| 
			 
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: 26655
  			 |