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1 . 2021

Staffing and regulatory provision of medical care for patients with COVID-19 in a hospital care

Abstract

Aim - аnalysis of regulatory documents governing staffing standards for medical organizations providing medical care to patients with COVID-19 in a hospital setting

Material and methods. Regulatory documents from the legal information and analytical portal "Garant.ru", as well as the collection of the Ministry of Health of Russia "Resources and activities of medical healthcare organizations of the Russian Federation in 2019. Part 1. Medical personnel."

Results. The features of planning the number of human resources for the provision of medical care in a hospital environment, including in emergency situations, pandemic, are shown.

A number of orders of the Ministry of Health of Russia were analyzed, which provide recommendations for the formation of a temporary staffing table of departments for the treatment of patients with COVID-19 and other regulatory documents governing the staffing standards of medical organizations.

The erroneous provisions of the recommendations for the staffing of the hospital stage of treatment of patients with coronavirus infection are highlighted, the transition from the recommendatory method of applying labor standards to the obligatory one, their contradictions with the current regulatory documents are shown, the changes introduced by orders, innovations in labor standards, ineluding differentiation by age are summarized , as well as changes in the number of specialists working in departments, the values of labor standards and others.

Attention is drawn to the expediency of switching to a generally accepted and unambiguously understood and applied normative indicator for labor when organizing round-the-clock work, which is calculated according to a specially developed methodology.

The problems of organizing the provision of medical care to patients with COV-ID-19 in terms of labor standards that need to be addressed have been identified.

Conclusion. The system of labor rationing in health care turned out to be incapable of responding to the challenges of the epidemiological situation in the country, and after almost a year since the appearance of registered cases of coronavirus infection in Russia, no regulatory support has been formed for the treatment of these patients that meets the requirements. presented to documents of this kind. The study revealed systemic shortcomings in labor rationing in health care that have been accumulating over the past decades, which is primarily associated with the absence of a centralized system for managing labor rationing in health care.

Keywords:staffing and regulatory support, labor standards, COVID-19, regulatory documents, planning, medical personnel, health care, hospital

Funding. The study had no sponsor support.

Conflict of interests. The authors declare no conflict of interests.

Contribution. Research concept and design, collection and processing of material, writing and editing of text -Shipova V.M.; material processing, writing and editing of text - Mirgorodskaya O.V.

For citation: Shipova V.M., Mirgorodskaya O.V. Staffing and regulatory provision of medical care for patients with COVID-19 in a hospital care. ORGZDRAV: novosti, mneniya, obuchenie. Vestnik VSHOUZ [HEALTHCARE MANAGEMENT: News, Views, Education. Bulletin of VSHOUZ]. 2021; 7 (1): DOI: https://doi.org/10.33029/2411-8621-2021-7-1-31-41 (in Russian) (in Russian)

CHIEF EDITOR
CHIEF EDITOR
Guzel E. Ulumbekova
MD, MBA from Harvard University (Boston, USA), Head of the Graduate School of Healthcare Organization and Management (VSHOUZ), Associate Professor of the Department of Public Health and Health Care, Health Economics, Faculty of Pediatric of the Pirogov Russian National Research Medical University
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