Aim. To evaluate the level of staffing by general practitioners (GP) in medical organizations in Krasnodar Krai.Materials and methods. Indicators characterizing the level of staffing by GPs in Krasnodar Krai hospitals were analysed using data from the state statistical observation form No. 30 “Information about a medical organization” for the 2009–2019 period. According to the data derived from the Krasnodar Krai Patient Register as of 01.01.2020, all GPs were divided into groups in terms of the ratio of the number of served population and the recommended values. Using the data of the Regional Register of Medical Workers as of 01.01.2020, the age composition of GPs was analysed.Results. As of 01.01.2020, Krasnodar Krai featured 228 medical organizations subordinate to the Krasnodar Krai Ministry of Healthcare. Of these, 58 have full-time GP positions. The overall number of GP positions comprises 294, which are currently taken by 198 specialists (1.1% of the total number of doctors and 1.9% of doctors providing medical care on an outpatient basis). Over the studied period, stable indicators of the provision of the Krasnodar Krai population by GPs were noted; however, the level of staffing by GPs in hospitals was decreasing. This indicates a growing trend in the lack of GPs. An analysis of the actual load of 198 GPs showed that, on average, 1 GP serves 1219 people. For 26.8% of GPs, the number of served population increased the recommended values by 1.5 times or more. As a result, over 100,000 adults in the region are served under the conditions of excessive workload on GPs. The average age of GP is 50.1 ± 0.9 years. Currently, more than 25% of GPs are working retirees by age. In the medium term, this value may exceed 50%. Considering specialists who are about to retire, the estimated need for GPs is 146 doctors.Conclusion. In order to provide affordable and high-quality primary health care to the population in Krasnodar Krai, the number of GPs should be increased. In addition, measures should be taken to raise the attractiveness of work in Krasnodar Krai hospitals.
The National Healthcare Project, which has been implemented in our country since 2019, includes eight federal projects aimed at developing individual elements of the industry. The federal project "Providing medical organizations of the healthcare system with qualified personnel" is the connecting link of all eight projects. It involves the elimination of the shortage of doctors and nurses in polyclinics, the staffing of medical workers by 95% and an increase in the number of doctors by 10% by the end of 2024. Without a sufficient number of specialists in the industry, its effective work is impossible. The surge in the incidence of coronavirus infection has become another challenge for the healthcare industry and exacerbated the problem of staff shortages. To solve the personnel problem, first of all, it is necessary to understand the reasons for the imbalance, to understand the incentives of young people who have just come to receive education and in the labor motives and doctors already working in the industry, to know the reasons that force them to leave the profession. The article presents the results of a study of factors-motivators of medical students, as well as medical workers.
РЕЗЮМЕЦель. Проанализировать особенности оказания медицинской помощи сельскому населению Краснодарского края. Материал и методы. Исследование проведено по статистическим данным, в том числе на основании инфор-мации по достижению отдельных целевых показателей социально-экономического развития Курганинского района, анализа индикативного плана социально-экономического развития Темиргоевского сельского поселения Курганин-ского района.Результаты. Выявлены проблемы ресурсного обеспечения сельского здравоохранения: удаленность населённых пун-ктов от специализированных медицинских организаций, низкая укомплектованность учреждений здравоохранения врача-ми (46,7%), средним медицинским персоналом (72,1%), несоответствие уровня зарплаты целевому показателю (200% от средней по району для врачей при текущем значении 165% и 100% для среднего и младшего медицинского персонала при текущих значениях 84% и 73% соответственно). Для нивелирования кадровых проблем в районе реализуется подпро-грамма «Кадровое обеспечение системы здравоохранения», входящая в программу «Развитие здравоохранения), целе-вая программа «Врачебные кадры для сельского здравоохранения», программа «Земский доктор» и др. Для приближения врачебной помощи в районе применяются выездные формы её оказания, развивается телемедицинская сеть.Заключение. Темпы снижения смертности и увеличения ожидаемой продолжительности жизни пока не соот-ветствуют необходимым для достижения индикативных показателей, хотя и показывают положительную динами-ку. Высокий уровень социально-экономической обеспеченности жителей Курганинского района и Темиргоевского сельского поселения в частности может выступать фактором сохранения здоровья. Снижая заболеваемость и увеличивая продолжительность жизни, мы обеспечиваем рост производительности труда и продление трудоспо-собного периода лиц, занятых в сельском хозяйстве, что в свою очередь обеспечивает рост национального дохода страны, и повышение ее благосостояния. I. S. LEBEDEVA, M. YU. TYUNIN, P. V. LEBEDEV SPECIAL ASPECTS OF HEALTHCARE DELIVERY TO THE RURAL POPULATION IN THE KRASNODAR KRAI ON THE EXAMPLE OF KURGANINSKIY DISTRICTDepartment of public health, healthcare and medical history of Kuban State Medical University. Russia, 350063, Krasnodar, Sedina str. 4; 59Кубанский научный медицинский вестник. 2017; 24 (3) / Kubanskij nauchnyj medicinskij vestnik. 2017; 24 (3) Results. The rural health underresourcing was revealed: remoteness of settlements from specialized medical organizations, low staffing level of health institutions by physicians (46.7%), paraprofessionals (72.1%), nonconformity of wages level with the target values (200% from the median wage for the district for doctors while the current value is 165% and 100% for secondary and nursing staff with the current values of 84% and 73% respectively). For leveling the staffing problems in the district a subprogram "Healthcare system staffing", which is a part of a program "Healthcare development", a focused program "Medical personnel for rural healthcare", a program "Zemsky doctor"...
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