Son I.M.1, Perkhov V.I.1, Kasaeva T.Ch.2, Belostotsky A.V.3
1 – Federal Public Health Institute, Moscow
2 – Ministry of health and social development, Moscow
2 - City clinical hospital ¹ 55, Moscow
Federal state healthcare facilities are the
important part of the system of hospital facilities in the Russian
Federation. In these clinics, medical care is provided with implementing
medical technologies, which are not widely used yet because of their
high cost. This motivates increased requirements to health resources
efficiency , including human health personnel. In the article,
consideration is given to the results of the assessment in indicators
and features of human health provision in federal state healthcare
facilities, which are under the jurisdiction of Ministry of Health and
Social Development of Russia, Russian Academy of Medical Science, and
Federal Medical and Biological Agency. The comparative analysis of such
indicators is given as a ratio between the number of doctors’ and
nurses’ positions, the number of patients treated during one year per 1
doctor’s position in hospital facilities of various levels and some
others. It is shown that low occupancy of the bed fund in the federal
hospitals causes rather low operational load of doctors in hospitals.
The efficiency assessment of human health resources has shown that the
level of payment to medical personnel is essentially different even in
clinics of the same structure. As a whole, the data present in the
article testify that heads of many federal clinics have no stimulus to
rational planning the list of healthcare providers and effective usage
of available human resources. It is concluded that improving human
health policy in healthcare facilities under federal jurisdiction should
be based on interrelation between budgetary financing and various
optimal usage of human health resources.
Key words: federal state healthcare facility; hi-tech medical care; human health resources.
References
-
Andreeva IL. Strategicheskie napravleniya
kadrovoy politiki v usloviyakh modernizatsii sistemy
zdravookhraneniya [Strategic trends in
personnel policies under modernization of the system of public
health]. Sotsialnye aspekty zdorovya
naseleniya [Online scientific jornal] 2010 [cited 2011 Jan 25];
13(1). Available from: http://vestnik.mednet.ru/content/view/165/30/
-
Anufriev AS. Osobennosti menedzhmenta v
meditsinskikh klinikakh [Commercial
management in hospitals: its peculiar features].
Menedzher zdravookhraneniya 2009; (1):6-8.
-
Bolshakova TS. Sovershenstvovanie sistemy
finansirovaniya zdravookhraneniya federalnogo podchineniya v svyazi
s problemoy povysheniya effektivnosti planirovaniya i ispolzovaniya
resursov [Improving the system of funding
of federal public health focusing on enhancing efficiency of
planning and rational managing of the resources].
Ekonomika zdravookhraneniya 2001;51(1):14-16.
-
Vasilevskaya NS. O kvotakh na
vysokotekhnologichnuyu meditsinskuyu pomoshch v federalnykh
spetsializirovannykh meditsinskikh uchrezhdeniyakh [Quotas
of high-tech medical care resources in federal special medical
establishments]. Zdravookhranenie
2007;(6):159-163.
-
Gaydarov GM, Lenskiy AA. Opyt raboty Irkutskogo
otdeleniya Rossiyskogo obshchestva organizatorov zdravookhraneniya v
razvitii kadrovykh resursov regiona [Working
experience of Irkutsk department of Russian society of public health
providers in developing medical personnel resources of the Region].
Menedzher zdravookhraneniya 2008;(3):26-30.
-
Kalininskaya AA, Dzugaev AK, Chizhikova TV.
Kadrovaya politika v zdravookhranenii Rossiyskoy Federatsii
[Personnel management policies in public
health of Russian Federation].
Zdravookhranenie Rossiyskoy Federatsii 2009;(5):11-14.
-
Komarov YuM. K voprosu o priemlemoy oplate truda
vrachey v Rossiyskoy Federatsii [On the
issue of acceptable remuneration for physicians in Russian
Federation]. Zdravookhranenie
2009;(6):169-176.
-
Kulakov VI. Sovershenstvovanie finansirovaniya
federalnykh uchrezhdeniy zdravookhraneniya i optimizatsiya
ispolzovaniya resursov v svete strategicheskogo razvitiya
meditsinskoy nauki i praktiki [Improvements
in the system of funding of federal public health and in rational
management of the resources under present strategy of development of
public health]. Ekonomika
zdravookhraneniya 2002;(3):8-10.
-
Starodubov VI. Itogi i perspektivy razvitiya
prioritetnogo natsionalnogo proekta v sfere zdravookhraneniya
[Results and prospects of development of
the National Project of Priority in public health].
Menedzher zdravookhraneniya 2007;(1):4-9.
-
Starodubov VI. Natsionalnyy proekt "Zdorove"
daet nam shans vyvesti uroven okazaniya meditsinskoy pomoshchi na
novye parametry [The “Health” National
Project gives us a chance to promote the level of medical services
along new highlights]. Menedzher
zdravookhraneniya 2006;(10):4-11.
-
Starodubov VI, Mikhaylova YuV, Leonov SA.
Kadrovye resursy zdravookhraneniya Rossiyskoy Federatsii:
sostoyanie, problemy i osnovnye tendentsii razvitiya [Personnel
resources in public health of Russian Federation: Present condition,
problems, and main trends of development].
Sotsialnye aspekty zdorovya naseleniya [Online scientific jornal]
2010 [cited 2011 Jan 25]; 13(1). Available from:
http://vestnik.mednet.ru/content/view/171/30/
-
Starodubov VI, Flek VO. Effektivnost
ispolzovaniya finansovykh resursov pri okazanii meditsinskoy
pomoshchi naseleniyu Rossiyskoy Federatsii [Efficiency
of managing the financial resources when providing medical services
to the population of Russian Federation].
Moscow: Izdatelskiy dom "Menedzher zdravookhraneniya";
2006. 198 p.
-
Starodubov VI, Khalfin RA, Kakorina EP. O
zadachakh po realizatsii prioritetnogo natsionalnogo proekta v sfere
zdravookhraneniya [On the problems of
fulfillment of the National Project of Priority in public health].
Zdravookhranenie 2005;(12):91-95.
-
Ulumbekova GE. Analiz chislennosti, struktury i
kvalifikatsii meditsinskikh kadrov v Rossiyskoy Federatsii i
klyuchevye zadachi kadrovoy politiki na period do 2020 goda
[Analysis of quantity, structure,
qualification of medical staff in Russian Federation and highlights
of personnel management policies up to 2020].
Meditsinskoe obrazovanie i professionalnoe razvitie 2010;(1):11-24.
- Shishkin SV. Novye trebovaniya k sisteme
finansirovaniya meditsinskikh uchrezhdeniy federalnogo podchineniya
[New demands to the system of funding
federal medical establishments]. Ekonomika
zdravookhraneniya 2001;51(1):26-27.
Views: 24855
|