Functional model of a doctor's activity in providing primary specialized health care

Aim. To develop and describe a functional model of the activity of a doctor of a multidisciplinary polyclinic in the provision of specialized medical and sanitary care. Materials and methods. The work is based on an integrated approach. The analysis of the works of foreign and domestic authors of the scientific electronic library elibrary for the period 2005-2025; data from the reference information resource "Register of medical organizations of the Russian Federation"; procedures for the formation of primary accounting medical documents in the digital environment. The study involved surgical specialists from 6 multidisciplinary polyclinics in Volgograd. 20020 pieces of information about the specifics of providing specialized medical care to patients under different conditions of visitor flows were analyzed. The organizational and functional process modeling of the medical and diagnostic activity of a doctor was carried out using SADT technology using the service Draw. io; used the IDEF0 functional modeling methodology. Mathematical and statistical data processing was carried out using an Excel spreadsheet processor and the statistical package «Statistica 6.0». Results. The accounting documentation and the actual content of the work of medical workers have been studied; the main processes ensuring the provision of specialized medical care in outpatient settings have been identified; a model of the doctor's activity has been built based on the IDEF0 functional modeling methodology using SADT modeling technology using the service Draw.io. Conclusion. The digital transformation of primary healthcare is a complex multicomponent process of transforming the medical care system through the use of new digital technologies, the use and implementation of digital medical documents and digital diagnostic equipment. A functional model of the polyclinic doctor's activity in providing primary specialized medical care has been developed. Its application will make it possible to identify problematic actions in a timely manner, eliminate unnecessary steps, distribute functional responsibilities between the doctor and the secondary medical staff, extend the concept of a «lean polyclinic» not only to the patient, but also to the doctor, minimize the risks of medical errors based on the identification of redundant processes of activity, increase the validity of decisions, the effectiveness of sanitary and hygienic measures for the prevention of non-communicable diseases. diseases of medical workers. It is necessary to develop modern methods based on
digital data.

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