Implementation of a cluster initiative in the development of human resource potential of medical organizations in rural areas.

I. E. Esaulenko
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Abstract

The relevance of this study is due to the need to solve the problems of providing medical personnel for rural healthcare in order to increase the availability and quality of medical care for the population. Purpose of the study: to identify resources and identify risks for the formation of human resources in medical organizations in rural areas. Materials and methods. The work studied and analyzed the literature sources of domestic authors on the personnel problem in healthcare, as well as regulatory documents on the topic of research. To assess the state of health care staffing in the Voronezh region, data from statistical accounting forms No. 17, No. 30 were used. Using the method of comparative analysis, a study was carried out of indicators of the supply of medical personnel and staffing of medical positions in medical organizations of the Voronezh region, the main indicators of the activities of medical organizations in rural areas of the region. In order to study the factors contributing to the attraction of young specialists to medical organizations in rural areas, an anonymous online survey was conducted. To process the data obtained, sociological, analytical and statistical methods were used. Results. The Voronezh region has a satisfactory level of provision with medical workers, but they are unevenly distributed throughout the region. The shortage of personnel is more pronounced in rural areas – staffing of regular positions is decreasing, the proportion of people of retirement age is growing, and the influx of young specialists is decreasing. Discussions. The study made it possible to provide objective information about the state of provision of health care institutions with medical personnel and the reasons for understaffing in rural areas. A subjective assessment of graduates of medical universities of their employment opportunities in medical organizations in rural areas made it possible to identify “weak points” and take them into account when forming the personnel policy of the region. Conclusion. Recommendations for solving the problem of continuous professional development of medical personnel are proposed. The findings of the study can be used in the formation of effective personnel policies aimed at proactively predicting the process of their reproduction in the healthcare system.
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在开发农村地区医疗机构人力资源潜力方面实施集群倡议。
本研究之所以具有现实意义,是因为有必要解决为农村医疗保健提供医务人员的问题,以提 高人口医疗保健的可用性和质量。研究目的:确定农村地区医疗机构人力资源形成的资源和风险。材料和方法。这项工作研究和分析了国内作者关于医疗机构人事问题的文献资料,以及关于研究课题的规范性文件。为评估沃罗涅日州医疗机构人员编制状况,使用了第 17 号和第 30 号统计核算表中的数据。通过比较分析方法,研究了沃罗涅日州医疗机构的医务人员供应和医疗岗位人员配备指标,以及该州农村地区医疗机构活动的主要指标。为了研究农村地区医疗机构吸引年轻专家的因素,进行了匿名在线调查。为了处理所获得的数据,使用了社会学、分析和统计方法。调查结果沃罗涅日州的医务人员供应水平令人满意,但他们在全州的分布并不均衡。人员短缺问题在农村地区更为突出--正规岗位的人员编制在减少,退休年龄人员的比例在增加,年轻专家的流入量在减少。讨论情况。通过研究,可以客观地了解医疗机构的医务人员配备情况以及农村地区人员不足的原因。通过对医科大学毕业生在农村地区医疗机构就业机会的主观评估,可以找出 "薄弱环节",并在制定地区人事政策时加以考虑。结论提出了解决医务人员持续职业发展问题的建议。研究结果可用于制定有效的人事政策,以积极预测医务人员在医疗系统中的再生产过程。
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