Availability of medical personnel and measures for their retention in public health care institutions
Year: 2024
Type: article
Abstract: The geographical uneven distribution of medical personnel characteristic of the Russian Federation affects the sustainability of the country's healthcare system and, consequently, the availability and quality of medical care. The aim of the study is to analyse the provision of medical personnel in federal districts, constituent entities of the Russian Federation and measures to attract and retain them for 2018-2023 in the constituent entities of the Russian Federation on the example of the North-Western Federal District. On the basis of statistical data from Russian research Institute of Health and the State Statistics Service (Rosstat), an analysis of the staffing of medical organisations of the public health system in the Russian Federation as a whole, federal districts, constituent entities of the Russian Federation in the North-West Federal District was carried out, with the calculation of indicators and their growth/decline rates for the period of implementation of the federal project ‘Providing medical organisations of the health system with qualified personnel’ (2018-2023). The indicator of provision with doctors in the Russian Federation as a whole and in most federal districts showed a positive trend, while the opposite trend was recorded in the provision with middle medical personnel, possibly due to defects in planning the need for training of middle medical personnel at the regional level. The North-Western Federal District has the highest rate of doctors (44.3 doctors per 10,000 population), but there are marked interregional differences in the rates of doctors and paramedical staff (with medical education), which indicates that the work to attract and retain medical personnel is not sufficiently effective. Despite significant differences between the constituent entities of the Russian Federation that make up the North-West Federal District, the measures to attract and retain medical personnel are similar in almost all constituent entities of the Russian Federation. To improve the effectiveness of regional personnel policy it is necessary to clearly differentiate the measures taken at the level of a medical organisation in a particular municipality, normative and legal regulation of the powers of local governments to create favourable conditions for attracting medical workers, economic incentives for medical workers, increasing the targeting and filling of social support measures in rural health care, in hard-to-reach, remote areas with a low density of us. Keywords: medical personnel; personnel deficit, personnel imbalance, personnel attraction; social support measures.
Source: Yakut Medical Journal
Authors: L.V. Rugol, L.I. Menshikova
Language: English
Subfield: Emergency Medical Services
Field: Health Professions
Domain: Health Sciences
Open Access status: diamond
OpenAlex ID: W4406543507