Problems and prospects of personnel support of the Moscow healthcare system

Problems and prospects of personnel support of the Moscow healthcare system

Автор: Yarasheva Aziza V., Aleksandrova Olga A., Medvedeva Elena I., Alikperova Natalya V., Kroshilin Sergei V.

Журнал: Economic and Social Changes: Facts, Trends, Forecast @volnc-esc-en

Рубрика: Social development

Статья в выпуске: 1 т.13, 2020 года.

Бесплатный доступ

The article is devoted to the study of the problem of personnel support in the capital's healthcare. Its research is connected, on the one hand, with the analysis of statistical data on the medical personnel staff in organizations, which allows building (on the basis of theoretical model) the prognosis of availability/ absence of staff (according to different indicators). On the other hand, it is connected with the analysis of motivational factors affecting entrance into the profession, long successful professional career, processes of “burnout” and retirement from the profession. In the article, we present the results of the scientific project, conducted in 2019, on studying problems of the quality of the staff in the Moscow's system of healthcare within the implementation of the current capital standard of providing medical assistance. The usage of statistical, mathematical, and sociological research methods allowed us to identify not only the characteristic features of the available labor resources, but also the prospects of personnel support of Moscow healthcare institutions. The forecast for the development of the personnel potential of Moscow's medical organizations is based on statistical data for the last 5 years (2014-2018). The prospects of changing of the age and gender structure of employees (doctors and nursing staff), the number of doctors of the most popular specialties in the capital are shown. On the basis of sociological surveys, we reveal the level of satisfaction of medical employees (depending on working experience) with working conditions (salaries in hospitals and clinics and its correspondence with the work performed). We also define main types of doctors and nursing staff's workload, which act as motivational factors affecting the quality of medical assistance. On the basis of expert opinions, we show material and non-material factors that determine the increase of the personnel potential of the Moscow's healthcare system.

Еще

Healthcare, personnel support, working conditions, motivations, prospects of personnel needs, moscow

Короткий адрес: https://sciup.org/147225435

IDR: 147225435   |   DOI: 10.15838/esc.2020.1.67.10

Список литературы Problems and prospects of personnel support of the Moscow healthcare system

  • The world health report 2006: working together for health. Available at: https://www.who.int/whr/2006/whr06_en.pdf?ua=1
  • Global strategy on human resources for health: Workforce 2030. Available at:https://www.who.int/hrh/resources/global_strategy_workforce2030_14_print.pdf?ua=1
  • Health at a Glance 2017: OECD Indicators. Available at: https://www.health.gov.il/publicationsfiles/healthataglance2017.pdf
  • Organization and financing of public health services in Europe. Ed. by Bernd Rechel, Elke Jakubowski, Martin Mckee, Ellen Nolte. Available at: http://www.euro.who.int/__data/assets/pdf_file/0011/370946/public-healthservices.pdf?ua=1
  • Handbook on monitoring and evaluation of human resources for health, with special applications for low- and middleincome countries. Ed. By Mario R. Dal Poz Neeru Gupta Estelle Quain Agnes L.B. Soucat. Available at: https://www.who.int/workforcealliance/knowledge/toolkit/25.pdf?ua=1
  • Helderman J.-K. The crisis as catalyst for reframing health care policies in the European Union. Health Economics, Policy and Law. 2015, 10 (1), pp. 45–59.
  • Simou E., Koutsogeorgou E. Effects of the economic crisis on health and healthcare in Greece in the literature from 2009 to 2013: A systematic review. Health Policy, 2014, 115 (2–3), pp. 111–119.
  • Kyaddondo D, Whyte SR. Working in a decentralized system: a threat to health workers’ respect and survival in Uganda. International Journal of Health Planning and Management, 2003, no. 18(4), pp. 329–342.
  • Jewkes R, Abrahams N, Mvo Z. Why do nurses abuse patients? Reflections from South African obstetric services. Social Sciences and Medicine, 1998, no. 47(11), pp. 1781–1795.
  • Brewer CS, Zayas LE, Kahn LS, Sienkiewicz MJ. Nursing recruitment and retention in New York State: a qualitative workforce needs assessment. Policy, Politics and Nursing Practice, 2006, no. 7(1), pp. 54–63.
  • Richardson G. et al. et al. Economic Evaluation of a Nursing-Led Intermediate Care Unit. International Journal of Technology Assessment in Health Care International Journal of Technology Assessment in Health Care, 2001, no. 17 (3), pp. 442–450.
  • Jumpa M, Jan S, Mills A. The role of regulation in influencing income-generating activities among public sector doctors in Peru. Human Resources for Health, 2007.
  • Gruen R, Anwar R, Begum T et al. Dual job holding practitioners in Bangladesh: an exploration. Social Science and Medicine, 2002, no. 54(2), pp. 267–279.
  • Filc D., Davidovitch N. Rethinking the private-public mix in health care: Analysis of health reforms in Israel during the last three decades. Journal of Health Services Research and Policy, 2016, 21 (4), pp. 249–256.
  • Ferrinho P, Van Lerberghe W, Julien MR et al. How and why public sector doctors engage in private practice in Portuguese-speaking African countries. Health Policy and Planning, 1998, no. 13(3), pp. 332–338.
  • Bossert Th. Et al. Assessing financing, education, management and policy context for strategic planning of human resources for health. Available at: https://www.who.int/hrh/tools/assessing_financing.pdf
  • Human resources for health: Overcoming the Crisis. Available at: https://www.who.int/hrh/documents/JLi_hrh_report.pdf
  • Ulumbekova G.E. Zdravookhranenie Rossii. Chto nado delat’. 2-e izd. Moscow: GEOTAR-Media, 2015. 704 p.
  • Yarasheva A.V. Research of the personnel potential of the Moscow healthcare system. Moskovskaya meditsina=Moscow Medicine, 2019, no. 3. (In Russian).
  • Aleksandrova O.A., Aksenova E.I., Yarasheva A.V., Alikperova N.V., Nenakhova Yu.S. Management personnel in Moscow healthcare: Search for answers to current questions. Problemy sotsialnoi gigieny, zdravookhraneniya, i istorii meditsiny=Problems of Social Hygiene, Public Health and History of Medicine, 2019, no. 5. (In Russian).
  • Aleksandrova O.A., Komolova O.A. Formation of the personnel reserve of the heads of the capital’s medical institutions within health care reform. Part 1: Personnel structure of medical institutions’ management and problems of its formation before the health care reform. Trud i sotsial’nye otnosheniya=Labor and Social Relations Journal, 2019, vol. 30, no. 2 (152), pp. 5–18. (In Russian).
  • Novikova N.V., Pozdeeva O.G. Prognozirovanie natsional’noi ekonomiki: uchebno-metodicheskoe posobie. Yekaterinburg: Izd-vo Ural. gos. ekon. un-ta, 2007.
  • Brooks C. Working with healthcare professionals. In: Walshe K. and Smith, J. (Eds.) Healthcare Management Maidenhead: Open University Press, 2006.
Еще
Статья научная
QR-код для установки приложения SciUp Наведите камеру и скачайте бесплатное приложение SciUp