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Source: Russia – Council of the Federation

The Federation Council has passed session of the Council for regional public health dedicated to the problems and the solutions to the staffing industry.

The Chairman of the Federation Council Valentina Matvienko Betweenconsenting Ivanandreevich from the Executive body of state power of St. Petersburg held a meeting of the Council for regional public health on “Staffing of the health system: problems and solutions”, “Development of regional programs of development of primary medical care.”The head of the Federation Council called the personnel issue is a key industry. “We can build hospitals, clinics and Centres to equip them with the latest technology, but without people, all efforts will be in vain”.Valentina Matviyenko stressed that the staffing industry the Federation Council is systematically. “On my behalf in the spring session was carried out monitoring of the state of Affairs with the supply of health personnel in the regions.”The Chairman of the Federation Council noted that there has been a number of positive changes. Some increase in the number of doctors was reduced plurality as doctors and nurses. Actively implementing the program “Zemsky doctor.”However, according to her, there are still many problems to be solved. The speaker drew the attention that the topic of security of medical personnel sounded recently at a meeting with Russian President Vladimir Putin. “The President provided detailed instructions on the modernization of primary health care: from a total inventory of medical infrastructure to the decision of personnel questions”, — said the speaker of the Federation Council.

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Valentina Matvienko emphasized that the Federation Council as a chamber of regions is especially interested in finding effective ways to resolve personnel issues in the industry in a short time and in each subject of the Russian Federation. First of all, the problem of staff shortages and the presence of regional imbalances in the availability of medical specialists is of concern. Today, more than twenty-five thousand doctors and more than one hundred and thirty thousand nurses are lacking in primary care. Outpatient units are staffed by doctors at eighty percent. Moreover, in forty-three regions this indicator is below the average value. The most difficult situation is in the Kurgan, Pskov regions, the Jewish Autonomous Region. The Chairperson of the Federation Council especially noted the low provision of medical personnel in rural areas, small cities, and inaccessible territories. At the same time, Valentina Matvienko added that the Ministry of Health does not fully coordinate work with the regions. Using a simple example of collecting applications from regions for targeted training of specialists in 2019, it can be seen that the declared need of a number of entities does not correspond to the scarce positions of medical organizations. For example, there are not enough pediatricians, oncologists, neurologists, emergency doctors, and they ask to train dentists and urologists. “The Ministry of Health should ensure the quality of planning the volumes and directions of targeted training of specialists in accordance with the real needs of the regions. This work should be completely restructured both in the regions and in the Ministry. ”At the same time, she drew attention to the fact that the Ministry of Science and Higher Education of the Russian Federation interacts weakly with higher education institutions at the level of“ statistical coordination. ”According to the head of the Federation Council, the methodology should be changed the distribution of admission control figures in general admission and the establishment of employment indicators for university graduates, including both admission quotas for targeted education and the number of places for admission to a paid basis. At the same time, it is important to strengthen the coordinating role of the Ministry of Health, as a center of responsibility for the training of medical personnel, and the role of the constituent entities of the Russian Federation should be strengthened when planning the total volumes of admission control figures. “It is important for us to create objective statistics on staffing: for each region, for each settlement, for each medical organization. Most importantly, it is necessary to ensure that the Ministry of Education and Science, the Ministry of Health and the regions work as a single system that solves state tasks, ”she said, adding that it was necessary to complete the work on creating a register of all students in medical specialties as soon as possible. Separately, Valentina Matvienko focused on the problem target training. This year, the Federal Law “On Amending Certain Legislative Acts of the Russian Federation Regarding the Improvement of Targeted Education”, initiated by the Federation Council, entered into force. The law establishes the liability of the target owner and the customer and the obligation to carry out labor activity after targeted training for at least 3 years. “This is an indisputable plus. At the same time, certain risks of a new mechanism of targeted training were revealed. The norm on concluding an agreement on targeted admission between the educational organization and the customer, that is, the subject of the Federation, has been canceled. ”Valentina Matvienko believes that it is impossible to solve the personnel problem exclusively at the federal level. The subjects of the Federation should also take systemic measures to retain personnel, including social support measures. Positive experience has been gained in a number of regions. This, for example, Belgorod, Sakhalin, Tyumen regions, Khanty-Mansi Autonomous Okrug. “Such measures of social support are applied as lifting payments, monthly payments to certain categories of medical workers, provision of office housing, compensation for rent, priority provision of places in kindergartens and schools for children of health workers. Opportunities for professional growth. ”At the same time, the speaker of the Federation Council noted that much depends on the budgetary provision of the regions. “It is very important to develop common approaches. It is necessary to analyze the successes and problems of each region. We need a systematic exchange of experience. ”

The President instructed to improve the system of remuneration of health workers, the transition to the single pay structure of doctors throughout the country

At the same time, Valentina Matvienko recalled the acute situation not only with doctors, but also with nurses, and their training is within the competence of the regions. “The President gave an order to improve the wage system for medical workers, to switch to a unified wage structure for physicians throughout the country, including the establishment of a single list of stimulating and compensatory payments, to build office housing for participants of the Zemsky Doctor program, and to develop medical mentoring and many others. ”In this regard, Valentina Matvienko instructed the Federation Council Committee on Social Policy to join in the development of a new wage system for medical workers otnikov. “It is necessary to consolidate efforts for the successful implementation of the decisions taken in the regions.” The Minister of Health of the Russian Federation Veronika Skvortsova noted that in recent years a lot of work has been done to solve personnel problems, new mechanisms have been formed. According to her, in 2018 the deficit decreased by ten thousand for doctors and twelve thousand for nurses. “The results were achieved thanks to the coordinated work of the Ministry with the constituent entities of the Russian Federation.” Veronika Skvortsova said that since last year a federal project has been formed to eliminate staff shortages and improve skills within the framework of the national project “Healthcare”. “Among the measures developed is an increase in the number of admission check digits for higher education programs. From 2014 to 2020, admission increased by 15.4 percent, and in medical specialties – by almost 21 percent. To eliminate the deficit according to the calculations of the Ministry of Health, we need to increase the number of places for budgetary reception. According to the Minister, the most effective mechanism for securing graduates in the workplace is targeted training. Veronika Skvortsova emphasized that solving personnel problems is an important component of the planned large-scale modernization of primary health care. Deputy Minister of Science and Higher Education of the Russian Federation Marina Borovskaya talked about new admission model for targeted training. According to her, the quota formation procedure has been changed, responsibility for non-fulfillment of contractual obligations has been increased, the list of target training customers has been expanded. The Deputy Minister made a number of proposals on improving the system of planning and training medical personnel. In particular, she noted the importance of expanding the possibilities of using network forms for implementing medical education programs, strengthening the role of the constituent entities of the Federation in planning the total volumes of admission control figures. The discussion was attended by Deputy Chairman of the Council of the Federation Galina Karelova, Karelova Galina Nikolaevna representative from the executive body of state power of the Voronezh region chairman Federation Council Committee on Social Policy Valery Ryazansky, Ryazansky Valery Vladimirovichpreds Avitel the legislative (representative) body of the Kursk Region of the Federation Council, Deputy Minister of Science and Higher Education of the Russian Federation Marina Bohr, the governor of the Belgorod region Yevgeny Savchenko, SavchenkoEvgeny StepanovichGubernator Belgorod region heads of regional authorities, representatives of the expert community.


EDITOR’S NOTE: This article is a translation from Russian Language to English.

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