Boundaries of professional responsibility of a general practitioner (family physician): rationale and study design
O. M. Drapkina,
V. V. Fomin,
T. E. Morozova,
A. V. Volnukhin,
R. N. Shepel,
S. Yu. Astanina,
N. L. Shaporova,
O. Yu. Kuznetsova,
E. A. Gritsaeva,
G. N. Shemetova,
O. V. Fatenkov,
E. D. Golovanova,
G. V. Shavkuta,
L. I. Tokareva,
M. V. Doyutova,
G. I. Nechaeva,
S. V. Kolbasnikov,
L. V. Tribuntseva,
M. S. Vdovichenko https://doi.org/10.15829/1728-8800-2025-4707
EDN: OZXXNS
Abstract
This paper rationales a planned study, the purpose of which is to define the boundaries of professional responsibility of general practitioners (family physicians), as well as to develop algorithms for in ter action between general practitioners (family physicians) and specialist physicians based on expert assessments to improve patient routing in primary care. The study has multicenter, cross- sectional de sign. The methodological basis was current regulatory documents governing professional activity and the list of diseases falling within the professional responsibility of general practitioners (family physicians), as well as expert assessments. Fifty specialists from 13 Russian regions will serve as experts as follows: faculty members from Russian universities training general practitioners (family doctors), district general practitioners (family doctors) of the Moscow Department of Health, chief freelance general practitioners (family doctors) of the Central Federal District of the Russian Federation and other federal districts, as well as physicians with at least 10 years of related experience. The study is structured around 14 independent sub-studies, corresponding to the medical specialties within which the general practitioners (family doctors) practice. Expert assessment cards for work functions were specially developed for each sub-study. A total of 252 diseases are planned to be analyzed. The study will in clude four phases, the last of which is scheduled to be completed in October 2026.
About the Authors
O. M. Drapkina
National Medical Research Center for Therapy and Preventive Medicine
Russian Federation
Russian Federation
Petroverigsky Lane, 10, bld. 3, Moscow, 101990
V. V. Fomin
Russian Medical Academy of Continuous Professional Education
Russian Federation
Russian Federation
Barrikadnaja st., 2/1, bld. 1, Moscow, 125993
T. E. Morozova
I. M. Sechenov First Moscow State Medical University
Russian Federation
Russian Federation
Bolshaya Pirogovskaya str., 2-4, Moscow, 119991
A. V. Volnukhin
I. M. Sechenov First Moscow State Medical University
Russian Federation
Russian Federation
Bolshaya Pirogovskaya str., 2-4, Moscow, 119991
R. N. Shepel
National Medical Research Center for Therapy and Preventive Medicine
Russian Federation
Russian Federation
Petroverigsky Lane, 10, bld. 3, Moscow, 101990
S. Yu. Astanina
National Medical Research Center for Therapy and Preventive Medicine
Russian Federation
Russian Federation
Petroverigsky Lane, 10, bld. 3, Moscow, 101990
N. L. Shaporova
First Pavlov State Medical University of Saint Petersburg. Saint Petersburg
Russian Federation
Russian Federation
Lva Tolstogo str., 6-8, Saint Petersburg, 197022
O. Yu. Kuznetsova
Mechnikov North- Western State Medical University
Russian Federation
Russian Federation
Kirochnaya str., 41, Saint Petersburg, 191015
E. A. Gritsaeva
National Medical Research Center for Therapy and Preventive Medicine
Russian Federation
Russian Federation
Petroverigsky Lane, 10, bld. 3, Moscow, 101990
G. N. Shemetova
Razumovsky Saratov State Medical University
Russian Federation
Russian Federation
Bolshaya Kazachya str., 112, Saratov
O. V. Fatenkov
Samara State Medical University
Russian Federation
Russian Federation
Chapaevskaya St., 89, Samara, 443099
E. D. Golovanova
Smolensk State Medical University
Russian Federation
Russian Federation
Krupskaya str., 28, Smolensk
G. V. Shavkuta
Rostov State Medical University
Russian Federation
Russian Federation
Nakhichevansky Lane, 29, Rostov-on- Don, 344022
L. I. Tokareva
Batievsky Kemerovo Clinical District Hospital
Russian Federation
Russian Federation
Shakhterov Ave., 113, Kemerovo
M. V. Doyutova
Ministry of Health of the Nizhny Novgorod Region
Russian Federation
Russian Federation
Malaya Yamskaya str., 78a, Nizhny Novgorod, 603022
G. I. Nechaeva
Omsk State Medical University
Russian Federation
Russian Federation
Lenin str., 12, Omsk, 644099
S. V. Kolbasnikov
Tver State Medical University
Russian Federation
Russian Federation
Sovetskaya str., 4, Tver
L. V. Tribuntseva
Burdenko Voronezh State Medical University
Russian Federation
Russian Federation
Studencheskaya str., 10, Voronezh
M. S. Vdovichenko
Tambov City Clinical Polyclinic № 5
Russian Federation
Russian Federation
Morshanskoe shosse, 16B, Tambov
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Review
For citations:
Drapkina O.M., Fomin V.V., Morozova T.E., Volnukhin A.V., Shepel R.N., Astanina S.Yu., Shaporova N.L., Kuznetsova O.Yu., Gritsaeva E.A., Shemetova G.N., Fatenkov O.V., Golovanova E.D., Shavkuta G.V., Tokareva L.I., Doyutova M.V., Nechaeva G.I., Kolbasnikov S.V., Tribuntseva L.V., Vdovichenko M.S. Boundaries of professional responsibility of a general practitioner (family physician): rationale and study design. Cardiovascular Therapy and Prevention. 2025;24(4S):4707. (In Russ.) https://doi.org/10.15829/1728-8800-2025-4707. EDN: OZXXNS
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