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

• Valentina M. Shipova

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

References

1. Issues of demography (research, techniques, methods): Collection of articles. In: A.G. Volkov, L.E. Darsky, A.Ya. Kvasha (eds). Moscow: Statistika, 1970: 280 p. (in Russian)

2. Issues of sanitary and medical statistics. Moscow: Statistika, 1971: 255 p. (in Russian)

3. Gerchuk Ya.P. Graphs in mathematical and statistical analysis. Moscow: Statistika, 1972: 80 P. (in Russian)

4. Starodubov V.I., Kiselev A.S. Problems of health statistics of the population of Russia. Problemy sotsial’noy gigiyeny, zdravookhraneniya i istorii meditsiny [Problems of Social Hygiene, Public Health and History of Medicine]. 2001; (5): 3-5. (in Russian)

5. Shipova V.M. Organization of labor rationing in health care. In: O.P. Shchepin (ed.). Moscow: GRANT, 2002: 418-27. (in Russian)

6. Shipova V.M., Berseneva E.A., Mikhaylov D.Yu. Labor standards for statisticians and medical statisticians. Byulleten’ natsional’nogo nauchno-issledovatel’skogo institute obshchestvennogo zdorov’ya imeni N.A. Semashko [Bulletin of the National Research Institute of Public Health named after N.A. Semashko]. 2021; (2): 50-8. (in Russian)

7. Medik V.A. Ways to improve organizational and methodological activities in a medical organization at the present stage of healthcare reform. ORGZDRAV: novosti, mneniya, obuchenie. Vestnik VShOUZ [ORGZDRAV: News, Opinions, Training. Bulletin of VShOUZ]. 2021; 7 (4): 7-15. (in Russian)

8. Shipova V.M. Staffing of a medical organization. In: R.U. Khab-riev (ed.). Moscow: GEOTAR-Media, 2015: 66-7. (in Russian)

9. Shipova V.M. Staffing of a medical organization under different operating modes in 2016. Zamestitel’ glavnogo vracha [Deputy Chief Physician]. 2015; 12 (115): 28-34. (in Russian)

10. Shipova V.M. How to calculate the number of positions in a round-the-clock KDL. Spravochnik zaveduyushchego KDL [Handbook of the Head of the KDL]. 2019; (6): 71-4. (in Russian)

11. Shipova V.M., Berseneva E.A., Mikhaylov D Yu. Topical issues of planning the number of posts in different modes of operation: A textbook. Moscow: Svetlitsa, 2020: 144 p. (in Russian)

12. Shipova V. How to determine the number of positions for round-the-clock work. Ekonomika LPU v voprosakh i otvetakh [Economics of Medical Institutions in Questions and Answers]. 2021; (4): 20-6. (in Russian)

13. Regulation of labor relations in healthcare: Collection of legal acts with comments. In: V.M. Shipova; R.U. Khabriev (ed.). 4th ed., revised. and additional. Moscow: GEOTAR-Media, 2021: 106-14. (in Russian)

14. Shipova V.M. Organizational technologies and modern regulatory and legal framework for work in health care. P. 726-738. In: G.E. Ulumbekova, V.A. Medik (ch. eds). Public Health and Health Care with the Basics of Medical Informatics: National Leadership. 2nd ed. Moscow: GEOTAR-Media, 2022. 1144 p. : ill. (Series «National Guidelines») (in Russian)

15. Shipova V.M. Organization and technology of labor regulation in health care. In: R.U. Khabriev (ed.). Moscow: GEOTAR-Media, 2018: 218-9. (in Russian)

16. Khabriev R.U., Shipova V.M., Berseneva E.A. Comments on labor standards in healthcare: new orders - old problems. Moscow: GEOTAR-Media, 2019: 42-6. (in Russian)

17. Calculation of the number of positions of medical workers of the auxiliary medical and diagnostic service: A Textbook. In: V.M. Shipova, E.A. Berseneva, K.V. Kirillov, et al. Moscow: Svetlitsa, 2019: 32-5. (in Russian)

18. Shipova V.M., Berseneva E.A. Auxiliary service labor standards: problems and solutions. Byulleten’ natsional’nogo nauchno-issledovatel’skogo instituta obshchestvennogo zdorov’ya imeni N.A. Semashko [Bulletin of the National Research Institute of Public Health named after N.A. Semashko]. 2021; (1): 6-15. (in Russian)

19. Shipova V.M., Berseneva E.A. Middle and junior medical workers: population standards, calculation methods. In: R.U. Khab-riev (ed.). Moscow: GEOTAR-Media, 2020: 93-7. (in Russian)

20. Ulumbekova G.E. Analysis of the expenditures of the budgets of the budgetary system of the Russian Federation under the section «Health care» for 2022 and the planning period 2023-2024. ORGZDRAV: novosti, mneniya, obuchenie. Vestnik VShOUZ [ORGZDRAV: News, Opinions, Training. Bulletin of VShOUZ]. 2021; 7 (4): 7-15. (in Russian)

21. Ulumbekova G.E. Analysis of the expenditures of the budgets of the budgetary system of the Russian Federation (the Compulsory Medical Insurance Fund, federal and regional budgets) in the section «Health» for 2023 and the planning period of 2024 and 2025. ORGZDRAV: novosti, mneniya, obuchenie. Vestnik VShOUZ [ORGZDRAV: News, Opinions, Training. Bulletin of VShOUZ]. 2022; 8 (3): 4-9. (in Russian)

22. Shipova V.M. Regulation of labor relations in health care. Collection of legal acts with comments. In: R.U. Khabriev (ed.). 4^th ed., revised and additional. Moscow: GEOTAR-Media, 2021: 83-94. (in Russian)

All articles in our journal are distributed under the Creative Commons Attribution 4.0 International License (CC BY 4.0 license)