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Main arrow Archive of previous Issues arrow 3 2012 (25) arrow Structural features and amount of staff resource of the Russian public health
Structural features and amount of staff resource of the Russian public health Print
Tuesday, 03 July 2012

I.M. Son, S.A. Leonov, N.V. Danilova, Yu.A. Mirskov
Federal Research Institute for Health Organization and Informatics of Ministry of Health and Social Development of the Russian Federation, Moscow

Summary. Materials and Methods: Staff contentwas studied along medical professional groups and non-medical interspersed groups in the existing manpower resource of Russian public health.Overall values of medical resource was derived from the official statistical data for 2010 concerning Russia as a whole, its Federal Districs and Constituent Territories. Ideal number of public health abstract servants on the staff lists, factual number of occupied posts within these lists, and general amount of public servants factually involved in public health were compared to; a structure of the content of the personnel of main specialties, as well as completed/incompleted staffing of it were derived from these comparisons. Constituent Territories of Russia were ranged along rates of staff deficiency or its abundancy determined through the juxtapositiontogeneralized all-Russian indications. Chart-map along the points ofvarious variables was constructed to process the values obtained.

Results: Factual number of medium qualified and lower qualified medical personnel accounted for 39.93% and 21.21% of the total number of personnel on the staff lists, accordingly, qualified physicians for 19.00%, other personnel for 18.65%, servants with non-medical higher education for 0.76%, and qualified phramacists for 0.45%. A certain variability between Constituent Territories for the ratio of factually occupiedposts to listed oneswas noted in this study. Moreover, the listed number of posts, as well as number of factually occupied posts were not rationally related to the amount of local population. Numbers of factually occupied posts often did not correlate with standardized staff lists. Staffing for individually listed posts was rather low and accounted for mean 67.2%, while factually occupied posts reached 94.3% of the total amount of required posts on the lists. More complete staffing was noted among executive senior staff, among medium qualified staff, among "other personnel". Rather incomplete staffing existed among qualified physicians and also among lower qualified medical personnel. The ratio of "other personnel" to physicans+nurses accounted for 30.9%, and this ratio was most prominent in Far Eastern, Siberian, Southern, and Urals' Federal Districts being rather less pronounced in the Central FD.

Conclusions: Staff content (abstract, as well asfactual) of medical facilities in the Russian Federation need to be properlyadjusted, as well as funding for it. Correction of unbalanced staffing in every medical facility should be paralleledby more effective usage ofalready existingmedical infrastructure and by benefitting from creative changes in the inner lay-outof these public buildings. Additional funding sources (apart from customary state funding)should be also identified and mobilized to this end. It would be expedient to introduce a coefficient levelling various physical conditions andlocally peculiar distribution of logistics funds of medical facilities - for better differentiating and structuring of the content ofstaff resource in public health in every locality. This will also make Constituent Territories more readily compared to for medical staff affairs.

Keywords. Staff content; posts of staff lists; occupied posts; public servants with higher education; non-medical higher education; pharmaceutical higher education; other personnel.


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