The personnel support of medical organizations in the Republic of Bashkortostan

Abstract

The article considers the problem of personnel support of medical organizations. The Russian health care system cumulated many serious personnel problems, including low level of personnel planning, deficiency of many categories of workers, serious disproportions in personnel structure, low professional level of significant percentage of physicians. The article analyses dynamics of quantitative structure of physicians and paramedical personnel in Russian in 2004-2015 with the purpose of comprehensive evaluation of medical personnel support of modern health care system. The analysis of statistical data demonstrated that during last years a trend of decreasing of number of physicians and paramedical personnel in Russia occurred. In the Republic of Bashkortostan number of physicians also decreased during the analyzed period. The trends of decreasing were established as to paramedical personnel. The low level of salary of physicians and other categories of health care workers is a key factor of deficiency of medical professionals. These results testify the necessity of alteration of actual system of regulation and payment of functioning of physicians and paramedical personnel. The revision of modem model of financing of national health care system is inevitably related to significant shortage of state public costs in recent years. To increase efficiency of financial investments and achievement of better quality of rendered medical care conversion of primary health care to capitation financing principle consisting in allocation of financial funds per every treated patient. At this approach, workers of medical institutions acquire material commitment in total convalescence of patient ере increases quality of medical care. The efficient development of forms of insurance medicine also have to do with measures of financial policy in health care system.