Planning staffing in the implementation of the national project "Fight against cancer"

Abstract

Introduction. The leading reason for the growth of oncological morbidity and mortality is the untimely detection and treatment of oncological diseases, restrictions on the availability of specialized oncological medical care formed by the lack of oncologists. For the implementation of the national project to combat oncological diseases, he search for ways to provide medical organizations with personnel is highly relevant. The purpose of the study is to propose ways of providing oncologists to St. Petersburg healthcare institutions at all levels based on an analysis of the staffing level of medical personnel in this profile.Materials and methods. The indicators of provision of all levels of medical organizations in St. Petersburg with oncologists were analyzed using a continuous method of observation over 5 years in the period from 2014 to 2018. The data obtained were statistically processed and used to calculate the need (surplus) in specialists of this profile, as well as to calculate indicators for long-term planning, taking into account the available staffing of medical institutions of city and federal subordination.Results and Discussion. The positive dynamics of staffing of doctors-oncologists, especially individuals, was noted. The growth of the indicator in the analyzed period was 13.6%, which did not allow achieving satisfactory indicators: the staffing rate of oncologists was 88.8%, individuals – 86.1%. Differences in the staffing of medical organizations of various types were noted in 2018: the staffing rate in outpatient medical organizations was 81.7%, and in individuals – 66.7%; in hospitals staffing was 95.6%, and in individuals – 91.6%. Calculations of e deficit (surplus) in the staff of oncologists for medical organizations of all types made it possible to establish that there is no pronounced deficit in specialists, but there is a disproportion in their provision, at a loss for outpatient medical organizations. The calculated prospective need for targeted training of oncologists for medical institutions in St. Petersburg amounted to 18 specialists annually.Conclusion. The actual indicators of staffing of the St. Petersburg oncological service at all levels have been established, approaches have been proposed to meet the needs of medical organizations for oncologists. The implementation of the national project to combat oncological diseases will contribute to the early detection of oncological diseases, increasing the availability of medical care provided for them.