What next for the polyclinic? New models of primary health care are required in many former Soviet Union countries

Abstract

Highlights • The Semashko polyclinic model has lost strengths due to excessive specialization. • Solo and group PHC practices are no longer suitable to manage multimorbidity. • A new ‘extended general practice’ reorients the health system towards PHC. • Restructuring polyclinics is possible by transforming them into outpatient specialty units of hospital structures.

Keywords

• Primary health care
• Multi-specialty model
• Polyclinic