DIFFERENTIATED APPROACH TO FORMATION OF A PERSONNEL POLICY TO MANAGE MORTALITY FROM CARDIOVASCULAR DISEASES IN REGIONS OF THE VOLGA FEDERAL DISTRICT
Authors:   Volga Research Medical University of the Ministry of Health of the Russian Federation, Nizhny Novgorod, Russia, Pereslegina I.A. , Karyakin N.N. ,   Volga Research Medical University of the Ministry of Health of the Russian Federation, Nizhny Novgorod, Russia, Bolshev A.S. ,   Nizhny Novgorod State University of Architecture and Civil Engineering, Nizhny Novgorod, Russia, Perevezentsev E.A. ,   Volga Research Medical University of the Ministry of Health of the Russian Federation, Nizhny Novgorod, Russia
Published: January 2023

Significance. Cardiovascular diseases (CVD) top the mortality structure in Russia and lead in the total number of years of life lost. At the same time, cardiovascular mortality rates vary a lot across regions. The purpose of the study was to develop a differentiated approach to formation of an effective personnel policy to manage mortality from cardiovascular diseases on the example of the regions of the Volga Federal District. Material and methods. The object of the study is the nature of the relationship between cardiovascular mortality rate and staffing level in the regions. The subject of the study is mortality from cardiovascular diseases and the number of district internists, general practitioners (family doctors) (hereinafter referred to as GPs) and cardiologists in the Russian Federation, the Volga Federal District and regions of the Volga Federal District in 2010-2019. Statistical data processing was performed using the SPSS Statistics 26 program. A correlation analysis was carried out to determine the Spearman correlation coefficient with assessment of the bond strength on the Cheddock scale. Results. In 2010-2019, the cardiovascular mortality in the Russian Federation and the Volga Federal District was decreasing. The positive trend is sustainable and registered in all regions of the Volga Federal District. The decrease in indicator is due to increase in the number of district internists, GPs and cardiologists. The regions differ in presence, nature and strength of the relationship between cardiovascular mortality and staffing rates, which can serve as a basis for developing a differentiated approach to the formation of an effective personnel policy in regions in order to reduce mortality from cardiovascular diseases. Conclusions. 1. In 2010-2019, cardiovascular mortality in the Russian Federation, Volga Federal District as a whole, as well as in certain regions of the Volga Federal District was decreasing. 2. During the same period, the number of district internists was growing in the Russian Federation, the Volga Federal District as a whole and in each region of the Volga Federal District. A similar pattern, with exception of the Saratov region, has been established in relation to the number of cardiologists. The number of GP practices is changing in different directions: in the Russian Federation it is increasing, while in the Volga Federal District as a whole it is decreasing due to reduction in this indicator in 10 regions; in 4 regions the indicator in 2019 is higher than in 2010. 3. A statistically significant negative correlation with cardiovascular mortality rate (p<0.05) dominates between the rates of mortality from cardiovascular diseases, indicators of the number of cardiologists and district internists in the Russian Federation, the Volga Federal District as a whole and in all regions except the Saratov region. The same relationship with the number of GPs was found in 2 regions only. 4. According to regional differences in the potential impact of personnel shortages on mortality from cardiovascular diseases, regions of the Volga Federal District are divided into 4 groups. Taking into account the relationship between the potential risk of personnel shortage and rates of mortality from cardiovascular diseases, specific to a particular region of the Volga Federal District, forms the basis of a differentiated approach to the formation of a regional personnel policy to manage mortality from cardiovascular diseases. Scope of application. Public health and health organization.