Number Of Medical Personnel Research Articles

Исследования динамики медицинской эффективности функционирования лечебно-профилактических учреждений региона с использованием индекса Малмквиста

The paper provides assessments of the dynamics of the medical efficiency of the functioning of medical institutions in the Khanty-Mansiysk Autonomous Okrug in the period from 2013 to 2021 using the Malmquist index. Purpose of the study. The purpose of the study is to analyze the dynamics of the values of medical efficiency of the functioning of medical institutions of the Khanty-Mansiysk Autonomous Okrug - Ugra, united on an administrative-territorial basis, using the Malmquist index together with shell data analysis. Materials and methods. Direct assessments of the medical effectiveness of these institutions were carried out using shell data analysis. The set of input and output data of the analyzed institutions characterized the effectiveness of the provision of medical services in inpatient and outpatient settings of the institutions. The multiplicative decomposition of the Malmquist index made it possible to analyze the nature and level of influence on its values of such factors as technological changes in the subject area, the efficiency of the management of medical institutions and changes in their scale, i.e. volumes of medical services provi¬ded. Results. Based on the results of the study, it was established that changes in the values of the technological component of the decomposition of the Malmquist index have the greatest influence on changes in the medical efficiency of the functioning of medical institutions. The decomposition component, which characterizes the efficiency of the management of these institutions, is practically neutral. This indicates that the management of regional medical institutions has accumulated quite a large and successful management experience. The influence of the scale component depends on fluctuations in both the volume of medical services provided and the number of medical personnel in institutions. This was especially evident during the pandemic, characterized by strict quarantine restrictions. Conclusion. The use of the Malmquist index and the component of its multiplicative decomposition allows external and internal stakeholders to not only assess the medical effectiveness of the functioning of medical institutions, which is important from he point of view of their use of allocated funding, but also to identify the bearers of “best practices” in terms of the development and implementation of technologies provision of medical services, management of a medical institution and adaptation to changing internal and external conditions of its functioning.

COMPARATIVE ANALYSIS OF UNMET NEED SERVICES IN HEALTH IN INDONESIA IN 2020 AND 2023

Data from the Central Statistics Agency (BPS) shows that the percentage of unmet need for health services in Indonesia decreased from 6.09% in 2020 to 5.22% in 2023, with a decrease of 0.87 percentage points. Unmet need refers to an unmet need for health services, caused by factors of accessibility, availability, cost, or awareness. This study aims to identify changes in the availability and accessibility of health services during this period. The results show that there is a significant gap between the western provinces (Java and Sumatra), which have improved access and quality of health services, and the eastern provinces (Papua and Maluku), which still lack medical facilities and personnel. 2023 shows an increase in the number of medical personnel in urban areas, but uneven distribution is still a problem, especially in rural and remote areas. This study uses a quantitative method with an independent t-test. In conclusion, despite the overall decline in unmet demand, the gap between urban and rural areas and between western and eastern parts of Indonesia remains significant.

Registro de actividad y recursos de las unidades de cuidados intensivos cardiológicos dependientes de servicios de cardiología

Introduction and objectivesDespite advances in the definition of the cardiovascular critical care subspecialty, acute cardiovascular care in Europe remains highly variable in terms of resources, specialty status and training of medical and nursing staff, processes, and outcomes of care. For this reason, it is advisable to establish circuits and records for the collection and analysis of data on bed occupancy, diagnosis, mortality, and morbidity. The spectrum of the different cardiovascular pathologies of the patients treated in the cardiac intensive care unit (CICU) has changed profoundly. MethodsThe objective of this study was to analyze the current volume and activity data of the different CICU depending on Cardiology Departments in Spain, in order to identify indicators for continuous improvement in all participating centers. ResultsTwenty-two UCICs participated in the registry, with a median of 1024 (763-1264) admissions. The median number of beds in the CICU is 8 (8-9) and 8 (4-11.5) in the Intermediate Units. The ratio of physicians on weekdays to the number of beds was 0.29±0.1 in type III CICU and 0.2±0.1 in intermediate units. On the other hand, on weekends the ratio was 0.10±0.05. Overall hospital mortality was 4.34%±1.9%. ConclusionsIn this exploratory and cross-sectional analysis of CICU dependent on Cardiology Services in Spain, great variability in the level and coexistence of Units between centers can be seen. The number of medical personnel in the CICU is much lower than current recommendations, especially during shifts or weekends.

DIAGNOSE OF MENTAL ILLNESS USING FORWARD CHAINING AND CERTAINTY FACTOR

The prevalence of mental disorders in Indonesia is increasingly significant, as seen from the 2018 Riskesdas data. Riskesdas records mental, emotional health problems (depression and anxiety) as much as 9.8%. This shows an increase when compared to the 2013 Riskesdas data of 6%. Based on these data, it can be said that many people still suffer from mental disorders. Meanwhile, the number of medical personnel, medicines and public treatment facilities for people with mental disorders is still limited. In addition, the lack of public awareness, concern and knowledge about mental health causes a lack of public interest in consulting a psychologist, so people tend to self-diagnose. One solution for self-diagnosis is to use an expert system. This study developed an expert system using the forward chaining method and certainty factor. Based on the research conducted, the results are as follows. First, the expert-based system that has been developed can help provide the results of a diagnosis that is carried out before there are complaints and will be detected early by efforts to increase awareness of the prevention of mental illness and reduce the tendency to self-diagnose. Second, applying the forward chaining method and certainty factor to this expert system can produce an accuracy rate of 95.918%. An expert has also validated these results; in this study, the expert was a psychologist at a hospital in Yogyakarta.

Tinjauan Lama Waktu Tunggu Pelayanan Pasien Rawat Jalan Poli Jantung di Rumah Sakit Angkatan Laut Marinir Cilandak Tahun 2022

Patient is a person who, directly or indirectly, consults a doctor or medical service about a health problem in order to receive the medical care the patient needs. After registering, patients need to wait until they get health services from the intended poly. The waiting time is understood as the time required from the arrival of the patient to the moment when the specialist performs the service. This study aims to review the length of waiting time for cardiac outpatient services at the Cilandak Marine Marine Hospital in 2022 using a quantitative approach with descriptive research methods, namely conducting direct interviews with outpatients and directly reviewing the length of waiting time for patients. 74 patient samples, there were 23 patients (31.08%) whose waiting time was appropriate or below the minimum service standard of waiting time (≤60 minutes), while for 51 patients (68.92%) the waiting time did not meet the minimum service standard of time. waiting time (>60 minutes), with an average patient waiting time of 96 minutes. The fastest waiting time for patients is 41 minutes, while the longest waiting time for patients is 173 minutes. Factors that cause long waiting times for outpatients are the inadequate number of medical record officers and medical personnel, the number of patients who come at the same time, causing queues at the registration counter and queues at the poly, doctors' practice hours are quite at odds with registration hours at the counter, negligence of the patient when registering, not carrying a medical card, not carrying the necessary documents, and not the patient concerned who registers, and the number of medical personnel and officers is not sufficient.

The Current State of Human Resources of Healthcare: Problems and Prospects of Development

One of the most important areas of state policy is to improve the quality of medical services . The issue of staffing becomes relevant . In recent years , there have been certain positive development trends in the dynamics of staffing of the healthcare system . But insufficient staffing of medical organizations remains a problem , which leads to a decrease in the effectiveness and effectiveness of measures aimed at improving the health of the population . The purpose of the work is to study the availability of human resources in healthcare , identify problems and develop measures for improvement . The main tasks - to study the theoretical aspects of the development of personnel policy , the analysis of personnel security , the development of recommendations for improving personnel policy . The object of the study is the healthcare personnel of the Republic of Kazakhstan. The subject of the study is the forecast of the need for medical personnel . Research methods . The following general scientific research methods are used in the work : generalization , statistical methods , comparative and regression analyses . The results . The study analyzed changes in the number of medical personnel , graduates of medical educational programs , the need for specialists was calculated using regression analysis , and the forecast of the need until 2025 was considered . The increase in the number of medical personnel needs is a significant obstacle to the provision of quality services . Conclusion . Based on the conducted research , it is necessary to increase the prestige of the doctor , develop various methods of motivating and stimulating the work of healthcare workers , implement measures to solve social problems , etc .

Environmental and Health Services Factors Associated with New Covid19 Case in Central Java Province: A Spatial Analysis

Introduction: At the end of December 2020, there were 93,035 Covid19 cases reported in Central Java. The spatial analysis is useful for assessing the association of environmental and health services factors with new Covid19 cases. Methods: This study was conducted to identify a spatial autocorrelation between environmental conditions and health services on new Covid19 cases in Central Java Province in 2020. The data were obtained from Central Java Profile Published in 2021 with a cross-sectional design. This autocorrelation regression technique was used to determine the relationship between districts/cities for new Covid19 cases. The independent variables in this study were environmental factors such as access to quality drinking water, access to quality sanitation, percentage of Open Defecation Free (ODF) villages, and percentage of healthy food management places. In addition, the independent variables also covered health service factors such as the number of public health centers, hospitals, medical personnel, and population density. Results and Discussion: The findings found that in Central Java province, the factors that influenced new Covid19 cases included population density (p-value 0.0001; Morran I -0.032) and the number of medical personnel (p-value 0.0001; Morrans I 0.021). Conclusion: The new cases of Covid19 in Central Java Province formed a clustered pattern. Factors significantly influencing the regression test are population density and the number of medical personnel. Besides that, spatial autocorrelation was also found in other variables in this study but was not significant.

Foundation and Functioning of the College of Dentistry in Osijek

In the years after the Second World War, Osijek and Slavonia experienced a significant lack of trained medical personnel, especially dental personnel. A large number of such personnel were of Jewish origin and perished in the persecutions during the war, also a large number of people that were of German origin moved away from Slavonia. In addition to that, a considerable number of trained dental and medical personnel retired after the war, so the situation was very difficult. To improve the state of dental protection of the population, in 1961, the College of Dentistry was established in Osijek. The education lasted two years and was organized into six trimesters, after which the participants obtained the title of the senior dentist. During the ten years of activity at the College of Dentistry in Osijek, there were several hundred students who studied from all parts of the country at the time, but mostly they were from Slavonia. In this way, this educational institution fulfilled its goal. The shortage of trained dental personnel has been reduced and Osijek and Slavonia are catching up with the rest of Croatia in the number of medical personnel. In 1971, the College of Dentistry ceases to operate, transforming into the Polyclinic for the protection of teeth and mouth in Osijek, which continues the tradition of dental protection of the population and training of dental staff.

Palliative care in the perception of families with patients oncology surgery

Introduction: The family's participation in palliative care is usually very high, especially when the patient is in hospice home care. Aim of the study: The study aimed to assess the perception of palliative care by families of oncological patients from Podlaskie Province, Poland. Materials and methods: The study included 108 oncology surgery patients' families, 50.8% women and 49.2% men, aged 40 to 80 years. The study used the method of a diagnostic survey with the use of a proprietary questionnaire. Results: 66.7% of people recognized the hospice as comprehensive care for the terminally ill patient; 74.9% of them had positive associations with the hospice; 82.4% of people believed that death was a natural phenomenon; 75.2% were against euthanasia; according to 89.8%, the information provided to the family in a hospice should be comprehensive; support in the hospice should be provided mainly by a permanent clergyman (76.4%) and people after the loss of a loved one (65.4%); the most desirable religious practices in the hospice were the mass (86.7%), rosary prayer (81.6%), confession (81.2%) and sacraments (81.2%); in the hospice showing a lot of kindness, smile and courtesy on the part of the hospice staff to patients (92.5%) and their families (88.5%); the patient should have unlimited access to a clergyman of his religion (98.8%), a psychologist (98.1%) and a physiotherapist (94.6%) in a hospice; according to 87.3% of patients' family members, the society does not pay much attention to palliative care; problems in hospice care result from the growing number of patients with chronic diseases (96.7%) and the lack of public knowledge about palliative care (92.7%); improvement of the quality of medical care in hospices would be achieved by an increase in the number of staff (87.4%) and an increase in the number of beds (82.4%). Conclusions: In the opinion of most families of patients with cancer, hospice is comprehensive care for terminally ill patients and the right place for terminally ill patients, regardless of their diagnosis. The respondents considered a permanent clergyman and people after the loss of a loved one to be the most appropriate people to provide support to hospice patients. The respondents saw problems in patient care at the end of life, mainly in the increasing number of patients with chronic diseases and the lack of knowledge of society about palliative care, its increase in the number of medical personnel, and the increase in the number of beds. The respondents considered the hospice as a place for people suffering from an incurable disease, regardless of the diagnosis, in which the patient does not feel lonely, has support, can feel safe, and as a form of care for the patient, it would be recommended to other families

History and Experience of Central Sulawesi Communities Facing the Influenza Pandemic 1918—1920

This study aims not only to explain the handling efforts, but also to analyze the experiences and collective memories of the people of Central Sulawesi when they faced influenza pandemic in 1918—1920. A century ago, before the Covid-19 pandemic broke out in 2020, an influenza pandemic had plagued the people of Central Sulawesi. Unfortunately, there was very little literature describing these cases. Hence, historical method is used together with certain sources, such as books, journal articles, newspapers, archives, and interviews related with the issue. The results then show that the influenza pandemic in Central Sulawesi began in late 1918 and lasted until the early 1920s. The colonial government at that time tended to be late in dealing with this pandemic. As a result, treatment efforts at the local level were mostly driven by missionaries and colonial officers who had been equipped with the knowledge of modern medicine for tropical diseases. In addition, certain tactics were carried out by several local communities including migration, self-quarantine, and prevention efforts by implementing a hygiene lifestyle and providing food barns to prevent famine during a pandemic. In conclusion, efforts to deal with the influenza pandemic in Central Sulawesi were very limited due to the lack of health facilities and the number of medical personnel, so it was not sufficient to overcome the disease and its spread. However, people's experiences with influenza at that time were stored quite well in their collective memory. Therefore, some of these experiences related to local knowledge can be used as lessons to deal with the current Covid-19 pandemic.

ANALISIS FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN KEPUASAN KERJA TENAGA MEDIS DI PUSKESMAS KOTA PADANG


 The number of medical personnel in the Padang City is still a shortage of the amount required is 83 people, but this time medical personnel numbered 53 people. This research was carried out by combining two types of research are mixed method, preceded by a quantitative research with cross sectional approach, followed by qualitative research. The study was conducted in Primary Health Care Padang City. The population in this study are all medical personnel in the Padang City with a sample of 38 people, with a sampling technique is simple random sampling. The bivariate analysis known there are significant relationship between work (p = 0,023), compensation (p = 0,001), supervision (p = 0,001) and the relationship between employees (p = 0,000) with job satisfaction. But there is no relationship promotion with job satisfaction (p = 0,208). The conclusion of the study there are significant relationship between work, compensation, supervision and the relationship between employees with job satisfaction.

Statistical analysis of medical staffing in the Northwestern Federal District

Subject. We address the provision of medical personnel in the healthcare system. Objectives. The purpose is to perform a statistical analysis of indicators of the provision of medical personnel in the Northwestern Federal District. Methods. The study employs official statistics of the Rosstat for the Ministry of Health of the Russian Federation. We processed statistical data by calculating the proportion of the number of doctors by specialty in the total number of medical personnel, performed a trend analysis of indicators, used descriptive statistics methods. Results. In the Northwestern Federal District, the general indicator of the provision of doctors per 10 thousand people tended to increase. On the basis of a comparative analysis of the provision of specialist doctors in individual regions, i.e. the Arkhangelsk and Kaliningrad Oblasts, we note that the provision with doctors in the Arkhangelsk Oblast is higher than in the Kaliningrad Oblast. In these areas, the highest availability of doctors is observed among therapeutic, dental and surgical specialists. At the same time, there is a general trend for the Northwestern Federal District in reducing the percentage of doctors of the first and the highest qualification category, and increasing the salaries of medical personnel. Conclusions. To retain medical personnel in the considered Federal District, it is important to create a stable health care system, based on balanced number of medical personnel, and develop a mechanism for competent distribution of medical specialties.

МЕТОДИЧЕСКИЕ ПОДХОДЫ К ФОРМИРОВАНИЮ СТРУКТУРЫ ЦЕНТРАЛЬНОГО ОРГАНА ИСПОЛНИТЕЛЬНОЙ ВЛАСТИ В СФЕРЕ ОХРАНЫ ЗДОРОВЬЯ СУБЪЕКТА РФ

Intensification of the rule-making process in healthcare, active position of citizens and their increased demands for conditions of receiving medical services and quality of health care have resulted in increased burden on health authorities. To ensure efficiency in achieving targets in healthcare reforming and modernization, the requirements for quality managerial personnel are being increased. A wide variety of organizational and legal forms of the central health executive authorities of the constituent entities of the Russian Federation, their often insufficient staff size and imbalance in the staffing of structural units necessitate development of unified methodological approaches to the formation of the structure of the central health authorities of the constituent entities of the Russian Federation and substantiate methodology for calculating the staff size. The purpose of the study: to develop a methodology for creating the optimal structure of the health executive authority of a constituent entity of the Russian Federation and methodological recommendations for calculating their staffing. Results. Analysis of the organizational and legal structure and functional responsibilities of the state authorities in healthcare in 13 constituent entities of the Russian Federation has identified significant differences and different competencies, although each constituent entity of the Russian Federation solves general health issues within the competences, therefore, the scope of activities of all levels of government should be coordinated. Staffing of the regional executive authority (REA) should primarily depend on the population size of the constituent entity of the Russian Federation, its density, number of medical organizations, their total bed capacity, planned capacity of units providing outpatient care, and the number of medical personnel. A coefficient has been derived for calculating the staffing level of the state health authority in the constituent entities of the Russian Federation. In accordance with the general calculation criteria, several models of the REA structure were proposed, depending on the population size of the constituent entity of the Russian Federation. For REA with the number of deputies four and over, two versions of the model with different hierarchical subordination were proposed. Conclusion. Active processes of the industry reforming against the background of objective factors that determine new approaches to the healthcare system impose new, increased requirements to the executive bodies of state authority of the constituent entities of the Russian Federation, necessitate optimization of the structure, management and functional load of regional health executive authorities.

ТЕНДЕНЦИИ РАЗВИТИЯ ЗДРАВООХРАНЕНИЯ РОССИИ

The article examines the indicators of the Russian healthcare system for the period 2005–2020. The purpose of the article is to identify trends in the development of the Russian healthcare system. In the course of the study, methods of analysis, comparison, regression, and correlation were used. Trends in a number of indicators of the Russian healthcare system have been identified: the share of government spending in GDP, provision of medical organizations and hospital beds, the number of medical personnel, etc. The conclusion is made about the need to change the trends in the development of the Russian healthcare system.

Healt h capital as the basis for the functioning of human capital in the context of the COVID–19 pandemic

The article examines health capital as the basis for the functioning of human capital. The issue of understanding of human capital importance is still relevant for Kazakhstan, as well as in the development and implementation of its development model. Based on the analysis of demographic indicators characterizing the health of the population of Kazakhstan, revealed the negative trends in indicators of life expectancy and mortality caused by COVID–19. Marketing research conducted by interviewing patients showed for the most part their dissatisfaction with the quality of medical services provided, and the results of the expert survey made it possible to identify problems in medical care in the conditions of COVID–19 and identify ways to solve them. The analysis of the indicators allowed us to conclude that the health of the population in Kazakhstan has deteriorated over the past two years. Today, there is an acute shortage of personnel in healthcare institutions, especially in rural areas. Insufficient number of medical personnel leads to exceeding the specific weight of the time required for patient care, which affects the timeliness and quality of medical services. Not everyone receives a guaranteed amount of free medical care under the CSHI, the unemployed and the self-employed left behind. As a result, there is an objective need to increase investments in healthcare both from the state and from companies, as well as an individual.

Теоретико-методологические основы компаративного анализа систем здравоохранения в мире

The article examines and examines the research of foreign specialists in the field of economics and healthcare organization, who used a comparative approach to analysis in their works. The article examines the features of the application of mechanisms and models of health management characteristic of different countries, studied the experience of the UK, USA, Sweden, Finland, Germany and Japan. The article systematizes the views of scientists on the problem of applying comparative research in the field of healthcare. The article defines generalizations that characterize almost all existing healthcare systems in the world today. Studies are shown that allow us to identify common principles of the organization of health systems in the world, but, at the same time, to identify specific regional and national conditions that become the basis of existing regional, subnational and national health systems. In Russia, at the same time, the healthcare system includes an insurance component and private medicine. The development of the modern healthcare system in Russia can be assessed as not very positive, since with a general reduction in the number of medical personnel and the number of medical institutions in the 90s, this trend is currently continuing, albeit in a more smoothed form. A common place in the development of the healthcare system remains the growth of paid medical services and the orientation of sectoral public authorities in the direction of the development of the health care market with the strengthening of the role of the private sector. The healthcare system is undergoing, on the one hand, an upswing due to the growth of investments caused by coronavirus infection (buildings and entire complexes are being built and repurposed to combat it), and, on the other hand, especially for "traditional" diseases, the trend outlined in previous years continues.

On the subject of ophthalmic surgery staffing in Ukrainian hospitals

Most cases of blindness are reversible according to WHO. The wide distribution of visual impairments, in particular those related to eye injuries and retinal detachments (RD) in the world and in Ukraine, indicates the need to study the issues of organizing medical care for ophthalmic surgical patients in order to find out why all the possibilities of preserving the sight of the population are not used and to suggest ways improvement of the situation. The study was conducted with the aim of studying the staffing of ophthalmology departments for the implementation of urgent vitreoretinal surgical interventions for the population of Ukraine. Analyzed data from ResearchGate, Google Scholar, and PubMed scientific publications on vitreoretinal surgery, regulatory and legal acts of Ukraine, statistical data of the Ministry of Health of Ukraine, WHO publications and guidelines, data from analytical reports of international organizations (in particular, the USAID project "Support for health care reform", 2019). It was established that the number of medical personnel (including ophthalmologists) per 10,000 population is gradually decreasing, which does not correspond to the growth trend of ophthalmosurgical pathology. The obtained results indicate insufficient monitoring of the situation by the Ministry of Health of Ukraine. Based on indirect evidence, we established the absence of vitreoretinal surgeons even in large regional hospitals of Ukraine. It was concluded that the correction of this situation can have a positive effect on the quantity and quality of the provided ophthalmic surgical care for eye injuries and RD. Keywords: eye injuries, blindness, retinal detachment, vitreoretinal surgery, ophthalmic care management.

DENTAL CARE FOR MOSCOW REGION CITIZENS IN THE CONDITIONS OF THE COVID-19 PANDEMIC (APRIL-JUNE 2020)

It is known that the oral cavity is an epidemiological hazard due to the high level of viral and bacterial contamination. Despite the narrow specialization and distant connection with the problem of viral pneumonia, dentists, nevertheless, are at risk of contracting the new coronavirus infection COVID-19. To reduce the epidemiological activity the provision of routine dental care was suspended in the vast majority of regions of the Russian Federation including the Moscow region, from the end of March 2020 to June 20, 2020. During the entire period of routine medical care suspended, the Moscow region chief dentist's team was daily monitoring information about applied patients. The suspension of routine medical care has reduced the number of cases of COVID-19 infection contact transmission in medical organizations during the period of the most active increase in the morbidity. In addition, the decrease in the number of patients enabled medical organizations to reduce the number of medical personnel, which contributed to a decrease in the percentage of morbidity among doctors.

Low Cost Health Monitoring Sytem Based on Internet Of Things Using Email Notification

Monitoring activities are needed if there are symptoms of a disease that require quick action so that the patient's condition does not get worse, for that we need a system that can notify doctors so they can take action. The patient monitoring system in hospitals is generally still carried out conventionally, among others, nurses or doctors come to the patient's room to check on the progress of the patient's condition, this will be a problem, if the number of medical personnel and facilities is insufficient to monitor. Patients who need special attention for patient care, such as monitoring the patient's breathing rate. The use of the internet of things (IOT), as a device that can work without the help of people, can perform tasks and provide easier and real time data, so that they can access output directly. The purpose of this research is to design an inexpensive health monitoring tool based on the Internet of Things (Respiration Parameters) using a piezoelectric sensor and an ESP32 Wi-Fi module. From the results of the module design taken from 10 respondents, obtained that the average measurement high accuracy (17.76 + 0.61) and the average level of stability of the design has a magnitude of 0.4 so that it can be concluded that using a piezoelectric sensor in this series can obtain good accuracy. This the design can be used to monitor a person's respiration in real-time

Application of the innovative methods of mathematical modeling in the development of standards for providing the ambulatory link by doctors in Russia

The work presents data on the relationship between the regional incidence of gastrointestinal tract diseases and the number of medical personnel in various regions of the Russian Federation. Indicators for all federal districts for 2013-2017 have been studied. Mathematical models describing this relationship have been proposed. It has been shown that regional morbidity correlates with the number of medical personnel, as well as with attendance at treatment and prevention institutions. The average number of gastroenterologists from 1.3 to 1.5 per 100,000 inhabitants of the region is optimal for the timely detection of gastroenterology diseases. The data obtained can be used in management decisions to optimize the burden on the healthcare system in each region. The introduction of the standards into clinical practice under the established procedure will help to improve the quality of specialized care for patients with gastroenterological problems.