2013 № 9 Employment of medical staff for provision of first medical aid in the frames of territorial programs of state guarantees (Region state organization of healthcare «Bureau of medical statistics », Tomsk, Russia)
In connection with the improvement of the health care system of the Russian Federation become actual problems of efficiency of use of available human resources and their planning. The basis of the health care system is the program of state guarantees of providing free medical care to the population (Federal and under construction on the basis of it region programs), so it is of paramount importance staff planning for the implementation of the size of the program. In the article the author considers the experience of use of the races, the couple needs for medical personnel in the Tomsk region, according to the «Methodology of calculation of needs of the subjects of the Russian Federation for medical personnel», developed by FSBO «CSRIOIH» of the Ministry of health of the Russian Federation. Shows the main advantages and complexity of the methodology, the authors make proposals for its improvement.
2019 № 9 Application of lean management in medical examination of children in Tomsk region
The object of the study is the process of preventive medical examination of children of the first year of life, which can be improved on the basis of the principles of lean production. As part of a joint project of the Ministry of health of Russia and Rosatom state Corporation “Lean clinic”, which is designed to improve the efficiency of medical organizations and the availability of their assistance by introducing elements of lean production in public health institutions on a systematic basis, in the Tomsk region on the basis of a pilot medical organization – children’s clinic – a project was implemented to introduce lean technologies in the process of preventive examination of children of the first year of life, in order to minimize the loss of time when receiving medical services by the patient. The main directions of optimization: improving the productivity of the process using the mapping method; increasing the productivity of a single workplace using the 5C technique; increasing the productivity of the movement of medical staff using the Spaghetti diagram. During the project, the logistics scheme of patients and staff movement was significantly improved, and a route map was developed, which was issued to the parents of patients in the registry of the medical organization. In addition, in order to assess the effectiveness of the developed measures before the project and after its implementation, a sociological survey was conducted among the parents of children undergoing pre¬ventive medical examination, which allowed to assess the level of their satisfaction with the assistance provided. As a result of the implementation of the project on the introduction of lean technologies, it was possible to achieve the goals, in particular, to reduce by almost 3.5 times the time spent by patients on the passage of a full cycle of preventive examination, to reduce to 2 number of visits to the clinic, as well as to increase comfort of staying in the institution of patients and their parents.
2019 № 1 An integrated approach to determining the need for medical personnel on the model of the Tomsk region
The recent history of modernization of the national health care system is characterized by the improvement of the health care system, including in the staff aspect. However, the opinion of the population and experts shows that it was not possible to completely solve the problem of shortage of doctors. This article presents the experience of the Tomsk region in terms of approaches to determining the deficit and imbalance of medical staff. This analysis formed the basis for further actions on staff policy in the health care system of the region.