Organizational and methodological support of acute viral infection pandemic elimination by deployment of outpatient and polyclinic centers: retrospective study

OBJECTIVE. To determine an effective organizational and methodological solution to optimize the provision of medical care to a large number of population of a large regional city and the region as a whole during a pandemic of acute viral (infectious) disease by creating an outpatient and polyclinic center.

MATERIALS AND METHODS. The material of the study was 27990 cases of outpatient and polyclinic care during the pandemic of acute coronavirus infection to the population in the State budgetary health care institution “Murmansk city polyclinic №1” for the period of January 2021 to March 2022.

RESULTS. The Outpatient and Polyclinic Center deployed for the first time in the Russian Federation to fight the pandemic of acute coronavirus infection created an integrated coordination of outpatient admission data, the use of polyclinic facilities, audio-distance methods, modern computer technologies, a system of telemedicine consultations, the work of mobile medical teams, routing, examination and treatment of a significant excess number of patients during the pandemic period with the definition of clear criteria for evacuation and treatment.

DISCUSSION. The experience of the first organized and deployed new temporary formation of the state health care institution - Outpatient and Polyclinic Center in the acute pandemic period will allow to use it in case of other possible emergencies of biological and social nature in all territories and subjects of the Russian Federation.

CONCLUSION. As a result of the conducted work, the main directions are outlined for improving methodological and scientific approaches to the organization of outpatient and polyclinic treatment of a significant number of patients in the acute pandemic period of infectious and viral diseases on the whole territory and in all climatic zones of the country.

1. Belotserkovskaya Yu. G., Romanovskikh L. G., Smirnov I. L. COVID-19: respiratory infection caused by the new coronavirus, new data on etiology, clinical course, and patient management. Consilium medicum, 2020, 23(3), 12–20 (In Russ.).

2. Bykov V. M. About some problems of labor organization in the Arctic zone of the Russian Federation. Bulletin of the Komi Republican Academy of Public Administration and Management. Theory and practice, 2020, 24(29), 10–15 (In Russ.).

3. Prokopyeva M. I. Features of the organization of emergency medical care in the Far North. Problems of science, 2019, 2(38), 70–76 (In Russ.).

4. Ruzanova P. D., Mazhinskiy S. V. The problem of healthcare in the Arctic zone of Russia. The Newman in Foreign Policy, 2021, 5(62), 41-44 (In Russ.).

5. Starshinov A. A., Kushnareva E. A., Malkova A. M., Dovgalyuk I. F., Kudulai D. A. New coronavirus infection-features of the clinical course, possibilities of diagnosis, treatment and prevention of infection in adults and children. Current Pediatrics, 2020, Vol. 19, No. 2, pp 123–131 (In Russ.).

6. Saghazadeh A., Rezaei N. Immune-epidemiological parameters of the novel coronavirus – a perspective. Expert Rev. Clin. Immunol, 2020, No. 6, pp. 1–6.

7. Wang D., Hu B., Hu C., et al. Clinical characteristics of 138 hospitalized patients with 2019 novel coronavirus-infected pneumonia in Wuhan, China. JAMA, 2020, Vol. 323, pp. 1061.