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Main arrow Archive of previous Issues arrow 1 2012 (23) arrow Priorities of state staff policies in public health
Priorities of state staff policies in public health Print
Tuesday, 20 March 2012

A.K. Dzugayev
Moscow State Medical Stomatology University, Moscow

Summary. Physician staff size is continuing to grow in the Russian Federation. By the year of 2010, 625.672 physicians were employed under the auspices of the Ministry of Health and Social Development of the Russian Federation. Number of employed physician positions in Russia (documented through Form N.47 of Ministry of Health and Social Development) showed that there existed 50.03 physician positions per 10,000 people.

The population-based relative numerical structure of physician positions was studied for physician specialties, employed in all outpatient and inpatient facilities of public health. There were 9.36 physicians of therapeutic profile per 10,000 people (36.9% of the physicians relative pool), 1.52 physicians of surgical profile (6.0%), 5.68 specialty physicians (22.43%), 0.71 general practitioners (2.8%). Interestingly enough, 15.5% of aforementioned jobs existed in the pool of diagnostic and therapeutic physicians, while 4.7% of such jobs existed in the pool of management personnel.

A study period of 16 years was taken in this trial: 1995-2010. In general, physicians staff relative size under the auspices of the Ministry of Health and Social Development has enlarged by 14.1%: from 38.4 to 43.8 physicians per 10,000 people. Therapists staff size has diminished from 5.84 to 5.67; pediatrician staff size has also diminished from 4.34 till 4.33 per 10,000 people. Specialty physician staff size has enlarged from 11.53 to 12.07. Management personnel size has also enlarged from 2.0 2.67 per 10,000 people. General practitioners or family doctors size has enlarged dramatically from 0.03 to 0.74 per 10,000 people, i.e. it increased 10 times.

Efficiency of realization of state staff policies in public health is largely determined by ways implemented for solving the factual problems of health manpower training and its use in public health. The size and structure of medical staff should be adjusted to the proclaimed strategy of developing public health and factual tasks derived from it. The reform-in-question of public health should be properly served by such an adjustment.

Keywords. Staff policies; health manpower; physician staff size; health care resources; employed physician positions.

References

  1. 1.Kalininskaya A.A., Chizhikova T.V., Prioritetnoye napravleniye kadrovoy politiki v zdravookhranenii sela [The priority direction of human resources policy in rural healthcare]. In: "Organizatsionnyye osnovy kadrovoy politiki v zdravookhranenii". Sbornik nauchnykh trudov. M.: RIO TsNIIOIZ MZ RF. 2011. P. 63-66.
  2. 2. Kravchenko N.A., Polyakov I.V. Nauchnoye obosnovaniye metodologii prognozirovaniya resursnogo obespecheniya zdravookhraneniya Rossii (istoriya i sovremennost) [Scientific grounds for the methodology of prediction of healthcare resource provision in Russia (history and the present-day state)]. Moscow: Federalnyy fond OMS; 1998. 392 p.
  3. 3. Starodubov V.I. Itogi i perspektivy razvitiya natsionalnogo proyekta v sfere zdravookhraneniya [Results and prospects for development of the national healthcare project]. Menedzher zdravookhraneniya 2007;(1):4-9.
  4. 4. Starodubov V.I., Kalininskaya A.A., Stukalov A.F. Pervichnaya meditsinskaya pomoshch: puti i perspektivy eye reorganizatsii [Primary health care: ways and futures for its reorganization]. In: Pervichnaya meditsinskaya pomoshch: sostoyaniye i perspektivy razvitiya. Moscow: Meditsina; 2007. P. 11-14.

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