Regulatory and legal possibilities for metaphylaxis of urolithiasis in the Russian Federation.
Authors:   N. Lopatkin Scientific Research Institute of Urology and Interventional Radiology – branch of the National Medical Research Centre of Radiology of Ministry of health of Russian Federation, Apolikhin O.I. ,   Moscow, Russia, Voytko D.A. ,   N. Lopatkin Scientific Research Institute of Urology and Interventional Radiology – branch of the National Medical Research Centre of Radiology of Ministry of health of Russian Federation; Moscow, Russia, Konstantinova O.V. ,   the Department of urolithiasis of N. Lopatkin Scientific Research Institute of Urology and Interventional Radiology – Branch of the National Medical Research Centre of Radiology of the Ministry of Health of Russian Federation; Moscow, Russia, Malkhasyan V.A. ,   the Department of Urology, A. Yevdokimov Moscow State University of Medicine and Dentistry; Moscow, Russia, Martov A.G. ,   the Department of Urology and Andrology of A. Burnazyan FMBA of Russia, Head of the Department of Urology of D. Pletnev Moscow City Hospital; Moscow, Russia, Prosyannikov M.Yu. ,   the department of N. Lopatkin Scientific Research Institute of Urology and Interventional Radiology – branch of the National Medical Research Centre of Radiology of Ministry of health of Russian Federation; Moscow, Russia, Saenko V.S. ,   the Institute of Urology and Human Reproductive Health, Sechenov University; Moscow, Russia, Sivkov A.V. ,   N. Lopatkin Scientific Research Institute of Urology and Interventional Radiology – Branch of the National Medical Research Centre of Radiology of the Ministry of Health of Russian Federation; Moscow, Russia, Tsarichenko D.G. ,   Sechenov University; Moscow, Russia
Published: October 2023

Introduction. Metaphylaxis of urolithiasis is an important link in the effectiveness of treatment of patients suffering from urolithiasis. However, this direction in the Russian Federation has not become widespread and is implemented, as a rule, only in large medical centers. To identify the reasons for this, an assessment of the existing regulatory framework for the possibility of urolithiasis metaphylaxis in state institutions of the Russian Federation was carried out Materials and methods. The normative legal documents regulating the provision of medical care to patients with urolithiasis in the Russian Federation are analyzed. Results. Regulatory legal acts regulating the provision of medical care to patients with urolithiasis allow for the prevention of urolithiasis at the regional level. The development and introduction of clinical guidelines on urolithiasis as the main regulatory document has greatly simplified the work of the urologist. It is necessary to further coordinate the standards of medical care and quality criteria for its provision with clinical recommendations for urolithiasis. All citizens of the Russian Federation, as well as stateless persons insured in the insurance system, have the right to receive a metabolic profile assessment for urolithiasis at the expense of budgetary funds. Conclusion. The modern regulatory framework allows for the metaphylaxis of stone formation in budgetary medical institutions of the Russian Federation as part of the implementation of the state guarantees program. At the same time, coordination of efforts at the regional level is required to organize this work.