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1 . 2022

Tasks of labor rationing for the implementation of the provision of state-guaranteed medical care to the population of the Russian Federation in 2022. Part 1


In the context of the COVID-19 pandemic, limited human resources, slowdown in economic development, planning the organization of medical care, its guaranteed volume for the population of the country, is an urgent task of the country’s healthcare system, implemented through the annually approved Programs of state guarantees of free medical care for the population of the Russian Federation.

The aim of the study is to analyze the regulatory legal and regulatory acts on the issues of labor regulation in the health care system of the Russian Federation for the implementation of the provision of state-guaranteed medical care to the population in 2022.

The materials of the study were the regulatory legal and regulatory acts of the reference legal system “Consultant Plus”.

The results of the first part of the study showed changes in the guaranteed volumes of certain types of medical care for 2022 compared to the data for 2021. An increase in the standard number of comprehensive visits for preventive examinations and medical examinations was revealed against the background of a decrease in the implementation of their volumes at the beginning of the pandemic, as well as hospitalizations, including for medical rehabilitation, and especially the number of cases of treatment in day hospitals. For the first time, the volumes of medical care for medical rehabilitation on an outpatient basis have been determined.

Multidirectional dynamics is shown in the planned volumes of individual diagnostic studies: in an increase in computed tomography and testing for the detection of a new coronavirus infection and a decrease in the volumes of other types specified in the Program. The time norms in the current regulatory legal acts are largely outdated and do not correspond to modern conditions for the provision of medical care, and the results of previous studies are still not taken into account by the Russian Ministry of Health as part of the amendments to the current regulatory framework on labor rationing.

Conclusion. The analysis of the normative volumes of medical care demonstrated the need to immediately address both the existing problems in labor rationing for the implementation of the planned indicators for the volume of medical care provided for by the SGBP, and the consideration of new tasks for developing time standards for certain types of diagnostic studies. Consideration of new tasks in labor rationing identified in the analysis of the TPSG for 2022 and for the planning period of 2023 and 2024 will be presented in the second part of the publication.

Keywords:labor rationing; standard volumes of medical care; State Guarantee Program; time standards; diagnostic studies; regulatory legal act; COVID-19; computed tomography

Funding. The study had no sponsor support.

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

Contribution. The concept and design of the study, the collection and processing of material, writing and editing the text – Shipova V.M.; collection and processing of material, text editing – Shchepin V.O.; writing and editing text, processing material – Koretskiy S.N.

For citation: Shipova V.M., Shchepin V.O., Koretskiy S.N. Tasks of labor rationing for the implementation of the provision of state-guaranteed medical care to the population of the Russian Federation in 2022. Part 1. ORGZDRAV: novosti, mneniya, obuchenie. Vestnik VSHOUZ [HEALTHCARE MANAGEMENT: News, Views, Education. Bulletin of VSHOUZ]. 2022; 8 (1): 130–40. DOI: (in Russian)


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Guzel E. Ulumbekova
MD, MBA from Harvard University (Boston, USA), Head of the Graduate School of Healthcare Organization and Management (VSHOUZ)
Medicine today

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