Assessment of trends of change in the personnel situation in the primary health link of the Sverdlovsk region

Abstract

Introduction. Physicians are the most significant part of the professional resources of health care, and their shortage will affect the availability of medical care to the population.The purpose of the study is to analyze the staffing of primary care physicians and the reserve of its formation on the territory of the Sverdlovsk region.Materials and methods. The analysis of the provision of physicians with therapists and pediatricians according to the official statistical reporting for 2010-2019 in the Sverdlovsk region was carried out, a comparison was made with neighboring regions and indicators for the Russian Federation; an analysis of the formation of personnel reserves in these regions was carried out based on the results of admission companies for the period 2018/19-2020/21 academic years.Results. In the dynamics for the study period in the Sverdlovsk region, the level of provision with district therapists increased by 2.6% from 1.54 to 1.58 per 10,000 adult population, however, the absolute number of physical persons of doctors decreased by 19.2%, the provision of district doctors with pediatricians decreased by 23.7% (p<0.05) – from 7.14 to 5.45 per 10,000 child population. Provision indicators in the region were consistently below the average for the Russian Federation and the Urals Federal District. In order to form a talent pool, there is an increase in the control figures for admission to medical universities in the areas of training «General Medicine» and «Pediatrics», as well as an increase in the share of the target admission quota by reducing budget places on a general basis.Discussion. At the federal and regional levels, various programs of material incentives for young specialists have been adopted, but in the Sverdlovsk region these measures did not significantly affect the attraction of personnel reserves. Conclusions. It is necessary to continue the implementation of existing measures, as well as interagency cooperation in the development of further measures aimed at improving the availability of medical care for the population of the region.