Aspects of Healthcare Staffing With Specialists in Healthcare Organization and Public Health in Moscow

V. N. Tregubov, Dmitriy D. Shestakov
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Abstract

Introduction. How many public health and healthcare organization professionals a health facility has on staff has a significant impact on the integration of all functional units, the ability to successfully address pressing issues, and the quality and safety of medical care. Purpose. The goal was to conduct a comparative analysis of staffing dynamics in health facilities with public health specialists in Moscow and Russia from 2017 to 2021. Materials and methods. Statistical, logical, and analytical methods were used. Data on the number of public health specialists in Moscow and Russia, workforce density and quantity of health facilities were obtained from statistical data of the Central Research Institute of Organization and Informatization of Healthcare of the Ministry of Health of the Russian Federation from 2017 to 2021. The demand for chief physicians, deputy chief physicians, methodologists, and medical statisticians was identified based on job vacancies on job search websites (HeadHunter (hh.ru), SuperJob.ru, zarplata.ru, careerist.ru) at the beginning of 2023. Result. It was shown that there remained a negative trend in Moscow, Russia, between 2017 and 2021 in the number of heads of medical organizations and their deputies. Conversely, over the five-year period the number of methodologists have increased, and the number of medical statisticians remained virtually the same. There are open positions for experts in healthcare organization and public health in the Moscow healthcare system, despite the established network of academic and educational institutions for the training of medical specialists.
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莫斯科医疗组织和公共卫生专家的医疗人员配备问题
导言。医疗机构拥有多少公共卫生和医疗机构专业人员,对所有职能部门的整合、成功解决紧迫问题的能力以及医疗质量和安全都有重大影响。目的目的是对 2017 年至 2021 年莫斯科和俄罗斯卫生机构公共卫生专家的人员编制动态进行比较分析。材料与方法。采用统计、逻辑和分析方法。莫斯科和俄罗斯的公共卫生专家人数、劳动力密度和医疗机构数量等数据来自俄罗斯联邦卫生部医疗组织与信息化中央研究所 2017 年至 2021 年的统计数据。根据求职网站(HeadHunter (hh.ru)、SuperJob.ru、zarplata.ru、careerist.ru)上的职位空缺,确定了 2023 年初对主任医师、副主任医师、方法学家和医学统计学家的需求。结果结果表明,2017 年至 2021 年期间,俄罗斯莫斯科的医疗机构负责人及其副职人数仍呈负增长趋势。相反,在这五年间,方法论专家的人数有所增加,医学统计学家的人数几乎保持不变。尽管已经建立了培养医学专家的学术和教育机构网络,但莫斯科医疗系统中仍有医疗组织和公共卫生方面的专家职位空缺。
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