Some organizational technologies for providing medical care in small and hard-to-reach settlements

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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