Analysis of staff resources of the state healthcare of Primorsky Krai

Abstract

Objective. The study objective is to assess the impact of human resources of healthcare system on public health of Primorsky Krai and the relationship between them. Methods. The analyzed database of Primorsky Krai for the 20042014 contains about 2 mln records, describing the information of state and municipal medical organizations (MO), the medical staff, and diseased and treated patients in the context of the different classes of diseases, age groups, etc. Results. The number of physicians in state MO reduced 15 %. At the same time over 3 past years the staffing position increases which is associated with the need to increase salaries to physicians but this is done only by increasing the load on the specialist. The indicator of providing population with physicians working at state organizations decreased from 21 to 19 per 10 000 people. The deficiency of physicians in the state healthcare system was expressed in decrease of availability from 64.1 % in 2006 to 51.7 % in 2014. The absolute growth of number of staff positions amid annual population decline was not provided with physicians: staff positions increased by 34.25 on average per year, and the number of individuals decreased by 103.9. The number of physicians in state MO depended more on the number of population than on the number of staff positions. This allocation rate of physicians was not determined by population, but the need to improve the wages of specialists. Conclusions. The results indicate that the wages increase by the extension the number of positions is not an effective method of motivation and in actual practice leads to an outflow of professionals from the public health sector. It can be concluded about the protracted crisis in human resources management in the public health sector, the Primorsky Territory and the absence of significant results from ongoing activities.