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1 . 2023

New staff-regulatory support for the provision of medical care for mental and behavioral disorders

Abstract

One of the key directions in the provision of medical care in any profile is the staffing of the activities of the relevant medical organizations.

Aim - analysis of the new regulatory framework governing labor standards in the provision of medical care for mental and behavioral disorders; analysis of the ratio of the standard number of positions and the actual provision with them; formation of proposals for improving the state policy on the system of labor rationing.

Material and methods. As research materials, normative legal acts from the legal reference system "Consultant Plus", data from statistical collections, publications on the topic were used. Analytical, statistical, economic methods are applied.

Results. The study revealed a significant gap between the normative and actual number of positions, inconsistency in the names of a number of medical organizations, department profiles with the current nomenclature. The introduction of Order of the Ministry of Health of Russia dated 14.10.2022 No. 668n "On approval The procedure for providing medical care for mental disorders and behavioral disorders" into healthcare practice will require significant changes in the scope of training of district psychiatrists and psychotherapists. The possibility of implementing such a decision raises great doubts, due to the fact that other orders on the Orders also recommend an increase in the standard number of posts, in some cases even more significant than in the order No. 688n under consideration.

Keywords:labor standards; number of positions: normative and actual; psychiatrists; psychoneurologists; round the clock work

Funding. The study had no sponsor support.

Conflict of interest. The author declares no conflict of interest.

For citation: Shipova V.M. New staff-regulatory support for the provision of medical care for mental and behavioral disorders. ORGZDRAV: novosti, mneniya, obuchenie. Vestnik VSHOUZ [HEALTHCARE MANAGEMENT: News, Views, Education. Bulletin of VSHOUZ]. 2023; 9 (1): 66-81. DOI: https://doi.org/10.33029/2411-8621-2023-9-1-66-81 (in Russian)

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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)

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