ANALYSIS OF THE REGIONAL HEALTHCARE STAFFING WITH NURSES BASED ON THE INDEX METHOD
Authors:   Federal Research Institute for Health Organization and Informatics of the Ministry of Health of the Russian Federation, Moscow, Russia, Menshikova Larisa ,   Russian Medical Academy of Continuous Professional Education of the Ministry of Health of the Russian Federation, Moscow, Russia, Khodakova Olga ,   Federal Research Institute for Health Organization and Informatics of the Ministry of Health of the Russian Federation, Moscow, Russia, Zakharchenko Olga ,   Federal Research Institute for Health Organization and Informatics of the Ministry of Health of the Russian Federation, Moscow, Russia, Terenteva Dina ,   Federal Research Institute for Health Organization and Informatics of the Ministry of Health of the Russian Federation, Moscow, Russia
Published: August 2024

Significance. The healthcare system effectiveness depends upon the completeness and quality of the industry resource provision. The main system–defining resource of the healthcare system is medical personnel capable of ensuring quality of and access to medical care to the population. In almost all regions of the Russian Federation personnel policy in healthcare is the subject of close attention by governmental authorities, the problem of providing the industry with qualified personnel – both doctors and nurses – is yet to yet to be completely resolved. To solve this problem, it is necessary to assess staffing of the regional health systems with medical personnel, including those with secondary vocational education. Along with the standard approach to the analysis of human resources in healthcare, it seems advisable to use an integrated approach, which, through the use of a scientifically based index method, allows for a comprehensive assessment of the personnel situation in regional healthcare. The purpose of the study was to analyze staffing with nurses in the regions of the Russian Federation based on the integral coefficient – the index of personnel well–being. Material and methods. The study used data of the Form of the Federal Statistical Observation No. 30 “Information about a medical organization” for 2015–2022; population of the constituent entity of the Russian Federation as of January 1 of the year following the reporting one is given according to the Federal State Statistics Service (Rosstat). The study used statistical (index and quartile) and analytical research methods. To assess staffing with nurses in the Russian regions, an original methodology for calculating the index of personnel well-being developed by the Federal Research Institute for Health Organization and Informatics of the Ministry of Health of the Russian Federation Russian was used. Results. Using the quartile method, the authors have assessed the value of the personnel well-being index in terms of nurse staffing in the constituent entities of the Russian Federation in 2015–2022. In the course of the study, staffing situation in the regions was evaluated, and direction of its development were identified. The study has identified regions where, despite a high nurse staffing level, there is a negative trend in the index of personnel well-being (for example, the Republic of Altai, the Ulyanovsk, Omsk and Bryansk regions). On the other hand, there have been identified regions with the index of personnel well-being remaining high over the entire period of observation, suggesting a successful personnel policy pursued by the regional health authorities. This experience can be disseminated to other regions. At the same time, the experience of regions that managed to move up from outsiders and demonstrated high growth rates and improvements in the personnel situation, requires further study. Conclusion. An objective description of the personnel situation in terms of staffing of medical organizations with nurses in constituent entities of the Russian Federation on the basis of an integral coefficient – the index of personnel well–being - made it possible to assess the personnel policy effectiveness pursued by the regional executive authorities, which can serve basis for developing optimal ways to address staffing in healthcare. Scope of application. A unified methodology for applying the personnel well-being index in healthcare can be used as a tool to evaluate effectiveness of the personnel policy pursued by regional health authorities.