cardiotomskСибирский журнал клинической и экспериментальной медициныSiberian Journal of Clinical and Experimental Medicine2713-29272713-265XTSU publishing10.29001/2073-8552-2025-40-3-194-204cardiotomsk-2834Research ArticleОРГАНИЗАЦИЯ ЗДРАВООХРАНЕНИЯ И ОБЩЕСТВЕННОЕ ЗДОРОВЬЕHEALTHCARE AND PUBLIC HEALTHНекоторые организационные технологии оказания медицинской помощи в малочисленных и труднодоступных населенных пунктахSome organizational technologies for providing medical care in small and hard-to-reach settlementshttps://orcid.org/0000-0003-0098-1403КобяковаО. С.KobyakovaO. S.

Кобякова Ольга Сергеевна - д-р мед. наук, профессор, директор ЦНИИОИЗ Минздрава России.

127254, Москва, ул. Добролюбова, 11

Olga S. Kobyakova - Dr. Sci. (Med.), Professor, Russian Research Institute of Health.

11, Dobrolubova str., Moscow, 127254

kobyakovaos@mednet.ruhttps://orcid.org/0000-0002-4449-4810ДеевИ. А.DeevI. A.

Деев Иван Анатольевич - д-р мед. наук, профессор, профессор кафедры управления, экономики здравоохранения и медицинского страхования, ФДПО, РНИМУ им. Н.И. Пирогова Минздрава России.

117513, Москва, ул. Островитянова, 1

Ivan A. Deev - Dr. Sci. (Med.), Professor, Management, Economics of Healthcare and Medical Insurance Department, School of Continuing Medical Education, Pirogov Medical University.

1, Ostrovityanova str., Moscow, 117997

ivandeyev@yandex.ruhttps://orcid.org/0000-0001-7532-7102БойковВ. А.BoykovV. A.

Бойков Вадим Андреевич - д-р мед. наук, доцент, заведующий кафедрой организации здравоохранения и общественного здоровья, СибГМУ Минздрава России.

634050, Томск, Московский тракт, 2

Vadim A. Boykov - Dr. Sci. (Med.), Associate Professor, Head of the Department of Health Organization and Public Health, Siberian State Medical University.

2, Moskovsky Tract, Tomsk, 634002

boykov85@mail.ruhttps://orcid.org/0000-0002-1168-7405ПерфильеваД. Ю.PerfilevaD. Y.

Перфильева Дарья Юрьевна - ассистент, кафедра организации здравоохранения и общественного здоровья, СибГМУ Минздрава России.

634050, Томск, Московский тракт, 2

Daria Y. Perfileva - Assistant Professor, Health Organization and Public Health Department, Siberian State Medical University.

2, Moskovsky Tract, Tomsk, 634002

daria.perfileva@mail.ruhttps://orcid.org/0000-0002-4255-6846ШибалковИ. П.ShibalkovI. P.

Шибалков Иван Петрович - канд. экон. наук, советник директора, ЦНИИОИЗ Минздрава России.

127254, Москва, ул. Добролюбова, 11

Ivan P. Shibalkov - Сand. Sci. (Econ.), Advisor to the Director, Department of Scientific Bases of Healthcare Organization, Russian Research Institute of Health.

11, Dobrolubova str., Moscow, 127254

shibalkov.ivan@yandex.ruhttps://orcid.org/0009-0003-2444-9857АнтиповС. А.AntipovS. A.

Антипов Сергей Анатольевич - д-р мед. наук, президент Ассоциации «Инотздрав».

634050, Томск, Московский тракт, 23

Sergey A. Antipov - Dr. Sci. (Med.), President, Association «Inotzdrav».

23, Moskovsky Tract, Tomsk, 634002

sergey.antipov@remhc.orghttps://orcid.org/0009-0009-8346-9720ЛадыкоЛ. А.LadykoL. A.

Ладыко Людмила Алексеевна - аспирант, ЦНИИОИЗ Минздрава России.

127254, Москва, ул. Добролюбова, 11

Lyudmila A. Ladyko - Graduate Student, Department of Scientific Bases of Healthcare Organization, Russian Research Institute of Health.

11, Dobrolubova str., Moscow, 127254

l.a.ladyko@gmail.comЦентральный научно-исследовательский институт организации и информатизации здравоохранения Министерства здравоохранения Российской Федерации (ЦНИИОИЗ Минздрава России)РоссияRussian Research Institute of Health (RIH)Russian FederationРоссийский национальный исследовательский медицинский университет имени Н.И. Пирогова Министерства здравоохранения Российской Федерации (РНИМУ имени Н.И. Пирогова Минздрава России (Пироговский Университет))РоссияPirogov Russian National Research Medical University (Pirogov Medical University)Russian FederationСибирский государственный медицинский университет Министерства здравоохранения Российской Федерации (СибГМУ Минздрава России)РоссияSiberian State Medical University (SSMU)Russian FederationАссоциация «Институт отдалённого здравоохранения» (Ассоциация «Инотздрав»)РоссияAssociation «Institute of Remote Health Care» (Association «Inotzdrav»)Russian Federation202505102025403194204Copyright © Кобякова О.С., Деев И.А., Бойков В.А., Перфильева Д.Ю., Шибалков И.П., Антипов С.А., Ладыко Л.А., 20252025Кобякова О.С., Деев И.А., Бойков В.А., Перфильева Д.Ю., Шибалков И.П., Антипов С.А., Ладыко Л.А.Kobyakova O.S., Deev I.A., Boykov V.A., Perfileva D.Y., Shibalkov I.P., Antipov S.A., Ladyko L.A.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.sibjcem.ru/jour/article/view/2834

Одной из ключевых задач развития системы здравоохранения является создание условий для повышения доступности медицинской помощи населению, которая остро ощущается в малочисленных и удаленных населенных пунктах.

Цель настоящего обзора: проанализировать имеющуюся информацию об организационных технологиях, которые используются для повышения доступности медицинской помощи в малочисленных и труднодоступных населенных пунктах. Для анализа использованы оригинальные научные публикации, включенные в международные и отечественные базы данных и отобранные на основе стандарта PRISMA.

Авторы проанализировали пять организационных технологий, достоверно способствующих устранению неравенства в получении медицинских услуг на удаленных территориях, а также улучшающих клинические исходы, несмотря на транспортные барьеры. К ним относятся передвижные медицинские комплексы, экспресс-методы лабораторной диагностики, цифровые технологии, беспилотные летательные аппараты и организационная система медицинской эвакуации.

Анализ мирового опыта применения данных технологий показал:

One of the key tasks of the development of the healthcare system is to create conditions for increasing the availability of medical care to the population, a problem which is most acutely felt in small and hard-to-reach settlements. The purpose of this review is to analyze and summarize the available world data on organizational technologies for the provision of medical care in small and hard-to-reach settlements. During the work, a literature review of scientific original articles included in international and domestic databases was conducted using PRISMA criteria. The main research question was formed as follows: what organizational technologies are used in healthcare to increase the availability of medical care in small and hard-to-reach settlements?

The literature review demonstrates that currently various organizational tools and technologies are used in the world that reliably contribute to eliminating inequalities in the receipt of medical services, as well as improving clinical outcomes, despite transport barriers. At the same time, significant opportunities for modern medical and organizational solutions have been established both in the prevention of diseases and in diagnosis, treatment and rehabilitation. A systematic review revealed the limitations of applied research demonstrating the implementation of comprehensive organizational models with performance evaluation before and after the intervention, which forms a reserve and opportunity for further research in the field.

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The authors declare that there are no conflicts of interest present.