Siburina T.A.1, Miroshnikova Yu.V.2
1Federal Research Institute for Health Organization and Informatics, Moscow
2Federal Bio-Medical Agency, Moscow
Abstract. Specialists in public health and healthcare
organization constitute the core potential of the healthcare managerial
personnel. Performance of the healthcare system as well as its
susceptibility to technological improvement and workforce development is
mainly dependable upon composition and skill level of such specialists.
The purpose of the study was to assess validity
of changes made to the title of this medical specialty and scientific
and educational subjects - "social hygiene and public health
organization", and to analyze composition and develop a current
statistical "portrait" of specialists in this field.
Methods and data. The article used historical data,
legal documents and statistical analysis of composition of the public
health and health care organization specialists. Although the specialty
exists for more than one century and a half, it has, like no other,
undergone through multiple changes in its title associated with its
social orientation and political engagement.
Social hygiene and health care organization, being the basis for
prevention in the Soviet Union, was given an indifferent name of "Public
Health and Health Care Organization", while social hygiene as a science
studying environmental impact on health, was merged with the state
sanitary and epidemiological service. This consolidation significantly
narrowed its field of research.
However, 6254 specialists are engaged in social hygiene and
organization of sanitary and epidemiological service, 83.3% of them are
placed at education institutions, research institutes, and government
authorities.
The majority of health care managers works at health care facilities
and only one in ten of them works at the government authorities,
education institutions and research institutes. The number of health
care managers and specialists of the sanitary and epidemiological
service varies considerably across federal districts, by concentration
in various fields, and by recognized parameters characterizing the level
of qualification.
Keywords: nomenclature of specialists, social hygiene
specialists, managers of sanitary and epidemiological service, public
health and health care organization
References
-
Astakhov A. Iskusstvo upravleniya informatsionnymi riskami [The art of
information risks management]. DMK Press. GlobalTrus. Moscow. 2009. 312
p. (In Russian)
-
Zabludovskiy P.E. Puti i etapy razvitiya obshchestvennoy meditsiny [Ways and stages of development of public medicine]. Sovetskoe zdravookhranenie 1968; (12): 60 – 66. (In Russian)
-
Lisitsyn Yu.P. Obshchestvennoe zdorov'e i organizatsiya
zdravookhraneniya kak nauka i predmet prepodavaniya [Public health and
health care organization as a science and a subject for teaching].
[Online] [cited 2014 May 16]. Available from:
http://rpp.nashaucheba.ru/docs/index-7319.html . (In Russian)
-
Lisitsyn Yu.P. Obshchestvennoe zdorov'e i zdravookhranenie: uchebnik.
2-e isd.[Public health and healthcare. A textbook. 2-nd ed.]. Moscow:
GEOTAR-Media; 2010. 512 p. (In Russian)
-
Pankratova L.A. Metodika i protsedury vnutrennego audita
biznes-protsessa «proizvodstvo» v obespechenii razvitiya organizatsii
[Methods and procedures of internal audit of the business process
"production" in the development of the organization]. Auditor 2012; (11). (In Russian)
-
Portugalov V. Voprosy obshchestvennoy gigieny [Issues of public
hygiene]. St. Petersburg. Tipografiya A. Morigerovskogo; 1873. 625 p.
(In Russian)
-
«O nomenklature spetsial'nostey i dolzhnostey v sisteme Gosudarstvennoy
sanitarno-epidemiologicheskoy sluzhby RF» [On the nomenclature of
specialties and positions in the System of state sanitary and
epidemiological service of the RF]. Prikaz Gosudarstvennogo komiteta
sanitarno-epidemiologicheskogo nadzora RF ot 26 iyunya 1996 g. ¹99.
[Online] [cited 2014 May 16]. Available from:
http://www.worklib.ru/laws/ml03/pages/10005630.php . (In Russian)
-
"O nomenklature spetsial'nostey v uchrezhdeniyakh zdravookhraneniya
Rossiyskoy Federatsii (vmeste s "Perechnem sootvetstviya vrachebnykh i
provizorskikh spetsial'nostey dolzhnostyam spetsialistov "). [On the
nomenclature of specialties in health care facilities of the Russian
Federation (together with “The list of relevance of medical and
pharmacist specialties to positions of specialists”)]. Prikaz MZ RF ot
27.08.99 ¹337 [Online] [cited 2014 May 16]. Available from:
http://www.zakonprost.ru/content/base/13570. (In Russian)
-
«O vnesenii izmeneniy v prikaz Minzdrava Rossii ot 27.08.99 N 337 "O
nomenklature spetsial'nostey v uchrezhdeniyakh zdravookhraneniya
Rossiyskoy Federatsii" [“On amendments to the Regulation of MoH of the
RF of 27.08.99 N 337 “On the nomenclature of specialties in health care
facilities of the Russian Federation”]. Prikaz MZ RF ot 26 maya 2003 g. N
219. [Online] [cited 2014 May 16]. URL:
http://www.webapteka.ru/phdocs/doc4815.html . (In Russian)
-
"Ob utverzhdenii kvalifikatsionnykh trebovaniy k spetsialistam s
vysshim i poslevuzovskim meditsinskim i farmatsevticheskim obrazovaniem v
sfere zdravookhraneniya" [On approving the qualification requirements
to specialists with higher and postgraduate medical and pharmaceutical
education in health care]. Prikaz Ministerstva zdravookhraneniya i
sotsial'nogo razvitiya RF ot 7 iyulya 2009 g. N 415n. S izmeneniyami i
dopolneniyami ot 26 dekabrya 2011. [Online] [cited 2014 May 16].
Available from: http://base.garant.ru/12168285/. (In Russian)
-
"Ob utverzhdenii Edinogo kvalifikatsionnogo spravochnika dolzhnostey
rukovoditeley, spetsialistov i sluzhashchikh, razdel "Kvalifikatsionnye
kharakteristiki dolzhnostey rabotnikov v sfere zdravookhraneniya" [“On
approving the Unified qualification reference book of positions of
managers, specialists and employers. Part “Qualification characteristics
of positions of health care workers]. Prikaz Minzdravsotsrazvitiya RF
ot 23.07.2010 N 541n. [Online] [cited 2014 May 16]. Available from:
http://www.rg.ru/2010/09/27/spravochnik-dok.html . (In Russian)
-
"Ob utverzhdenii Nomenklatury dolzhnostey meditsinskogo i
farmatsevticheskogo personala i spetsialistov s vysshim i srednim
professional'nym obrazovaniem uchrezhdeniy zdravookhraneniya" [On
approving the nomenclature of posiiotns for medical and pharmateutical
personel and specialists with higher and secondsary special education of
health care facilities]. Prikaz Minzdravsotsrazvitiya Rossii ot 25
iyulya 2011 g. N 801n [Online ] [cited 2014 May 16] . Available from:
http://www.rg.ru/2011/09/14/nomenklatura-dok.html (In Russian)
-
Primakov E. 2013: tyazhelye problemy Rossii. Pochemu segodnya nel'zya
soglasit'sya s politikoy neoliberalov. [2013: severe problems in Russia.
Why it is impossible to agree with the policy of neo-liberals today]
RG.RU. Rossiyskaya gazeta. 2014. 01. [Online] [cited 2014 May 16].
Available from: http://forum.polismi.org/index. (In Russian)
-
Rimashevskaya N.M. Chelovek i reformy: sekrety vyzhivaniya [A person
and reforms: secrets of survival]. Moscow: RITs ISEPN; 2003. 392 p. (In
Russian)
-
Rukovodstvo po sotsial'noy gigiene i organizatsii zdravookhraneniya
[Guideline on social hygiene and health care organization].
N.A.Vinogradov, editor. 3-d ed. revised. Moscow: Meditsina. 1974. V.1.
P. 31. (In Russian)
-
Rukovodstvo po sotsial'noy gigiene i organizatsii zdravookhraneniya
[Guideline on social hygiene and health care organization]. In 2
volumes. Yu.P. Lisitsyn, editor. Moscow: Meditsina. 1987. (In Russian)
-
Sotsial'naya gigiena i organizatsiya zdravookhraneniya. [Social hygiene
and health care organization]. A.F.Serenko, V.V.Ermakov, editors.
Moscow: Meditsina; 1977. P. 8. (In Russian)
-
Ctatisticheskaya forma ¹17: «Svedeniya o meditsinskikh i
farmatsevticheskikh kadrakh» [Statistical form ¹17:”Data on medical and
pharmaceutical human health resourses]. Postanovleniya Goskomstata RF ot
23.05.2002 ¹124 i ot 03.09.2002 ¹173) [Online] [cited 2014 May 16].
Available from:
http://www.pravcons.ru/obrazets_documents/goskomstat_rf/s1_document_315.php
(In Russian)
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