Keywords: PHC, family doctor,
Background:
Introduction. In Latvia, the problems of PHC availability are increasing every year, especially in rural regions. The main reasons. The aging of family doctors. 30.2% of family doctors have already reached retirement age, and in rural areas even 40%. Low local government support. Ineffective cooperation with secondary care specialists. Slow digitization process. The result is overwork and burnout of family doctors and team members. Young family doctors do not want to work
Aim of the case report:
The aim. To study and analyze the problems of PHC availability in rural regions.
Research question. Can constructive cooperation between organizations of family doctors, the Ministry of Health, the government, parliament, universities, municipalities significantly improve access to PHC in rural regions?
Case report:
Subjects and methods. This year, after analyzing the work of the PHC in Latvia, a 3-year development plan has been developed, which foresees certain goals and tasks to improve the work of family doctors with additional funding from the state budget, hoping for development in rural regions.
Results. The plan provides. Expansion of the PHC team with another state-paid employee. The implementation of rural support factor in wages, which is related to the distance from the capital and the population density of the territory. Review, expansion of the manipulations performed by the family doctor. Implementation of performance indicators. Introduction of vaccination coverage payment. Multiprofessional PHC development. Facilitated implementation of the joint practice model. Development of digitization.
Conclusions:
Conclusion. As a result of the implemented measures, the patient will be provided with better access to PHC services, especially in rural regions, and the workload of secondary health care specialists and hospitals will be reduced.
#38
