Objectives – to improve the organizational processes in the municipal hospital. Material and methods. The study was conducted in Samara City Clinical Hospital №1 named after N.I. Pirogov. The methods of organizational modeling and statistical analysis were applied. Results.The following patient-centered care techniques were introduced in the large multi-facility hospital: special logistics in the hospital admissions unit; models of "comfortable patient admission" and "friendly environment"; integrated information exchange with the emergency medical setting; modern equipment; new landscape; updated security and quality management systems. Routing in the admissions unit is organized according to a "3H" triage system – patients with different severity of conditions are sorted to "red', "yellow" and "green" zones. The "red" zone is intended for patients in extremely serious condition, with impaired vital functions. The "yellow" zone receives patients who are in a serious condition or in a state of moderate severity, with a violation of independent movement. The "green" zone accumulates patients whose health condition is not life threatening. The hospital's quality management system complies with the international standard ISO 9001:2015. Conclusion. Implemented patient-focused care techniques set the best level of quality, costs and time of medical care thus ensuring the persistent development of the institution. The international quality management standards contribute to the wide dissemination of new principles of hospital management – focus on the patient, on the quality of care.

Currently, work in any medical organization carries a risk of coronavirus infection, and, first of all, this applies to medical organizations dealing with the treatment of patients infected with coronavirus. Medical workers are a group at increased risk of infection with the SARS-CoV-2 virus in the provision of medical care in modern conditions, which determines their incidence of COVID-19 [1-3]. The aim of the study is to explore the prevalence of cases of COVID-19 infection in medical workers providing medical care on an outpatient basis. Materials and methods. The analysis of the incidence of COVID-19 medical workers in one of the large medical organizations of the Samara region during the period of the pandemic was carried out. The medical staff of the medical organization includes 207 doctors. There are 11 subdivisions in the structure of the medical and prophylactic institution. Research methods: content analysis of the modern regulatory framework (2020-2021), statistical, expert. For the period from May 2020 to March 2021 71 cases of infection of medical workers on an outpatient basis with SARS-CoV-2 were identified, of which 32 doctors (45%) and 39 people (55%) nurses. Based on the results of the expert assessment, the insurance nature of the infection case was established in 50 people (70%). Among the medical and nursing categories of medical workers, the largest number of cases was made by doctors and nurses of primary contact - specialists of the district service: general practitioners (40%), pediatricians (32%), doctors - obstetricians-gynecologists (12%), nurses adults (76%) and children (20%) polyclinic departments. A third of health workers received inpatient treatment for severe COVID-19, an average of 60 days. Conclusion. Medical workers are a risk group of COVID-19 who need support measures, since the possibility of occupational infection has been sufficiently proven, and the risk probably depends on the work performed and the conditions of direct contact of medical personnel, which requires further study in the current persisting epidemic conditions.

Aim - characterization of the formation, organization, development and prospects of temporary disability examination (TDE) services in Russia. Materials and methods. A review of the data from the scientific publications and legal documents was conducted. Results. The characteristics of the organization and development of temporary disability examination service in Russia since the establishment of the service to date are described. The problems and prospects of TDE service were examined. Conclusion. The organization and development of temporary disability examination in Russia is determined by the formation of the whole healthcare system and by legal acts. The implementation of modern requirements to the temporary disability examination is determined by the challenges faced by healthcare providers, as well as the solution of the problems faced by the subjects of the internal control of activities of healthcare organizations.