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Friday, 11 May 2018

DOI: 10.21045/2071-5021-2018-60-2-9

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

Contacts: Kudelina O.V., e-mail: This e-mail address is being protected from spam bots, you need JavaScript enabled to view it
Information about authors:
Kudelina O., http://orcid.org/0000-0003-2921-3272
Brazovskaya N., http://orcid.org/0000-0002-0706-9735
Acknowledgments. The study had no sponsorship.
Conflict of interests. The authors declare no conflict of interest.


Significance. Improvements in human resources management in medical institutions require implementation of actions based on principles of the healthcare system development strategy.

Purpose. To analyse changes in systems of human resources management in the Tomsk oblast medical institutions based on the assessment of trends in physicians’ opinion over five years.

Methods. Comparative analysis of opinions of physicians employed at medical organizations of the Tomsk oblast, collected in 2012 and 2017 has been conducted regarding questions about evaluation of processes of healthcare reforming, human resources issues, and economic aspects of health care delivery. A total of 2535 individuals were anonymously surveyed. The obtained raw data were processed using statistical methods within the R statistical environment.

Results. Analysis of the respondents’ opinion on economic aspects of healthcare system performance made it possible to reveal that, in the same way as before, the majority of the respondents prefer to work at the state healthcare system. The share of workers who do not provide paid services increased up to about 35% at all levels.

Almost three fourths of the respondents employed at the oblast institutions are aware of the territorial program of state guarantees for free care delivery: the share of full awareness increased up to 23.0%, partial awareness – to 53.7% (in comparison with 2012).

Issues related to staffing level in healthcare are becoming more important, 10% more employees mentioned this problem. However, the problem intensity is higher at the oblast level institutions. The level of awareness of current changes in the healthcare system has significantly increased.

Conclusions. Over five years, awareness of physicians of current changes in the healthcare system and substantiation of the territorial program of state guarantees have significantly increased. According to the respondents’ opinion, the staffing issues in medical institutions remain relevant, especially at the oblast institutions. In the federal level organizations physicians are more satisfied with both quality of their work and performance of their supervisors.

Scope of application. It is necessary to continue modernization of human resources management system at the oblast level medical institutions, paying attention to changing perception of physicians regarding activities aimed at healthcare development: improvement of care provision to population and system of professional training.

Keywords: medical institutions; modernization; health care workforce; management; organization of healthcare; continuous medical education.


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