Changes in the staffing and regulatory support for oncological care in the Russian Federation
The aim of the study was to analyze the regulatory documents governing the staffing and regulatory support for the provision of oncological care in the Russian Federation within the framework of the approval in 2021 of the orders No. 55n and No. 116n of the Russian Ministry of Health on the Procedures for providing medical care to the population with oncological diseases.
Material and methods. The research materials were regulatory documents from the reference legal system ConsultantPlus.
Results. We analyzed the orders of the Ministry of Health of Russia approved in 2021 on the staffing and regulatory support for the provision of oncological care in the Russian Federation.
The erroneous provisions of the Procedures for rendering assistance to the adult and child population, their contradictions with the current regulatory documents, as well as changes in the number of specialists working in departments, the values of labor standards, and others are highlighted.
For the first time, the staffing of the Outpatient Oncological Care Center was presented, the set of units providing medical care to the adult population with cancer and provided with staffing standards was changed. For the first time, the office of photodynamic therapy was included, the departments of anesthesiology and resuscitation, resuscitation and intensive care, rehabilitation, and palliative care were excluded.
Changes in the values of labor standards introduced by order No. 116n are shown, including the specifics of planning the number of human resources for the provision of medical care in a hospital environment.
Conclusion. Orders No. 55n and No. 116n contain both innovations and changes, as well as typical errors of modern regulatory legal documents on labor: violations of the nomenclature of positions and recommendations for establishing the number of posts, which also determines systemic shortcomings that still exist in rationing labor in health care. The deadlines before the entry into force of these orders allow you to make the necessary changes in part of the labor standards specified in this publication.
Keywords:staffing and regulatory support, labor standards, neoplasms, oncology, regulatory documents, planning, health care, hospital, procedures for the provision of medical care
Funding. The study had no sponsor support.
Conflict of interest. The authors declare absence of conflict of interest.
Contribution. Research concept and design, collection and processing of material, writing and editing of text -Shipova V.M.; writing and editing text, processing material - Koretskiy S.N.; collection and processing of material -Vasyutin K.A.
For citation: Shipova V.M., Koretskiy S.N., Vasyutin K.A. Changes in the staffing and regulatory support for oncological care in the Russian Federation. ORGZDRAV: novosti, mneniya, obuchenie. Vestnik VSHOUZ [HEALTHCARE MANAGEMENT: News, Views, Education. Bulletin of VSHOUZ]. 2021; 7 (3): 24-35. DOI: https://doi.org/10.33029/2411-8621-2021-7-3-24-35 (in Russian)
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