Situational Professional Profile of the Head of a regional state medical organization.
Authors:   Russian Medical Academy of Continuing Professional Education of the Ministry of Health of the Russian Federation, Son I. M. , Medvedeva O. V. ,   Ryazan State Medical University named after I. P. Pavlov of Ministry of Public Health of Russian Federation, Kupeeva I. A. ,   Russian Medical Academy of Continuing Professional Education of the Ministry of Health of the Russian Federation, Soshkin A. А. ,   Ryazan State Medical University named after I. P. Pavlov of Ministry of Public Health of Russian Federation
Published: December 2024

Background. The heads of regional medical organizations mean a lot in the healthcare of the subject of the federation. A writ large of the situational «Professional Profile», as a generalized character of the head of a medical organization in the region, allows updating information about this category of specialists.
Purpose of the study is to form a situational Professional Profile of the head of a regional state medical organization based on the results of a sociological survey.
Materials and methods. The study involved the chief doctors of 58 medical organizations of the regional center and municipal districts subordinated to the regional Ministry of Health. The methods of sociological survey, descriptive statistics (tabular procedure and graphical
method, the design method of statistical indicators) and the analytical method were used.
Results. The majority of chief doctors represented the age group of 51 years and older (66,68%), the ratio of men to women is 1:1,3. 92,16% of heads of medical organizations have a total employment record in healthcare of more than 15 years; work experience in their position of more than 10 years is established for 37,50% of heads of medical organizations of the regional center and for 36,84% of heads of medical organizations of municipal districts. 78,43% of respondents have a higher medical education in the specialty «General Medicine», all chief doctors have certificates or accreditation certificates confirming their skill sets in the sphere of action of healthcare and public health. Among the medical organizations managed by the respondents, 77,59% provide general medical services; 74,14% provide specialized medical aid. For medical organizations of the regional center, structures with two (28,57%) and three (28,57%) full-time jobs of Deputy Chief Doctor are more typical, for medical organizations of municipal districts – structures with one (33,33%) or two (55,56%) full-time jobs of Deputy Chief Doctor.
Findings. The situational Professional Profile of the head of a regional state medical organization is a man or woman over the age of 51; with more than 10 years of experience as a head; a specialist with higher medical education in the specialty «General Medicine». More often, he heads a medical organization that provides general medical services and specialized medical aid, has, as a rule, two deputies, who worked in this organization before being appointed to the post of deputy chief doctor. The component «hierarchy of higher and middle management levels» differs significantly depending on the type of medical organization. In the medical organizations of the regional center, the model of organizational management with 2 and 3 full-time jobs of deputy heads in the structure of hierarchical management links dominates; in the medical organizations of municipal districts, the model with 1 and 2 full-time jobs of deputy heads prevails. The number of deputy heads in medical organizations is determined depending on the specifics and scale of the organization, as well as on
the conditions and types of medical care provided by this medical organization.