EXPERIENCE IN THE DEVELOPMENT OF RURAL MEDICINEIN DEVELOPED COUNTRIES: A LITERARY REVIEW

Abstract

Introduction. According to the State Program for the Development of Healthcare of the Republic of Kazakhstan for
2020-2025, the provision of doctors in cities is 56.8 per 10 thousand of the population, and 16.1 per 10 thousand of the
population in rural areas. Eighty-three percent of all doctors in the country work in urban areas and only 17% in rural areas.
The problem of the provision of human resources remains relevant and not fully resolved. To this end, we have conducted a
literature review of the available sources to better understand how this problem is being addressed in other countries of the
world.
The aim of the research is to study the experience of the development of rural medicine in the developed countries of the
world. Search strategy. We studied publicly available articles over 30 years using the following databases of scientific
publications and specialized search engines: PubMed, Google Scholar, Cochrane Library, Web of Science, Scopus.
Information search was carried out by keywords: rural medicine, telemedicine, COVID-19.
Inclusion criteria: Publication level of evidence A, B: meta-analyzes, systematic reviews, cohort and cross-sectional
studies.
Exclusion criteria: expert opinion in the form of short messages, promotional articles.
Results. Analysis of international and domestic experience in the development of rural medicine notes a shortage of
personnel, including family doctors in rural areas. Mentoring and organization of the educational process in the workplace
play an important role in the professional development of a rural specialist. Proper organization of primary health care with
elements of distance medicine reduces health care costs and improves public health indicators.
Conclusion. In the era of digitalization, the development of family medicine in rural areas can receive an additional
impetus due to the use of modern technologies, which should be provided to every medical institution in the countryside.