MANDATORY REQUIREMENTS AND PRACTICE OF OUTPATIENT CARE FOR PREMATURE INFANTS
Successes in nursing small children make more demands on the outpatient stage of medical care. The purpose of this study is to analyze the regulatory support that regulates the mandatory volume of medical care for newborn preterm infants, as well as an analysis of the practice of meeting these requirements in polyclinics and centers of a catamnesis. Analytical, statistical, expert, normative legal methods are used. The analysis of the order of the Ministry of Health of the Russian Federation No. 1346n, the jurisdiction of its action, extending only to medical organizations with the attached population for compulsory medical insurance. The analysis of medical records (outpatient cards) of children with a diagnosis of prematurity and body weight at birth up to 2 kilograms was carried out, during which state obligatory requirements in terms of the volume of examination of premature babies were revealed in state polyclinics, which is determined by the arising (legal) duty. In the centers of the catamnesis, which have great diagnostic and therapeutic capabilities, in most cases, the minimum scope of the survey is not provided for polyclinics, which is related to the paid basis of this medical assistance, the shift of the decision center on the content of the received services from the attending physician and the medical need to the mother's side And financial capabilities of the family. It is proposed to reform the principles of financing medical care for premature babies with the aim of providing them with access to the resources of the "centers of the catamnesis" of perinatal centers, without prejudice to the financial provision of polyclinics in the community, providing basic primary health care (minimum regulatory examination.), While introducing regulatory requirements for the scope of research, for example, relevant standards of care, or binary criteria quality. In various formats, these measures can be taken at the federal, regional and departmental levels, as well as in the medical organization.