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The legal mechanisms through which municipalities provide territorial, infrastructural and organizational conditions for the availability of primary health care are disclosed. It is shown that the normative content of municipal competence forms the necessary prerequisites for the functioning of the primary care network, including territorial planning, regulation of land use and development of transport infrastructure. It is proved that the consistency of municipal planning documents with regional standards determines the actual accessibility of primary care and the sustainability of its functioning in a particular territory.
primary health care, accessibility of care, municipal authorities, territorial planning, urban planning regulation, land use, sanitary standards, transport infrastructure, social infrastructure, municipal control, barrier-free environment, engineering preparation of the territory
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2. Urban Planning Code of the Russian Federation No. 190-FZ dated December 29, 2004 (as amended on July 31, 2025) // LRS «ConsultantPlus».
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5. Savchenko D. O., Naumov P. Yu. In the focus of legal changes: transformation of the organizational and legal foundations of the organization of primary health care // Primary health care. 2025. Vol. 2. No. 2. P. 45–63.



