Аctual issues of staffing of primary health care by district paediatrician on the example of the region of the Russian Federation
- 作者: Shkarin V.V.1, Ivasheva V.V.1, Emelyanova O.S.1, Dyachenko T.S.1
-
隶属关系:
- Volgograd State Medical University
- 期: 卷 65, 编号 6 (2021)
- 页面: 533-539
- 栏目: HEALTH CARE ORGANIZATION
- ##submission.dateSubmitted##: 25.10.2024
- URL: https://hum-ecol.ru/0044-197X/article/view/637722
- DOI: https://doi.org/10.47470/0044-197X-2021-65-6-533-539
- ID: 637722
如何引用文章
全文:
详细
Introduction. Eliminating the personnel shortage in medical institutions that provide primary health care (PHC) to children is one of the priority tasks of the state policy in healthcare.
The purpose of the work was to assess the impact of changes in the system of training medical personnel and measures to provide primary care medical personnel, implemented in the Volgograd region, on the availability of PHC for children in 2016–2018.
Material and methods. According to the data of Central Research Institute of Healthcare Organization and Informatization and Volgograd Regional Medical Information and Analytical Centre analyzed the indices of provision, staffing of district paediatricians, coefficients of concurrency and the level of availability of PHC to the children’s population.
Results and discussion. The number of district paediatricians in medical institutions of the Volgograd region from the period 2016–2018 increased by only 46 people with the graduation of 356 specialists from Volgograd State Medical University, which led to a slight increase in the provision of district paediatricians. At the same time, the staffing rate for pediatric sites and the average number of visits per child decreased from 7.9 to 7.6 cases. The studied indices vary significantly in urban and rural medical institutions. There is a high proportion of pre-retirement and retirement age specialists in the village. Twenty-eight district paediatricians participated in training under the “Zemsky Doctor” program, but some left for various reasons.
Conclusion. The presence of pronounced differences in the indicators of provision of paediatricians by district doctors in the number of visits per 1 child between cities and municipal districts indicates significant differences in the availability of medical care. It requires organizational measures to overcome this kind of inequality. Admission to work through the primary accreditation procedure in the speciality “Pediatrics” and the implementation of the program “Zemsky Doctor” have not significantly eliminated the personnel deficit at the primary level.
作者简介
Vladimir Shkarin
Volgograd State Medical University
编辑信件的主要联系方式.
Email: noemail@neicon.ru
ORCID iD: 0000-0002-7520-7781
俄罗斯联邦
Viktoriya Ivasheva
Volgograd State Medical University
Email: noemail@neicon.ru
ORCID iD: 0000-0003-4087-3781
俄罗斯联邦
Olga Emelyanova
Volgograd State Medical University
Email: noemail@neicon.ru
ORCID iD: 0000-0001-8772-7971
俄罗斯联邦
Tamara Dyachenko
Volgograd State Medical University
Email: ozz-volggmu@yandex.ru
ORCID iD: 0000-0003-4570-3693
Ph. D., Head of the Department of public health and health care of Volgograd State Medical University, Volgograd, 400131, Russian Federation.
e-mail: ozz-volggmu@yandex.ru
俄罗斯联邦参考
- Baranov A., Namazova-Baranova L., Albitskiy V., Ustinova N., Terletskaya R., Komarova O. The Russian child health care system. J. Pediatr. 2016; 177S: S148–55. https://doi.org/10.1016/j.jpeds.2016.04.052
- Baranov A.A., Al’bitskiy V.Yu. State of health of children in Russia, priorities of its preservation and improving. Kazanskiy meditsinskiy zhurnal. 2018; 99(4): 698–705. https://doi.org/10.17816/KMJ2018-698 (in Russian)
- Rugol L.V., Son I.M., Gazheva A.V., Mikhaylova Yu.V., Banteva M.N. Problems of personnel provision in terms of access to primary health care and its quality. Profilakticheskaya meditsina. 2019; 22(1): 49–56. https://doi.org/10.17116/profmed20192201149 (in Russian)
- Sabanov V.I., Berdnik E.Yu., Devlyashova O.F. Modern state of the pediatric service of the city of Volgograd and directions for its improvement. Vestnik Volgogradskogo gosudarstvennogo meditsinskogo universiteta. 2015; (4): 16–22. (in Russian)
- Ministry of Health of the Russian Federation. Statistical collection 2018. Resources and activities of medical healthcare organizations. Medical personnel 2018. Available at: https://www.rosminzdrav.ru/ministry/61/22/stranitsa-979/statisticheskie-i-informatsionnye-materialy/statisticheskiy-sbornik-2018-god
- Statistical Analysis and Performance Indicators of Medical Organizations of the Volgograd Region in 2016-2018 [Statisticheskiy analiz i pokazateli raboty meditsinskikh organizatsiy Volgogradskoy oblasti v 2016-2018]. Volgograd: Sfera; 2019. (in Russian)
- Zarivchatskiy M.F., Isaeva N.V., Agafonova T.Yu., Rudavina T.I., Tokmakova O.G. Organizational bases of the accreditation procedure for specialists with higher medical education. In: Materials of the Educational and Methodological Conference «Independent Assessment of the Quality of Students’ Preparation for Work within the Accreditation Procedure» [Materialy uchebno-metodicheskoy konferentsii «Nezavisimaya otsenka kachestva podgotovki obuchayushchikhsya k trudovoy deyatelnosti v ramkakh protsedury akkreditatsii»]. Perm; 2018: 3–7. (in Russian)
- Sobolev I.B., Moiseeva K.E., Alekseeva A.V., Kharbediya Sh.D., Glushchenko V.A. Some results of the organization assessment of outpatient aid to children’s population in a municipal area. Pediatr. 2019; 10(1): 57–63. https://doi.org/10.17816/PED10157-63 (in Russian)
- Orel V.I., Bezhenar S.I., Kim A.V., Roslova Z.A., Buldakova T.I., Sharafutdinova L.L., et al. Actual problems of primary health care for children. In: Materials of the Jubilee All-Russian Scientific and Practical Conference with International Participation «Topical Issues of Primary Health Care» [Materialy Yubileynoy Vserossiyskoy nauchno-prakticheskoy konferentsii s mezhdunarodnym uchastiem «Aktual’nye voprosy pervichnoy mediko-sanitarnoy pomoshchi»]. St. Petersburg; 2018: 66–8. (in Russian)
- Sheyman I.M., Shevskiy V.I., Sazhina S.V. Primary health care priority – declaration or reality? Sotsial’nye aspekty zdorov’ya naseleniya. 2019; 65(1): 1–3. https://doi.org/10.21045/2071-5021-2019-65-1-3 (in Russian)
补充文件
