To the content
3 . 2021

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: (in Russian)


1. Evdakov V.A., Bant'eva M.N., Manoshkina E.M., Mel'nikov Yu.Yu. Indicators of the work of beds for a round-the-clock stay of an oncological profile in the Russian Federation. Menedzher zdravookhraneniya [Health Care Manager] 2020; (10): 12-8. (in Russian)

2. Aleksandrova G.A., Golubev N.A., Tyurina E.M., et al. Socially significant diseases of the population of Russia in 2019 (statistical materials). Moscow: RIO FGBU «TsNIIOlZ Minzdrava Rossii», 2020: 77 p. (in Russian)

3. Kaprin A.D., Starinsky V.V., Petrova G.V. (eds). Malignant neoplasms in Russia in 2018 (morbidity and mortality). Moscow: MNIOI im. P.A. Gertsena - filial FGBU «NMITs ra-diologii» Minzdrava Rossii, 2019: 250 p. (in Russian)

4. Nechaeva O.B. Network of oncological medical organizations [Electronic resource]. 2017. URL: les/CMT/2016onko.pdf (date of access October 9, 2021) (in Russian)

5. Rugol' L.V., Son I.M., Starodubov V.I., Men'shikova L.I. Problems of the organization of inpatient medical care and approaches to its modernization [Electronic resource]. Sotsial'nye aspekty zdorov'ya naseleniya [Social Aspects of Public Health]. URL: (date of access October 9, 2021) (in Russian)

6. Shipova V.M. Planned and normative provision of oncological care to the population. Zamestitel' glavnogo vracha [Deputy Chief Physician]. 2013; 11 (90): 20-30. (in Russian)

7. WHO report on cancer: setting priorities, investing wisely and providing care for all. Geneva: World Health Organization, 2020. Licence: CC BY-NC-SA 3.0 IGO.

8. Khabriev R.U., Shipova V.M., Gadzhieva S.M. Commentary on Labor Standards in Healthcare. Moscow: GEOTAR-Media, 2020: 16. (in Russian)

9. Shipova V.M. Organization and technology of labor rationing in health care. In: R.U. Khabriev (ed.). Moscow: GEOTAR-Media, 2018: 41-9. (in Russian)

10. Shipova V.M., Berseneva E.A. Middle and Junior medical workers: staffing standards, calculation methods. In: R.U. Khabriev (ed.). Moscow: GEOTAR-Media, 2020: 64-8. (in Russian)

11. Shipova V.M. How to calculate the staffing in the admission department for the new requirements of the Ministry of Health. Ekonomika LPU [Economics of Medical Institutions]. 2019; (6): 71-4. (in Russian)

12. Shipova V.M. How to adjust the staffing of the laboratory according to the new standards. Spravochnik zaveduy-ushchego KDL [Handbook of the Head of the CDL]. 2021; (9): 26-34. (in Russian)

13. Shipova V.M. Regulation of labor relations in health care. Collection of normative legal acts with comments. Moscow: GEOTAR-Media, 2020: 62-83. (in Russian)

14. Shipova V.M., Berseneva E.A., Mikhaylov D.Yu. Topical Issues of planning the number of positions in different models of work. Textbook. Moscow: Svetlitsa, 2020: 144 p. (in Russian)

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
Medicine today

Уважаемые коллеги! 28 января 2022 года состоится XXI научно-практическая нейроофтальмологическая конференция " Актуальные вопросы нейроофтальмологии. Поражение зрительного нерва: взгляд офтальмолога, невролога, вирусолога-ифекциониста, нейрохирурга " Конференция посвящается...

В Москве пройдет Конгресс, посвященный Всемирному дню борьбы с ожирением, с международным участием С 28 февраля по 2 марта 2022 года пройдет научно-образовательное мероприятие для врачей - Конгресс, посвященный Всемирному дню борьбы с ожирением. Ожирение представляет одну из...

XV I Международный конгресс по репродуктивной медицине С 18 по 21 января 2022 года в формате OnLine состоится XV I Международный конгресс по репродуктивной медицине , который ежегодно собирает самых влиятельных мировых учёных для обсуждения актуальных вопросов в области...

Journals of «GEOTAR-Media»