Articles from rubric: «Hr management»
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2022 № 6 Staffing of primary health care in the Russian Federation
The Russian system of public health protection and primary health care as its component require reforming. Excessively narrow specialization of outpatient care loses the identity of the primary health care doctor as a «guardian of health». The state bears the financial burden associated with large investments in specialized medical care, which is much more expensive. It is required to reform district assistance in organizational and personnel support.
Unfortunately, 30 years of reforming primary health care on the principle of general medical practice have not brought Russia closer to the formation of a new organizational and institutionally sustainable model of primary health care.
P u r p o s e o f t h e s t u d y . Based on the analysis of the reported data on the availability of medical personnel in primary health care in the Russian Federation and its subjects and the content of the analysis of author’s studies, proposals were developed for reforming primary health care and general medical practices.
M a t e r i a l s a n d m e t h o d s : content analysis, statistical, sociological, analytical, direct observation. The article used the results of the research work of the authors of the article, followed by content analysis and the development of proposals for reforming primary health care, district service and general education, in particular.
R e s u l t s . The article provides an analysis of the provision of doctors, therapist and general practitioners in the Russian Federation in dynamics (2016–2020), a ranking of indicators of the provision of general practitioner in the constituent entities of the Russian Federation is carried out. The analysis showed that over the 5 years, the provision of district physicians increased slightly: general practitioner (from 0,63 to 0,72‰î), district therapist (from 2,98 to 3,21), in total, the provision of these specialists increased from 3,61 to 3,93‰ and their share (2020) amounted to 8,6% of the total number of doctors in the Russian Federation, which determines the need to prioritize the reform of primary health care in the context of the development of general medical practice. Based on content analysis and our own research on the state of primary health care and the development of primary health care in the Russian Federation, proposals were developed for reforming primary health care and promising models of primary health care in the city were scientifically substantiated.
F i n d i n g s . The introduction of promising general medical practice models in the urban environment implies a complete transition
of the medical organization providing medical care on an outpatient basis to general medical practice, while reducing the staff positions of medical specialists. It is necessary to expand the job responsibilities of the general practitioner’s nurse with a ratio of general practitioner to general practitioner’s nurse of 1:2.
It is necessary to develop regulatory, legal and managerial decisions regarding the priorities of primary health care and the development of general medical practice in its structure. -
2013 № 10 Improvement of the bonus payments system as an important element of the transition to «the effective contract» (Administration Health Committee of St. Petersburg the City Ambulance Station, St. Petersburg, Russia)
The article contains the review of the modification of the calculation method for the Ambulance Station employees' bonus payments which is focused on the final results. The performance evaluation criteria, the positive & negative sides of the new document are discussed.
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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.
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2013 № 8 The assessment of health status and working conditions of medical workers (Moscow Regional Clinical and Research Institute (MONIKI) M.F. Vladimirsky, Russia)
Results of this the paper have shown that the sickness rate with temporary disablement of medical workers of the Moscow region is higher than the morbidity in the total working population of this region. The main causes of the sickness rate have been determined. According to judgment of public health organizers, experts of therapeutic and surgical profiles obtained during medico-sociological investigation the factor of psycho-emotional stress at work has the most negative effect upon their health status.