Indicators of availability of district physicians in the Russian Federation and federal districts for 2010–2019

Cover Page

Cite item

Full Text

Open Access Open Access
Restricted Access Access granted
Restricted Access Subscription Access

Abstract

BACKGROUND: Over the past 20 years in the Russian Federation, general practitioners have been increasingly introduced into the structure of primary health care, which naturally affects the work and number of district general practitioners as the main representatives providing this type of care.

AIM: The study aimed to assess the indicators of the availability of district general practitioners in the Russian Federation and federal districts in the period from 2010 to 2019.

MATERIALS AND METHODS: The indicators of the availability of local general practitioners in the Russian Federation and federal districts in 2010–2019 were analyzed using the data of the form of federal statistical monitoring No. 30 “Information about the medical institution.”

RESULTS: During the monitoring period in the Russian Federation, both the absolute number and provision of the population with district general practitioners per 10,000 population decreased (regular positions from 4.2 to 3.88, assumed positions from 3.91 to 3.28, and individuals of the main workers in assumed positions from 3.25 to 3.11 (−7.6%, −16.1%, and −4.3%, respectively), and the staffing level of these doctors decreased by 9.1% (from 92.9% to 84.5%). A similar trend can be traced in most federal districts, except for the North Caucasus, where the number and availability of district general practitioners and their staffing increase. Moreover, the secondary employment ratio of these doctors decreased positively in both the Russian Federation (by 12.3%, from 1.2 to 1.06) and all federal districts.

CONCLUSIONS: The process described can be due to the reformation of the polyclinic model with an emphasis on strengthening the role of general practitioners and their gradual replacement of district general practitioners in most regions of the country. This process is intensive in the Central Federal District. On the contrary, in the North Caucasian Federal District, the role of district general practitioners is increasing.

About the authors

Elena M. Manoshkina

Federal Research Institute for Health Organization and Informatics

Email: manoshkina@mednet.ru
ORCID iD: 0000-0001-6161-440X
SPIN-code: 5949-9970

MD, Cand. Sci. (Med.)

Russian Federation, 11, Dobrolyubova str., Moscow, 127254

Marina N. Banteva

Federal Research Institute for Health Organization and Informatics

Author for correspondence.
Email: ba.mani@yandex.ru
ORCID iD: 0000-0002-2521-4377
SPIN-code: 4529-3252

MD, Cand. Sci. (Med.)

Russian Federation, 11, Dobrolyubova str., Moscow, 127254

References

  1. Stepchuk MA, Pinkus TM, Bozhenko DP. Etapy razvitiya pervichnoi mediko-sanitarnoi pomoshchi v Rossii. Challenges in Modern Medicine. 2012;(10-1):140–147. (In Russ).
  2. Gadzhiev RS, Agalarova LS, Ilyasova UG. Analiz obrashchaemosti naseleniya k vracham obshchei praktiki i uchastkovym terapevtam v gorodskikh poliklinikakh. Spravochnik vracha obshchei praktiki. 2012;(6):13–18. (In Russ).
  3. Starodubov VI, Ivanova MA, Armashevskaya OV, Bantyeva MN. Russian and regional performance indices of local therapists. Terapevticheskii arkhiv. 2015;87(1):10–13. (In Russ). doi: 10.17116/terarkh201587110-13
  4. Voevoda MI, Chernyshev VM, Strelchenko OV, Mingazov IF. Status, Problems and Prospects of the Precinct Therapeutic Services in the Siberian Federal District. Archive of Internal Medicine. 2016;6(6):12–18. (In Russ). doi: 10.20514/2226-6704-2016-6-6-12-18
  5. Gridnev OV, Zagoruiytchenko AA. K voprosu o reorganizatsii ambulatorno-poliklinicheskoi pomoshchi naseleniyu v Moskve. Problems of Social Hygiene, Public Health аnd History оf Medicine, Russian Journal. 2013;(4):36–38. (In Russ).
  6. Banteva MN. Dinamika pokazatelei deyatel'nosti vracha-akushera ginekologa v ambulatornykh usloviyakh. Social Aspects of Population Health. 2015;(1). Available from: http://vestnik.mednet.ru/content/view/647/30/lang.ru/. (In Russ).
  7. Glushanko VS, Artemenko NA. Ekonomicheskaya otsenka effektivnosti deyatel'nosti vrachei obshchei praktiki i vrachei terapevtov uchastkovykh. Ekonomika zdravookhraneniya. 2009;(12):21-25. (In Russ).
  8. Mel’nikov YuYu, Manoshkina EM, Bant’eva MN. Dynamics of the indicators of therapeutic beds of twenty-four-hour and day hospitals in the russian federation and its regions in 2010-2018. Bulletin of the Ivanovo State Medical Academy. 2019;24(4):11–16. (In Russ).
  9. Mel'nikov YuYu, Bant’eva MN, Smyshlyayev AV. Productivity Indicators of the Daily Stay Bed Fund in the Russian Federation. Clinical Medicine and Pharmacology. 2020;6(2):46–49. (In Russ). doi: 10.12737/2409-3750-2020-6-2-46-49
  10. Fedoseyev GB. The speed method and quality: are they compatible in district therapeutist work? Rossiiskii meditsinskii zhurnal. 2012;(4):40–44. (In Russ).
  11. Shliafer SI. The activity analysis of the emergency care in the Russian Federation. Social aspects of population health. 2012;(2). Available from: http://vestnik.mednet.ru/content/view/396/30/lang,ru/. (In Russ).
  12. Artyukhov IP, Kapitonov FV, Kapitonov VF. The dynamics of age structure of out-patient visits and calls of emergency medical care in population of small town during 2011–2015. Health Care of the Russian Federation. 2019;61(1):17–22. (In Russ). doi: 10.18821/0044-197x-2017-61-1-17-22
  13. Mychka VB, Uzueva EI, Sokol AA, Shevtzova VA. Why do patients call for an ambulance while clinics work? We have the answer. Vrach skoroi pomoshchi. 2014;(1):4–11. (In Russ).
  14. Shliafer SI. The functioning of emergency medical care in the Russian Federation: analysis of report documentation keeping. Problems of Social Hygiene, Public Health and History of Medicine, Russian Journal. 2016;24(2):89–94. (In Russ). doi: 10.1016/0869-866X-2016-24-2-89-94
  15. Guseva NK, Sokolov VA, Sokolova IA, Doyutova MV. The availability and quality of the ambulatory polyclinic care. Problems of Social Hygiene, Public Health and History of Medicine, Russian Journal. 2013;(2):15–18. (In Russ).
  16. Ivanova MA, Liutsko VV, Gageva AV, Ogrizko EV. Analysis of the security and staffing therapists in the Russian Federation for the period 2007-2016 years. Problemy standartizatsii v zdravookhranenii. 2019;(1-2):11–21. (In Russ). doi: 10.26347/1607-2502201901-02011-021
  17. Chernyshev VM. Some results of health care reforms in the Russian Federation and measures to improve its efficiency. Medicine of Extreme Situations. 2014;(2):6–12. (In Russ).
  18. Dzhioeva IA, Gadzhieva LA. Medico-social problems of training and supply general practitioners in Russian Federation. The Journal of Scientific Articles Health and Education Millennium. 2016;18(1):194–197. (In Russ).
  19. Shnyakin NS, Shnyakin SV, Klimov AV, Denisov EN. Analiz dinamiki vyzovov skoroi meditsinskoi pomoshchi, svyazannykh s zabolevaniyami serdtsa i serdechno-sosudistoi sistemy, v orenburgskoi oblasti. Molodoi uchenyi. 2020;(1):70–73. (In Russ).
  20. Shlyafer SI. The Composition of Adult Patients, Taken to the Hospital for Emergency Indications the Crews of an Emergency Medical Service, in the Russian Federation. Emergency Medical Care. 2018;18(4):37–42. (In Russ). doi: 10.24884/2072-6716-2017-18-4-37-42
  21. Kalininskaya AA, Son IM, Guseva SL, Stukalov AF. A primary health care reformation model. Health Care of the Russian Federation. 2008;(5):6–10. (In Russ).
  22. Dzugaev АK. Obshchaya vrachebnaya (semeinaya) praktika osnovnaya sostavlyayushchaya pervichnoi mediko-sanitarnoi pomoshchi naseleniyu. Challenges in Modern Medicine. 2012;(10-1):121–124. (In Russ).
  23. Fomin VV. VOP – sistemoobrazuyushchii element stolichnogo zdravookhraneniya. Moskovskaya meditsina. 2016;2(9):28–30. (In Russ).

Supplementary files

Supplementary Files
Action
1. JATS XML
Download

Copyright (c) 2022 Manoshkina E.M., Banteva M.N.

Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
 


This website uses cookies

You consent to our cookies if you continue to use our website.

About Cookies