Staff policy issues in scientific research

Purpose of the study. Analysis of implemented personnel practices presented in dissertations in the specialty 14.02.03. Public health and healthcare for 2016–2020.

Materials and methods. We used data from the website of the Higher Attestation Commission under the Ministry of Science and Higher Education of the Russian Federation. Of the 220 dissertations, the authors of which were awarded the degree of candidate or doctor of medical sciences in the specialty 14.02.03 Public health and health care, 21 scientific papers devoted to personnel issues were singled out. In this study, a descriptive-analytical method was applied.

Results. Dissertations covering a fifteen-year period since the beginning of the modernization of healthcare revealed a number of problems: low wages; insufficient staffing, disproportion between doctors and paramedical workers; difficult working conditions, the outflow of personnel from the industry in general, as well as from public health institutions to private medical organizations. Approbation of developments and implementation on the basis of research, evaluation of their effectiveness allowed the authors to offer recommendations for implementation in healthcare practice, starting with the Ministry of Health of the Russian Federation, government bodies of the subject of the Federation, a medical organization, educational institutions and ending directly with the object of study – management personnel, doctors, secondary medical worker. The study and analysis of personnel practices presented in scientific research makes it possible to determine the most relevant areas for the formation of personnel policy.

Conclusion. The results of the study showed a small number of dissertations (9.5 %) devoted to personnel issues and defended in the specialty 14.02.03. Public health and healthcare, despite the decisive role of human resources in the innovative development of the country’s healthcare. The studies covered all groups of medical workers, managers, students of medical universities, colleges and included the study of the state of health, motivation, job satisfaction, leadership training, interaction between medical workers of different levels and patients. Effective practices are proposed that can be replicated at the regional level, new ones can be created on their basis, and they also make it possible to determine the criteria for assessing staff policy in a medical organization, subject and country.

1. Sokolovskaya TA, Armashevskaya OV, Bahadova EV. Health as a basic value of modern society. Мoscow: Russian Research Institute of Health, 2021, 164 p. (In Russ.).

2. Buzin VN, Mikhailova YuV, Chukhriyenko IYu, Buzina TS, Shikina IB, Mikhailov AYu. Russian healthcare through the eyes of the population: dynamics of satisfaction over the past 14 years (2006-2019): review of sociological studies. Russian Journal of Preventive Medicine and Public Health. 2020;23(3):42–47. (In Russ.). https://doi.org/10.17116/profmed20202303142

3. Gaydarov GM, Makarov SV. The comparative evaluation of policy documents of the russian federation concerning personnel policy in health care. Problems of Social Hygiene, Public Health and History of Medicine. 2020;28(2):314–319. (In Russ.). https://doi.org/10.32687/0869-866X-2020-28-2-314-319

4. Kleymenova EB, Nazarenko GI, Yashina LP, Payushchik SA. The problem of knowledge translation in healthcare: tools for its solution in the area of patient safety. Annals of the Russian Academy of Medical Sciences. 2018;73(2):105–114. (In Russ.). https://doi.org/10.15690/vramn887

5. Bessonova TI. Heath state and life quality of general dentists in the Udmurt Republic. Diss. Мoscow, 2016, 25 p. (In Russ.).

6. Osykina AS. Social and hygienic assessment of the state of health and quality of life in female students of the Udmurt Republic medical University. Diss. Мoscow, 2016, 24 p. (In Russ.).

7. Pavlova AN. Justification of organizational and preventive measures to optimize the activities and preserve the health of nurses in functional diagnostics departments. Diss. Мoscow, 2020, 25 p. (In Russ.).

8. Khazov MV. Ways to improve the management of medical staff of a multidisciplinary medical organization (on the example of a medical organization of the system in Russia. Diss. Мoscow, 2016, 24 p. (In Russ.).

9. Kaneva DA. Development of motivational mechanisms in staff management of medical organizations of various forms of ownership. Diss. Мoscow, 2019; 25 p. (In Russ.).

10. Kostikova AYu. Motivation and satisfaction with the professional activities of medical workers. Diss. Мoscow, 2019, 27 p. (In Russ.).

11. Miroshnikova YuV. Senior healthcare personnel and organizational and managerial technologies of reserve training. Diss. Мoscow, 2019, 48 p. (In Russ.).

12. Dorovskaya AI. Scientific substantiation of optimization of physicians career management in medical organizations. Diss. Мoscow, 2017, 166 p. (In Russ.).

13. Smirnova SA. Organizational bases of professional activity of a district physician. Diss. Мoscow, 2020, 22 p. (In Russ.).

14. Gadzhieva LA. Improvement of organizational forms of work of general medical practices in terms of city. Diss. Мoscow, 2017, 25 p. (In Russ.).

15. Sazonov VV. Medical and social research of the role of doctors providing outpatient care in the protection of males reproductive health. Diss. Мoscow, 2016, 25 p. (In Russ.).

16. Zavaleva EV. Organizational and methodological justification for optimizing the management of adaptation of graduates of medical educational institutions of higher education to the conditions of independent professional activity. Diss. Мoscow, 2016, 25 p. (In Russ.).

17. Lyutsko VV. Regulatory support for the activities of physicians in providing primary health care. Diss. Мoscow, 2019, 48 p. (In Russ.).

18. Gadzhieva SM. Scientific substantiation of job standards for medical workers of sanatoriums for children. Diss. Мoscow, 2017, 24 p. (In Russ.).

19. Lisovskaya ED. Improvement of the interactions between the chief, physician, patient in case of a dental organization (on the example of the city of Krasnoyarsk). Diss. Мoscow, 2018, 24 p. (In Russ.).

20. Alekseeva EE. Mastering the training and professional implementation of specialists with secondary medical education at the regional level. Diss. Мoscow, 2018, 24 p. (In Russ.).

21. Burlova NG. Organizational model of professional development of mid-level medical specialists. Diss. Мoscow, 2018, 24 p. (In Russ.).

22. Muntyan IA. Scientific substantiation of the organizational model of the nursing staff of the district pediatric service of the city polyclinic. Diss. Мoscow, 2019, 25 p. (In Russ.).

23. Ekimova NA. Scientific substantiation of continuous professional development of nursing specialists in the conditions of high-tech medical care. Diss. Мoscow, 2020, 25 p. (In Russ.).

24. Ivanova OV. Scientific substantiation of the role of nursing staff in the care and rehabilitation of cardiac surgery patients in the postoperative period in the provision of high-tech medical care (on the example of the Perm Region). Diss. Мoscow, 2018, 24 p. (In Russ.).

25. Manakina ES. Scientific substantiation of the model of preventive activity of an obstetrics specialist in the conditions of a females consultation of an inter-district center. Diss. Мoscow, 2017, 25 p. (In Russ.).

26. Lindenbrathen AL. Topical problems of Russian healthcare. Bulletin of Semashko National Research Institute of Public Health. 2020;(3):60–71. (In Russ.). https://doi.org/10.25742/NRIPH.2020.03.008

27. Zudin AB. Public opinion as a tool to assess the effectiveness of reforms in the health sector. Russian Journal of Dentistry. 2017;21(2):106–108. (In Russ.). https://doi.org/10.18821/1728-28022017;21(2)106-108

28. Rugol LV, Son IM, Kirillov VI, Guseva SL. Organizational technologies that increase the availability of medical care for the population. The Russian Journal of Preventive Medicine. 2020;23(2):26–34. (In Russ.). https://doi.org/10.17116/profmed20202302126

29. Siburina TA. Mobilization of creative potential of physicians’ staff as strategic direction of staffing policy in healthcare. Social Aspects of Population Health. 2016;4(50):10. (In Russ.). https://doi.org/10.21045/2071-5021-2016-50-4-10

30. Son IM, Menshikova LI, Flagler NA, Senenko ASh, Rugles LV. The role of local governments in solving the problems of providing primary health care personnel. Manager Zdravoochranenia. 2021;(1):54–63. (In Russ.). https://doi.org/10.21045/1811-0185-2021-1-54-63