About this Journal Publication ethics Editorial Board Editorial Council Editorial Office For the Authors Contacts

News feeds

Journal in Databases

eLIBRARY.RU - ═└ËÎ═└▀ Ţ╦┼╩Ďđ╬══└▀ ┴╚┴╦╚╬Ď┼╩└

Google Scholar

Google Scholar

For authors' attention

Publication is free of charge

In aims to provide interconnection of publications in international scientific journals using Digital Object Identification - DOI, our editorial office incorporated the journal "Social aspects of population health" into international reference system CrossRef.

Since 2016 DOI will be assigned to all scientific articles published in our journal free of charge.

Also DOI will be assigned to all articles published in 2014 and 2015 free of charge as well
Main arrow Archive of previous Issues arrow ╣6 2016 (52) arrow ADVANCING WORKFORCE MANAGEMENT SYSTEMS OF HEALTHCARE INSTITUTIONS
Friday, 23 December 2016

DOI: 10.21045/2071-5021-2016-52-6-11

Kudelina O., Brazovskaya N.
Siberian State Medical University of the Ministry of Health of the Russian Federation, Tomsk

Contacts: Olga V. Kudelina, e-mail: This e-mail address is being protected from spam bots, you need JavaScript enabled to view it

Abstract. Significance. Effective management of workforce is crucially important for successful reforming of healthcare and improving population health.

Purpose. To develop practical recommendations for improving staff management systems at health care facilities of the Tomsk region on the basis of an opinion survey of leaders and physicians.

Methods. Comparative analysis of opinion of 1362 physicians of the regional, municipal and federal health care facilities of the Tomsk region concerning healthcare reforming, medical staff issues, economic aspects of care delivery has been implemented with a breakdown on facility levels: municipal vs. regional, regional vs. federal and municipal vs. federal. The obtained raw data were processed within the R statistical environment.

Results. Results of the survey conducted among leaders and physicians of the Tomsk region health care facilities showed that composition of physicians, their opinion about personnel issues, healthcare reforms and economic aspects of care delivery differ depending on the level of facility jurisdiction. 58.1% of leaders and physicians of the federal level facilities deny any problems related to workforce availability, while 74.3% of the municipal and 67.7% of the regional level facility employees think that such problem does exist. Specialists of the regional and municipal level facilities tend more to result-based remuneration compared to the federal level employees. Level of awareness about the regional program of the state guarantees for health care delivery is higher among municipal physicians, because of a wide range of medical services they provide as well as more frequent contacts with funds of compulsory health insurance regarding payments for services. Specialists of the federal level facilities mentioned their positive attitude towards reforming processes. At the same time, assessment of the reformsĺ effectiveness is associated with completeness of information among physicians about ongoing changes in the healthcare system.

Conclusions. Development of workforce related activities and strategies should consider personnel opinion, understanding of the workforce structure and physiciansĺ attitude towards reforming processes.

Scope of application. Based on the revealed peculiar features of opinion of leaders and physicians the authors developed suggestions aimed at improving the system of workforce management in the region and implementing principles of continuous medical education into the personnel training process.

Keywords: health care facilities; health care personnel; management; organization of healthcare; reforming; continuous medical education.


  1. Aganbegyan A.O. O tselyakh i merakh reformirovaniya zdravookhraneniya v Rossii. Voprosy ekonomiki 2014; (2): 149ľ157. (In Russian).
  2. Artamonova G.V., Danil'chenkoYa.V., Kryuchkov D.V., Kostomarova T.S., Shapovalov D.G., Makarov S.A. Otnoshenie meditsinskogo personala k rezul'tatam svoego truda. Sotsial'nye aspekty zdorov'ya naseleniya [serial online] 2015[cited 2016 Jun 14]; 45 (6). URL: http://vestnik.mednet.ru/content/view/721/30/ (In Russian).
  3. Bashmakov O.A. Sovershenstvovaniesistemypodgotovkirukovodyashchikhkadrovzdravookhraneniya. Sotsial'nye aspekty zdorov'ya naseleniya [serial online] 2015 [cited 2016 Jun 14]; 41(1). URL: http://vestnik.mednet.ru /content/view/652/30/lang,ru/ (In Russian).
  4. Gasnikov V.K., Lisina E.B., Gasnikov K.V. O rezul'tativnosti reform v zdravookhranenii zadvadtsatiletniy period posle prinyatiya konstitutsii Rossiyskoy Federatsii. Meditsinskiy al'manakh 2015; 36(1): 7ľ9. (In Russian).
  5. Gosudarstvennaya programma źRazvitie zdravookhraneniya Tomskoy oblasti na 2013ľ2022 gody╗ [Internet]. 2013. Ofitsial'nyy sayt Administratsii Tomskoy oblasti URL: https://tomsk.gov.ru/gosudarstvennye-programmy-dejstvujuschie-do-31122014-goda (In Russian).
  6. Ivanova V.S. Reformy zdravoohranenija: ozhidanija medpersonala. Vestnik Tomskogo gosudarstvennogo universiteta 2012; 20(4): 143ľ151. (In Russian).
  7. Kobyakova O.S., Deev I.A., Kulikov E.S., Pimenov I.D., Khomyakov K.V. Emotsional'noe vygoranie u vrachey i meditsinskie oshibki. ┼st' li svyaz'? Sotsial'nye aspekty zdorov'ya naseleniya [serial online] 2016 [cited 2016 Jun 14]; 47(1). URL: http://vestnik.mednet.ru/content/view/732/30/ (In Russian).
  8. Kudelina O.V. Reformirovanie zdravookhraneniya: vzglyad iz regiona. IzvestiyaTomskogopolitekhnicheskogouniversiteta2014. 325(6): 47-53. (In Russian).
  9. Kudelina O.V., Khlynin S.M. Modernizatsiyasistemymeditsinskogoobrazovaniyaikadrovogoobespecheniya v Tomskoy oblasti. Problemy upravleniya zdravookhraneniem 2011; (5): 43ľ46. (In Russian).
  10. Oreshin A.A., Kudelina O.V., Khlynin S.M. Osobennosti regulirovaniya rynka meditsinskikh uslug Tomskoy oblasti v usloviyakh modernizatsii sistemy zdravookhraneniya. Sibirskiy meditsinskiy zhurnal 2011; 26(4): 179-182. (In Russian).
  11. Siburina T.A, MiroshnikovaYu.V., Lokhtina L.K. Sostav rukovodyashchikh kadrov zdravookhraneniya: analiz, problemy, vector razvitiya. Sotsial'nye aspekty zdorov'ya naseleniya [serial online] 2014 [cited 2016 Jun 14]; 37(3). URL: http:// vestnik. mednet.ru /content/view/574/lang,ru/ (In Russian).
  12. Hrupalov A.A. Obosnovanie konceptual'nyh podhodov gibridnoj mode-li motivacii dlja upravlenija personalom medicinskih uchrezhdenij. Sotcial'nye aspekty zdorov'ja naselenija[serial online] 2014 [cited 2016 Jun 14];35(1). URL: http://vestnik. mednet.ru /content/view/540/30/lang,ru/ (In Russian).
  13. Global strategy on human resources for health: Workforce 2030. WHO [Online]. 2016 Apr [cited 2016 Nov 13]; Available prom: who.int/hrh/resources/pub_globstrathrh-2030/en

Views: 7502

Be first to comment this article

Write Comment
  • Please keep the topic of messages relevant to the subject of the article.
  • Personal verbal attacks will be deleted.
  • Please don't use comments to plug your web site. Such material will be removed.
  • Just ensure to *Refresh* your browser for a new security code to be displayed prior to clicking on the 'Send' button.
  • Keep in mind that the above process only applies if you simply entered the wrong security code.

Code:* Code

Last Updated ( Monday, 09 January 2017 )
< Prev   Next >
home contact search contact search