Научно-практический рецензируемый журнал
"Современные проблемы здравоохранения
и медицинской статистики"
Scientific journal «Current problems of health care and medical statistics»
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Диагностика и профилактика преждевременного старения

Организация здравоохранения

SOLVED AND UNSOLVED PROBLEMS OF DETERMINING THE OPTIMAL COMPOSITION AND RATIO OF MEDICAL, NON-MEDICAL, AND OTHER PERSONNEL IN MEDICAL ORGANIZATIONS

L.I. Menshikova1,2, I.B. Shikina1, O.O. Zakharchenko1, D.S. Terentyeva1
1. Russian Research Institute of Health, Moscow
2. Federal State Budgetary Educational Institution of Further Professional Education "Russian Medical Academy of Continuous Professional Education" of the Ministry of Healthcare of the Russian Federation, Moscow
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Summary:
Introduction. Currently, there is a problem of developing unified approaches to the formation of the staffing of a medical organization in terms of attracting a non-medical person to the activities of a medical organization. The study of this problem by researchers has shown that there are unresolved issues related to determining the needs, roles and places of non-medical and other personnel in the activities of a medical organization, developing common terminological approaches, determining the optimal ratio of medical and non-medical personnel. Purpose: to study the structure of non-medical and other personnel, as well as the ratio of individuals of medical personnel, non-medical and other personnel in a medical organization. Materials and methods. Forms of federal statistical observation № 30 "Information of a medical organization" (FSN № 30), section II "Staff of a medical organization", "Positions and individuals of a medical organization", tables 1100 for 2017-2021. Methods of descriptive statistics, calculation of average characteristics of dynamic series were used in the study. The ratio of positions of medical and non-medical personnel is calculated in accordance with the methodological recommendations "Determining the optimal ratio of medical/secondary medical/other personnel in state and municipal healthcare institutions of the general medical network and specialized services" (letter of the Ministry of Health of the Russian Federation No.16-5/10/2-3238 from 10/25/2012). Results. It is shown that in the structure of a medical organization, the largest share is occupied by secondary medical personnel (40.91%), in second place – other personnel (31.06%), who are not directly involved in providing medical care to the population. The share of medical personnel in a medical organization is 18.58%, that is, 2.2 units of secondary medical personnel and 1.7 units of other personnel per doctor. Conclusion. For a unified approach to personnel policy in relation to non-medical personnel working in a medical organization, the development of a regulatory framework is required. In order to detail and unify the nomenclature of positions, as well as to determine the need for other personnel in a medical organization of various types, it is necessary to study the category of "other personnel" in more detail. To optimize the activities of specialists with higher non-medical education, it is advisable to explore the possibility of using outsourcing technologies or expanding their job responsibilities.
Keywords non-medical personnel, other personnel, nomenclature of positions, staffing table, ratio of individuals, personnel structure of a medical organization.

Bibliographic reference:
L.I. Menshikova, I.B. Shikina, O.O. Zakharchenko, D.S. Terentyeva, SOLVED AND UNSOLVED PROBLEMS OF DETERMINING THE OPTIMAL COMPOSITION AND RATIO OF MEDICAL, NON-MEDICAL, AND OTHER PERSONNEL IN MEDICAL ORGANIZATIONS // Scientific journal «Current problems of health care and medical statistics». - 2022. - №5;
URL: http://healthproblem.ru/magazines?textEn=949 (date of access: 14.05.2024).

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