DOI: 10.21045/2071-5021-2017-54-2-10

Tsybikova E.B., Armashevskaya O.V.
Federal Research Institute for Health Organization and Informatics of Ministry of Public Health of Russian Federation, Moscow

Contacts: ErzhenyB. Tsybikova, This e-mail address is being protected from spam bots, you need JavaScript enabled to view it
Information about authors:
Tsybikova E.B., http://orcid.org/0000-0002-9131-3584
Armashevskaya O.V., http://orcid.org/0000-0002-5030-4702
Acknowledgments.The study had no sponsorship.
Conflct of interests. The authors declare no conflict of interest.

Abstract.

Significance. For several decades regulatory documents on calculating standard numbers of endocrinologists’ positions providing outpatient care have not been revised. However, during the last decade there was a significance rise in the number of diabetes mellitus up to 9-10 million cases or 7% of the total population of Russia. A range of chronic diseases requiring endocrinologists’ observation and treatment has widely expended as well.

The study purpose: to estimate new standard numbers of endocrinologists’ positions providing outpatient care.

Methods and data. To calculate standard numbers of endocrinologists’ positions we used data on standard working hours received from photo-stopwatch observation of 36 endocrinologists in 18 Russian regions in 2015.

For calculation we used information from regulatory documents of the Ministry of Labor and Social Protection, Ministry of Health of the Russian Federation, reporting form #30 and data on population size of the Federal State Statistics Service.

Results. Currently, there is a compelling need in increasing the number of endocrinologists’ positions providing outpatient care which is confirmed by comparison between estimated and actual number of endocrinologists’ positions calculated based on both regional standards of visits recommended by the Program of State Guarantees and standards of staff positions according to the Order of the Ministry of Health.

Currently, the actual number of endocrinologists’ positions is 2.8 times higher (including basic leave) and 2.7 times higher (including basic and additional leaves) than the number calculated using average indicator recommended by the Program of State Guarantees, using numbers of planned duties of the doctor’s position calculated by the authors. The number of endocrinologists’ positions calculated based on staffing standards recommended by the Order of the Ministry of Health shows that it should be increased by 1219 positions to correspond with the occupied positions.

Decision about changing the number of physicians requires substantial correction of the planned and standard performance indicators of outpatient care facilities represented in the Program of State Guarantees.

Keywords: labor standardization; photo-stopwatch observation; time standards; standard number of positions.

References

1. Dedov I.I., Shestakova M.V., Vikulova O.K. Gosudarstvennyy registr sakharnogo diabeta v Rossiyskoy Federatsii: status 2014 goda i perspektivy razvitiya. Sakharnyy diabet. 2015; 18 (3): 5-22.
2. Izmeneniya v otraslyakh sotsial'noy sfery, napravlennye na povyshenie effektivnosti zdravookhraneniya: Rasporyazhenie Pravitel'stva Rossiyskoy Federatsii ot 28 dekabrya 2012 g. ¹2599-r [Internet] URL: http://ssmp-novoros.ru/dorozhnaya-karta/31-rasporyazhenie-pravitelstva-rf-ot-28-12-2012-2599-r
3. Ob utverzhdenii metodicheskikh rekomendatsiy po razrabotke s sistem normirovaniya truda v gosudarstvennykh (munitsipal'nykh) uchrezhdeniyakh: Prikaz Ministerstva truda i sotsial'noy zashchity ot 30.09.2013 g. ¹504 [Internet] URL: http://www.rosmintrud.ru/docs/mintrud/orders/76
4. Ob utverzhdenii Poryadka okazaniya meditsinskoy pomoshchi vzroslomu naseleniyu po profilyu «endokrinologiya: Prikaz Ministerstva zdravookhraneniya Rossiyskoy Federatsii ot 12 noyabrya 2012 goda ¹ 899n [Internet] URL: http://base.garant.ru/70293326/
5. O meropriyatiyakh po realizatsii gosudarstvennoy sotsial'noy politiki: Ukaz Prezidenta Rossiyskoy Federatsii ot 7 maya 2012 g. ¹597 [Internet] URL: http://docs.cntd.ru/document/902345103
6. O perenose vykhodnykh dney v 2015 godu: Postanovlenie Pravitel'stva Rossiyskoy Federatsii ot 27 avgusta 2014 ¹860 [Internet] URL: http://www.consultant.ru/document/cons_doc_LAW_167928/
7. O formirovanii i ekonomicheskom obosnovanii territorial'noy programmy gosudarstvennykh garantiy okazaniya grazhdanam Rossiyskoy Federatsii besplatnoy meditsinskoy pomoshchi na 2012 god: Informatsionnoe pis'mo Minzdravsotsrazvitiya Rossii ot 22.12.2011 g. g. ¹20-2/10/1-8234 [Internet] URL: http://www.rosminzdrav.ru/documents/6984-informatsionnoe-pismo-minzdravsotsrazvitiya-rossii-20-2-10-1-8234-ot-22-dekabrya-2011-g
8. O formirovanii i ekonomicheskom obosnovanii territorial'noy programmy gosudarstvennykh garantiy okazaniya grazhdanam Rossiyskoy Federatsii besplatnoy meditsinskoy pomoshchi na 2014 god i na planovyy period 2015 i 2016 godov: Informatsionnoe pis'mo Minzdrava Rossii ot 08.11.2013 g. g. ¹11-9/10/2-8309 [Internet] URL: http://tfomsko.ru/component/attachments/download/435
9. Tsybikova E.B. Novye normy vremeni na poseshchenie vracha-endokrinologa. Sotsial'nye aspekty zdorov'ya naseleniya. 2016; 1 (47) http://vestnik.mednet.ru/content/category/5/84/30/
10. Shabunova A.A., Barsukov V.N. Tendentsii demograficheskogo stareniya naseleniya Rossiyskoy Federatsii i puti ikh preodoleniya. Problemy razvitiya territorii. 2015; 1 (75): 76-86.
11. Shipova V.M. Vnedrenie novykh norm vremeni na poseshchenie: problemy i puti resheniya. Zam. glavnogo vracha. 2015; 11: 18-26.

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