USING THE INDEX METHOD TO ASSESS STAFFING OF THE HEALTH SECTOR IN THE CONSTITUENT ENTITIES OF THE RUSSIAN FEDERATION
Authors:   Federal Research Institute for Health Organization and Informatics of the Ministry of Health of the Russian Federation, Moscow, Russian Federation, Menshikova Larisa ,   Russian Medical Academy of Continuous Professional Education of the Ministry of Health of the Russian Federation, Moscow, Russian Federation, Khodakova Olga ,   Federal Research Institute for Health Organization and Informatics of the Ministry of Health of the Russian Federation, Moscow, Russian Federation, Zakharchenko Olga ,   Federal Research Institute for Health Organization and Informatics of the Ministry of Health of the Russian Federation, Moscow, Russian Federation, Terentyeva Dina ,   Federal Research Institute for Health Organization and Informatics of the Ministry of Health of the Russian Federation, Moscow, Russian Federation, Kotlovskiy Mikhail ,   Federal Research Institute for Health Organization and Informatics of the Ministry of Health of the Russian Federation, Moscow, Russian Federation, Deev Ivan ,   Federal Research Institute for Health Organization and Informatics of the Ministry of Health of the Russian Federation, Moscow, Russian Federation, Kobyakova Olga ,   Federal Research Institute for Health Organization and Informatics of the Ministry of Health of the Russian Federation, Moscow, Russian Federation
Published: January 2024

Significance. To address personnel issues, it is necessary to evaluate staffing with medical personnel of the regional health systems and, based on the results of the assessment, to develop optimal ways to solve the personnel issues in the context of the socio-economic development of the region. For the first time ever, the authors have presented a methodology for calculating the personnel well-being index, which is an integral coefficient aggregating the main classical indicators of the personnel resources of the healthcare system in terms of medical personnel. The article analyzes the results of calculating the index of personnel well-being for all constituent entities of the Russian Federation for the period from 2017 to 2021, ranking is carried out, constituent entities with the index of personnel well-being above and below the all-Russian are identified. It is shown that the personnel well-being index is an effective tool for assessing staffing situation in the regions and effectiveness of personnel policy. The purpose of the study: to analyze the prospects of using the personnel well-being index to assess staffing of the health sector in the constituent entities of the Russian Federation. Material and methods. The study used federal statistical observation form № 30 "Information about a medical organization" (FFSN № 30), section II "Staff of a medical organization", "Positions and individuals of a medical organization", tables 1100 for 2017-2021. The study used the method of content analysis and the index method for analyzing the staffing situation based on the author's methodology. Results. Using the index method presented in the article, the index of personnel well-being (IPW) for all constituent entities of the Russian Federation for the period from 2017 to 2021 is calculated. It is shown that the proposed methodology is valid and objectively reflects changes in the situation with staffing with medical personnel in the regions. The IPW value above or below 1 was used as a criterion, the value of the IPW for the Russian Federation was taken as 1. In 27 constituent entities (about a third), the staffing situation can be considered conditionally favorable. And only in 14 of them, with the IPW higher than 1 and a tendency towards increasing, the staffing situation can be called favorable. The unfavorable staffing situation is registered in 35 constituent entities of the Russian Federation, where the IPW is below 1 with a tendency towards decreasing. In nine regions with the IPW above 1, there was a decrease in the index in 2021, indicating a deterioration in the staffing. In 21 regions, despite the fact that the IPW is below 1, on the contrary, we can talk about an improvement in the situation, since in 2021 there was an increase in the IPW compared to 2017. Thus, during the study period, in 2/3 of the regions, the index of personnel well–being was lower than the national average, and in more than half of the regions it decreased in 2021 compared to 2017. Conclusion. The presented methodology for calculating the personnel well-being index is recommended as a tool for assessing the adequacy of management measures in the organization of staffing with medical personnel, taking into account the analysis of the annual change in the actual indicators of density, staffing, part-time employment and rating of the constituent entity in the Russian Federation. All of the above is the basis for making informed management decisions in the field of personnel policy in the region and/or at the level of a medical organization. Scope of application. The standard methodology for using the personnel well-being index in healthcare can be used as a tool for evaluating effectiveness of the personnel policy perused by the regional executive authorities.