Organizational aspects of the system of medical support for employees of large industrial companies

The development and implementation of a set of measures to preserve and strengthen the health of the working population in our country is carried out within the framework of the national projects «Health» and «Demography», the federal project «Strengthening public Health» and others. In order to determine the features of medical provision of professional health of employees of domestic industrial companies, a special study was carried out. The analysis of current regulatory legal documents regulating the system of medical provision of professional health of employees of various enterprises was carried out. The objectives, structure, medical management of industrial healthcare, as well as its main organizational and socio-economic models, both based on the departmental healthcare system and outsourcing, are considered. The advantages and limitations of using these models and possible risks were identified, while it turned out that at present the system of medical support for employees of large industrial companies is not unified and combines its own medical organizations (divisions) and health centers with elements of outsourcing and public-private partnership. However, it has been revealed that at present, in the domestic outsourcing market, the risks of transferring the medical support system of employees to the management of third-party medical organizations exceed the potential benefits. In addition, the results of studying the market of medical services for the minimum necessary types of medical work defined by the requirements of the legislation per employee showed that outsourcing of medical services does not provide economic advantages. Therefore, the most rational is the further development of a multi-stage system of providing medical care to employees of enterprises, including using public-private partnerships and innovative medical technologies, primarily high-tech and telemedicine. Along with this, it is necessary to develop a legislative and regulatory legal framework justifying the organization of medical support systems for employees of enterprises of various forms of ownership, as well as to develop motivational and economic approaches aimed at increasing the investment interest of industrial companies in this socially determined activity.