|
N.V. Danilova
Federal Research Institute for Health Organization and Informatics of
Ministry of Health and Social Development of the Russian Federation,
Moscow
Summary. A program of modernization of regional subsystem
of public health has been recently adopted in Russia. It makes for
reinforcement of the network of medical establishment in every
Constituent Territory and for introduction of modern medical and
informatics technologies. Hence, the new requirements to medical and
non-medical staff of public health in Federal Districts and Constituent
Territories has emerged that would have some effect on the staff
numbers, its composition, and balance between its major integral parts.
To assess the adequacy of the staff for new requirements and tasks.
Statistical data on the staff in Russia as a whole, in in Federal
Districts and 83 Constituent Territories in 2009-2010 were used in this
study. The staff was divided into three groups: physicians, nurses,
non-medical staff.
Unbalance between growing numbers of physicians and decreasing numbers
of nurses was identified. The ratio physicians:nurses did not fit the
corresponding target indication in most of the territories. Differences
in provision of medical staff (physicians+nurses) reached as far as 30%
between Federal Districts (FD) being much more prominent (twofold or
even more) between certain Constituent Territories (CT).
Completion of staff manning of medical establishments was often
fulfilled by way of combining several job positions. Since 2009, access
to first care GP has begun diminishing in quite a number of FDs and CTs.
On the contrary, staff situation with district pediatricians was quite
favorable in most FDs. Absolute numbers of GP have acquired certain
accretion in most FDs. The skills of medical staff normalized to
national standards was not yet sufficient in most medical specialties in
urban, as well as in rural environment. It was especially sensitive in
hygienic specialties.
General numbers and relative distribution of non-medical staff among
medical establishments was less and rather unfavorable in European part
of Russia, and more and rather favorable in CTs of Siberia and the Far
East. Such a situation requires prospective research for evaluation of
expenses for regulation of staff resources in public health.
Key words. Medical staff, Statistical data on staff, Medical
staff manning, Balance between physicians and nurses, Skills of medical
staff, Provision of first care GP.
References
-
Andreeva I.L. Strategicheskie napravleniya kadrovoy politiki v
usloviyakh modernizatsii sistemy zdravookhraneniya [Strategic directions
of human policy in conditions of healthcare system reforming] [Online
Scientific Journal]. Sotsialnye aspekty zdorovya naseleniya 2010 [cited 2011 Jun 05]; 13(1). Available from: http://vestnik.mednet.ru/content/view/165/30/lang,ru/
-
Gaydarov G.M., Lenskiy A.A. Opyt raboty Irkutskogo otdeleniya
Rossiyskogo obshchestva organizatorov zdravookhraneniya v razvitii
kadrovykh resursov regiona [Working experience of Irkutsk department of
the Russian society of healthcare officials in development of regional
human resources ]. Menedzher zdravookhraneniya 2008;(3):26-30.
-
Kontseptsiya razvitiya sistemy zdravookhraneniya v Rossiyskoy
Federatsii do 2020 goda [Conception of development of healthcare system
in the Russian Federation to 2020]. [Internet]. 2008; [cited 2011 Nov
01]. Available from: http://www.zdravo2020.ru/concept
-
Pismo Minzdravsotsrazvitiya Rossiyskoy Federatsii ot 10.12.2009 ¹
16-1/10/2-9999 "Metodicheskie ukazaniya po zapolneniyu federalnogo
registra meditsinskikh rabotnikov uchrezhdeniyami zdravookhraneniya i
organami upravleniya zdravookhraneniem subektov Rossiyskoy Federatsii"
[The Letter of MoH&SD of the RF of 10.12.2009 ¹ 16-1/10/2-9999
"Methodical instructions on filling out the Federal register of health
care workers by healthcare facilities and healthcare regulatory bodies
of the subjects of the Russian Federation" [Internet]. 2009 [cited 2011
Nov 01]. Available from:
http://73reg.roszdravnadzor.ru/i/Data/Sites/73/GalleryImages/EditorUploadImages/PNP%20Zdorovie/metodich_ukazaniya.doc
-
Postanovlenie Pravitelstva Rossiyskoy Federatsii ot 14.06.2011 ¹ 470 «O
vnesenii izmeneniy v metodiku otsenki effektivnosti deyatelnosti
organov ispolnitelnoy vlasti subektov Rossiyskoy Federatsii» [Regulation
of the Government of the Russian Federation of 14.06.2011 ¹ 470 ”On
introducing changes in the methods of assessing efficiency in activity
of executive bodies of the subjects of the Russian Federation”]
[Internet]. 2011 [cited 2011 Nov 01]. Available from:
http://pravo.fso.gov.ru/proxy/ips/?searchres=&bpas=cd00000&a3=102000483&a3type=1&a3value=&a6=&a6type=1&a6value=&a15=&a15type=1&a15value=&a7type=1&a7from=&a7to=&a7date=14.6.2011&a8=470&a8type=2&a1=&a0=&a16=&a16type=1&a16value=&a17=&a17type=1&a17value=&a4=&a4type=1&a4value=&textpres=&sort=7&x=75&y=8
-
Programmy modernizatsii zdravookhraneniya subektov Rossiyskoy
Federatsii [Programs of healthcare modernization of the subjects of the
Russian Federation] [Internet]. 2010 [cited 2011 May 12]. Available
from: http://www.minzdravsoc.ru/docs/mzsr/med-ins/5.
-
Mikhaylova Yu.V., Son I.M., Sokhov S.T., Danilova N.V., Shestakov M.G.,
Sasina N.S., Takhtarova Yu.N. Sostoyanie i perspektivy razvitiya
kadrovogo potentsiala sistemy zdravookhraneniya [Present-day condition
and prospects for developing human health potential of healthcare
system]. Zdravookhranenie Rossiyskoy Federatsii 2008;(1):52-54.
-
Sokhov S.T., Danilova N.V., Skoverdyak L.A., Armashevskaya O.V.,
Artyukhov A.S.,Mironova N.N., Ogryzko E.V., Lopakov K.V., Takhtarova
Yu.N. Strategicheskie zadachi i tekhnologicheskie resheniya v
obespechenii sistemy zdravookhraneniya kadrovymi resursami [Strategic
targets and technological solutions for healthcare system provision with
human resources] In: Proceedings: FGU TsNIIOIZ Roszdrava «Novye
tekhnologii v sovremennom zdravookhranenii. Vol. 2. Moscow: RIO
TsNIIOIZ; 2007. P. 118-122.
Views: 29075
|
