[The characteristic of medical personnel resources in the state health care system of the Region].

Yu O Efimikova, Yu V Evstafeva, O V Khodakova
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Abstract

The indicator of provision with medical personnel under primary health care support significantly varies in Subjects of the Russian Federation. This indicator is affected by such territorial characteristics as long distance of territory, poor transport accessibility, low population density, migration processes. The purpose of the study is to analyze indicators of medical personnel resources in state health care system of the Transbaikal Krai. The sources of information were data from forms of Federal statistical monitoring № 30 "Information on the medical organization" of the Krai medical organizations in 2018-2022. The span diagram was made for levels of provision with physicians over 5 year period in regions of the Krai. The cluster analysis was applied to classify municipalities according to level and dynamics of indicators of provision with physicians. It is established that indicators of provision of district therapists and district pediatricians in the Transbaikal Krai remain below similar ones in the Far Eastern Federal Okrug and the Russian Federation. The making of span diagram demonstrated significant difference in indicators of provision with mentioned specialists in municipalities of the Krai over 5 year period that testifies instability of medical personnel situation in districts of the Krai. The maximal indicators of provision in certain regions are conditioned by higher wages and location of medical organizations in the Krai center. The shortage in medical personnel of primary health care is marked in the Krai. In order to implement tasks of overcoming medical personnel shortage, disproportions in structure of medical personnel, uneven territorial distribution of medical specialists in the Krai it is necessary to improve mechanisms of human resources planning.

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[地区国家医疗系统医疗人力资源的特点]。
俄罗斯联邦各主体在初级卫生保健支持下的医疗人员配备指标差异很大。该指标受地域特点的影响,如地域遥远、交通不便、人口密度低、移民进程等。本研究旨在分析外贝加尔边疆区国家医疗系统的医疗人力资源指标。信息来源是2018-2022年边疆区医疗机构联邦统计监测№30 "医疗机构信息 "表格中的数据。对边疆区各地区 5 年间的医生配备水平绘制了跨度图。运用聚类分析法根据医生配备指标的水平和动态对各市进行了分类。结果表明,外贝加尔边疆区的地区治疗师和地区儿科医生配备指标仍低于远东联邦区和俄罗斯联邦的同类指标。跨度图显示,5 年间边疆区各市在提供上述专家方面的指标存在显著差异,这证明边疆区各地区的医务人员状况不稳定。某些地区的医疗人员配备指标最高是因为工资较高和医疗机构位于边疆区中心。边疆区初级保健医疗人员明显短缺。为了克服医疗人员短缺、医疗人员结构失调、边疆区医疗专家地域分布不均等问题,必须完善人力资源规划机制。
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