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[俄罗斯联邦医疗保健领域人事政策相关政策文件的比较评估]

[The comparative evaluation of policy documents of the Russian Federation concerning personnel policy in health care].

作者信息

Gaydarov G M, Makarov S V

机构信息

The Federal State Budget Educational Institution of Higher Education "The Irkutsk State Medical University" of Minzdrav of Russia, 664005, Irkutsk, Russia.

The Federal State Budget Educational Institution of Higher Education "The Irkutsk State Medical University" of Minzdrav of Russia, 664005, Irkutsk, Russia,

出版信息

Probl Sotsialnoi Gig Zdravookhranenniiai Istor Med. 2020 Mar;28(2):314-319. doi: 10.32687/0869-866X-2020-28-2-314-319.

Abstract

Nowadays, in Russia number of problems is present in effective personnel policy in health care. The National Concept of personnel policy in health care (2002) expired in 2010 and no new one was developed. However, corresponding program documents were adopted at the level of subjects of the Russian Federation. The purpose of study was to compare evaluation of program documents of subjects of the Russian Federation related to issues of personnel policy in health care. The continuous sampling technique was applied to study these documents, which were valid in the territories of all subjects of the Russian Federation in 2002-2019. The comparative assessment was performed. It is demonstrated that the most informative document in this area is only the corresponding specialized Concept. However, this document was adopted only in 8.2% of the subjects of the Russian Federation, and they were valid only in two subjects. The concepts of health care development in the subjects of the Russian Federation, addressing medical personnel policy were adopted in 44.7% of the subjects of the Russian Federation. However, these legal documents operate only in 15.3% of territories. At the same time, the availability of appropriate specialized program document is a prerequisite of development of coherent and effective medical personnel policy in health care at all its levels.

摘要

如今,俄罗斯医疗保健领域的有效人事政策存在诸多问题。《国家医疗保健人事政策概念》(2002年)于2010年到期,且未制定新的政策。然而,俄罗斯联邦各主体层面通过了相应的计划文件。本研究的目的是比较俄罗斯联邦各主体与医疗保健人事政策问题相关的计划文件的评估情况。采用连续抽样技术对这些在2002 - 2019年期间在俄罗斯联邦所有主体领土内有效的文件进行研究,并进行了比较评估。结果表明,该领域最具信息价值的文件仅为相应的专门概念文件。然而,该文件仅在8.2%的俄罗斯联邦主体中通过,且仅在两个主体中有效。俄罗斯联邦各主体中涉及医务人员政策的医疗保健发展概念在44.7%的主体中通过。然而,这些法律文件仅在15.3%的领土内实施。与此同时,拥有适当的专门计划文件是在医疗保健各级制定连贯且有效的医务人员政策的前提条件。

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