Family medicine and international cooperation in the North: A step ahead

Abstract

International cooperation contributed to the development of family medicine in the North of Russia, it was characterized by a system approach and interdisciplinary interaction. The article presents the results of Russian-Norwegian projects that were developed with the active participation of the Department of Family Medicine of NSMU (Arkhangelsk), as well as the main aspects of the projects: significance for practical health care, research, and educational components.

Several complementary projects aimed at the development of primary health care, such as “Reform of Arkhangelsk Region Health Care System with a special emphasis on primary care”, “System approach to NCD prevention” and “Suicide prevention in the Arkhangelsk region” were implemented together with the Norwegian Directorate of Health. “The POMOR Program – specialist training in general practice in Northern Russia” project (together with the University of Tromsø – The Arctic University of Norway, Norwegian Medical Association, and Norwegian Centre for Rural Medicine) facilitated the development of tutorship in family medicine in the Arkhangelsk and Murmansk regions. Better interaction between psychiatrists and general practitioners in the mental health sphere became an essential area of international collaboration (“Integrating mental health into primary care in the Arkhangelsk County, Russia: the Pomor model in psychiatry” project together with the University of Tromsø – The Arctic University of Norway and University Hospital of North Norway, Tromsø). The education component of the projects got a sequel in the continued medical education system of NSMU while the scientific one was continued in the form of publications in international and Russian journals, and master’s thesis defense of public health degrees. The project's results were consistently presented at the international and Russian forums. General practitioner’s education is a cross-cutting theme for the cooperation on the path from a beginner to an expert and plays a special role in support of GPs during the COVID-19 pandemic.

Keywords

international cooperation / family medicine / primary health care / mental health / general practitioners

References

[1] Federal Law of Russian Federation No. 15-ФЗ of 23 February 2013 “Ob okhrane zdorov’ya grazhdan ot vozdeistviya okruzhayushchego tabachnogo dyma i posledstvii potrebleniya tabaka” [Internet]. Available from: http://www.consultant.ru/document/cons_doc_LAW_142515/. Accessed: May 31, 2021. (In Russ.)

[2] Федеральный закон № 15-ФЗ от 23 февраля 2013 г. «Об охране здоровья граждан от воздействия окружающего табачного дыма и последствий потребления табака» [Электронный ресурс]. Режим доступа: http://www.consultant.ru/document/cons_doc_LAW_142515/. Дата обращения: 31.05.2021.

[3] Arkhangel’skaya mezhdunarodnaya shkola po obshchestvennomu zdorov’yu pri Severnom gosudarstvennom meditsinskom universitete [Internet]. Available from: http://www.ispha.ru/. Accessed: May 31, 2021. (In Russ.)

[4] Архангельская международная школа по общественному здоровью при Северном государственном медицинском университете [Электронный ресурс]. Режим доступа: http://www.ispha.ru/. Дата обращения: 31.05.2021.

[5] Postanovlenie Arkhangel’skogo oblastnogo sobraniya deputatov ot 17 oktyabrya 2012 goda No. 1596 “Ob utverzhdenii strategii Arkhangel’skoi oblasti po zashchite naseleniya ot posledstvii potrebleniya tabaka na 2012-2020 gody” [Internet]. Available from: https://docs.cntd.ru/document/462609963. Accessed: May 31, 2021. (In Russ.)

[6] Постановление Архангельского областного собрания депутатов от 17 октября 2012 года № 1596 «Об утверждении стратегии Архангельской области по защите населения от последствий потребления табака на 2012–2020 годы» [Электронный ресурс]. Режим доступа: https://docs.cntd.ru/document/462609963. Дата обращения: 31.05.2021.

[7] Zdorovye goroda, raiony, poselki // Rossiiskaya assotsiatsiya [Internet]. Available from: https://zdorovyegoroda.ru/town-category/severo-zapadnyj-federalnyj-okrug/. Accessed: May 31, 2021. (In Russ.)

[8] Здоровые города, районы, поселки // Российская ассоциация [Электронный ресурс]. Режим доступа: https://zdorovyegoroda.ru/town-category/severo-zapadnyj-federalnyj-okrug/. Дата обращения: 31.05.2021.

[9] Andreeva E, Melbye H. Usefulness of C-reactive protein testing in acute cough/respiratory tract infection: an open cluster-randomized clinical trial with C-reactive protein testing in the intervention group. BMC Fam Pract. 2014;15:80. DOI: 10.1186/1471-2296-15-80

[10] Andreeva E., Melbye H. Usefulness of C-reactive protein testing in acute cough/respiratory tract infection: an open cluster-randomized clinical trial with C-reactive protein testing in the intervention group // BMC Fam. Pract. 2014. Vol. 15. P. 80. DOI: 10.1186/1471-2296-15-80

[11] Goldberg DP, Gask L, Zakroyeva A, et al. Training teachers to teach mental health skills to staff in primary care settings in a vast, under-populated area. Ment Health Fam Med. 2012;9(4):219–224.

[12] Goldberg D.P., Gask L., Zakroyeva A. et al. Training teachers to teach mental health skills to staff in primary care settings in a vast, under-populated area // Ment. Health Fam. Med. 2012. Vol. 9, No. 4. P. 219–224.

[13] Uluchshenie okazaniya uslug v sfere psikhicheskogo zdorov’ya v Arkhangel’skoi oblasti putem integratsii pervichnogo i spetsializirovannogo zvena — razvitie modeli, ee vnedrenie i otsenka. Rossiisko-norvezhskii proekt “Pomorskaya model’”[Internet]. Available from: https://pomormodelproekt.ru/. Accessed: May 31, 2021. (In Russ.)

[14] Улучшение оказания услуг в сфере психического здоровья в Архангельской области путем интеграции первичного и специализированного звена — развитие модели, ее внедрение и оценка // Российско-норвежский проект «Поморская модель» [Электронный ресурс]. Режим доступа: https://pomormodelproekt.ru/. Дата обращения: 31.05.2021.

[15] Rezvy G, Andreeva E, Ryzhkova N, et al. Integrating mental health into primary care in Arkhangelsk County, Russia: the Pomor model in psychiatry. Int J Ment Health Syst. 2019;13:14. DOI: 10.1186/s13033-019-0271-1

[16] Rezvy G., Andreeva E., Ryzhkova N. et al. Integrating mental health into primary care in Arkhangelsk County, Russia: the Pomor model in psychiatry // Int. J. Ment. Health Syst. 2019. Vol. 13. P. 14. DOI: 10.1186/s13033-019-0271-1

RIGHTS & PERMISSIONS

Andreeva E.A., Rezvy G.G., Sørlie T.