation and the shortage of primary care staff.

Objectives. To study of the Scientific Community opinion on assessing the organization of clinical examination of the adult population; identify the main problems of medical examination that limit its effectiveness and the possibility of high-quality implementation.

Material and methods. An analysis of scientific literature, a formal-logical analysis of the norms of Russian legislation, and an analysis of indicators for organizing medical examinations in the Republic of Dagestan for 3 years (2020–2022) were carried out.

Conclusion. Clinical examination carried out in conditions of depleted primary health care does not fulfill its objectives of improving public health indicators. To carry it out efficiently, it is necessary to fill the shortage of general practitioners and paramedics. It is possible to use new lean technologies to save time for the population when undergoing medical examination.

Keywords:coverage with preventive examination; clinical observation; medical activity

Funding. The study had no sponsor support.

Conflict of interest. The authors declare no conflict of interest.

Contribution. Determination of key goals and objectives, responsibility for the final version – Ibragimov M.B.; formation of ideas, collection of sources of information, analysis, comments of intellectual content – Alieva L.A.

For citation: Ibragimov M.B., Alieva L.A., Medical examination in resource-limited settings. ORGZDRAV: novosti, mneniya, obuchenie. Vestnik VSHOUZ [HEALTHCARE MANAGEMENT: News, Views, Education. Bulletin of VSHOUZ]. 2024; 10 (1): 77–83. DOI: (in Russian)


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Guzel E. Ulumbekova
MD, MBA from Harvard University (Boston, USA), Head of the Graduate School of Healthcare Organization and Management (VSHOUZ)

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