Planned scope of work as a component of the labor rationing system

• Valentina M. Shipova
• Vladimir O. Shchepin

Abstract

The labor rationing system, like any system, consists of interacting parts that create a certain integrity. The system includes: labor standards – norms of time and norms of number; volume of actual and planned work; the number of medical workers required to perform the scope of work.

Aim of the study is to determine the possibilities of using documents on the current planning of the volume of medical care to calculate the required number of positions of medical workers and create an information platform for making managerial decisions.

Material and methods. An analysis of the Programs of state guarantees for the provision of free medical care and Explanations on the formation and economic justification of territorial programs over the past 3 years is presented, as well as a reconstruction of individual planning and regulatory data for a longer period of time. The data of statistical collections, publications on the research topic were used. The analytical method of research is applied.

Results. The analysis showed that, given the current state of the legal and regulatory framework for labor, calculations of the required number of doctors using the current planning materials reflected in the Program and Clarifications are possible only for doctors of the main specialties providing hospital care. Conclusions are drawn about the need to improve the planning of the volume of medical care, including the necessary information about the planned and normative data for the provision of medical care on an outpatient basis in the context of specialties and in day hospitals in the context of types of medical care. The proposed changes will help determine the required number of medical workers, which are the basis of personnel policy in health care.

Keywords:program of state guarantees for the provision of free medical care; clarifications; planning and normative indicators; volume of medical care; labor standards

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