2020 № 5 Availability and staffing of gastroenterologists in the Russian Federation and in pilot regions, 2013–2017
Human resource issues are of high relevance for accessibility of the quality of health care. The aim of the study was to conduct analyses of actual staffing of health care facilities for provision of gastroenterological care on an outpatient basis in the Russian Federation and its subjects. Materials and methods: calculation of occupied positions and physicians-gastroenterologists rate, extensive indicators, method of descriptive statistics. Results. Multidirectional levels and trends in physicians-gastroenterologists coverage rates in the constituent entities of the Russian Federation have been established. In a number of federal districts there is an increase in the studied indicators, in some – levelling. Conclusions. An analysis of the availability of gastroenterologists roviding health care an outpatient basis showed that the supply of gastroenterologists in the federal districts increased or levelled. Moreover, in six of them there was a decrease in the staffing rate by these specialists. The results of the study could be used for the human resources planning and for decision-making.
2018 № 1 Availability and staffing by phthisiatricians in the Udmurt republic, 2011-2015
Provision of human resources represents one of the main problems in the organization of health care. The purpose of the study was to determine the main trends in the provision and staffing of phthisiatricians. The purpose of the study is determination of the main trends in the provision and staffing by phthisiatricians. Material and meth¬ods: official statistics of Udmurt Republic from 2006 to 2015. Mathematical, analytical and descriptive methods were used. Analysis of the availability of outpatient clinics by the phthisiatricians of the Udmurt Republic in the dynamics for 2011-2015 (per 10 000 population) showed the stability of the situation in the provision of specialists with a slight decrease in staffing. A positive trend was noted in the desire of young specialists to work in phthisiatric services. The results of the study of the level of provision and staffing of the phthisiatrics services in Udmurt Republic demonstrate the stability of the situation as a whole across the Republic, although in some administrative regions of the country the data are highly unequal. The arrival of young specialists in the phthisiatric service is encouraging growth in the supply of specialists in the near future
2014 № 10 Russian and regional parameters of activity of general practitioners (Federal Research Institute for Health Organization and Informatics of Ministry of Health of the Russian Federation, Moscow, Russia)
Annotation. The total number of general practitioner's visits within the studied period has increased in Russia and other federal regions, and in some states — significantly. There is noticed a trend of decrease in the number of preventative visits at home, relative share of visits among country side residents. There is a considerable increase in coefficient of double job holding against a general trend for decrease of practitioner's staffing. There is demonstrated a high demand in general practitioners, in their ability to provide first medical aid and high accessibility of their services to the public. Therefore, development of the institute of general practice should be considered as a perspective path for managing medical-sanitary aid.
2019 № 10 The main contours of the next reform of sectoral wage system in public health
The special attention paid to staffing is not accidental – it is a natural reaction of the state to the deterioration of the situation with the number of medical workers in state (municipal) institutions. In turn, the personnel deficit has increased due to the fact that in difficult economic conditions, many institutions have taken the path of reducing workers in order to increase the wages of the remaining. These steps directly contradicted the logic of the "May" presidential Decrees of 2012, but simplified the task of achieving the salaries of medical workers at the level stipulated by these Decrees. Therefore, a number of documents reflecting the strategy of development of health care, as well as the Instructions of the President contain measures aimed at correcting the situation, including by reforming the system of remuneration of employees of state (municipal) health care institutions. At the same time, it is important not just to implement the measures provided for in these documents, but also a specific implementation mechanism. Therefore, the article analyzes the possible positive and negative consequences of various options for the implementation of measures provided for by the Instructions and other documents.
2015 № 4 Supply of general practitioners and their activity in different federal districts of the country in the period from 2007 to 2013 biennium
In the Russian Federation from 2007 to 2013 biennium. indicator of the availability of general practitioners has steadily increased. The most pronounced positive trend registered in the southern federal district (53,9%), the lowest-in the Siberian federal district (2,6%), along with the indicators of the medical and the coefficients of its rejection had considerable variability (maximum in the North Caucasus federal district: +40,6%, minimum-VLS: +14,6%) Also decreased the number of specialists, particularly in the Northwest and Vls, which contributed to the growth in health care ISSUES for the country as a whole, over the period from 2007 to 2013 biennium. was +31,4%. Increased proportion of patients and GPS at home, especially rural people. The overwhelming number of visits to doctors in that specialty was about diseases. This situation requires re-evaluation of the primary health care for the population in order to increase the availability of care provided by general practitioners, and the basis of the positive experience of a number of constituent entities of the Russian Federation.
2020 № 4 Risks that need to be taken into account in the implementation of a new model of a medical organization providing primary health care help
The article analyzes documents (guidelines, drafts of Federal legal acts) that present issues related to criteria and the introduction of a new model of a medical organization that provides primary health care. As a result, it was noted that the analyzed documents lack clear characteristics of the new model, the principles of its organization and functioning, and there is no clear description of the content and structure of the new model. The article draws attention to the fact that the financial and economic justification of the draft Law on the implementation of the new model does not contain any information about the financial and human resources required for the implementation of the new model. The authors emphasize that one of the main criteria for allowing medical organizations to implement the new model should be at least
2016 № 5 Overview of the implementation of a policy to provide neurosurgery medical care for adult population in Ryasan region
The quality and accessibility of medical care affect improving health, social and economic efficiency and directly dependent on the optimal organization of medical care on the basis of developed and approved procedures of medical care. The number of beds and neuro-surgical profile doctors-neuro-surgeons in the Ryazan region, are lower than the national average. In General, in the Ryazan region observed the procedure of rendering of medical aid to adult population the profile of «neurosurgery». To improve the quality and efficiency of neurosurgical care is necessary to conduct a number of organizational measures.