Schipova V M, Shchepin V O, Mirgorodskaya O V
The Federal State Budget Scientific Institution "The N. A. Semashko National Research Institute of Public Health" of the Minobrnauka of Russia, 105064, Moscow, Russia.
The Federal State Budget Scientific Institution "The N. A. Semashko National Research Institute of Public Health" of the Minobrnauka of Russia, 105064, Moscow, Russia,
Probl Sotsialnoi Gig Zdravookhranenniiai Istor Med. 2021 Jul;29(4):877-884. doi: 10.32687/0869-866X-2021-29-4-877-884.
The purpose of the study was to analyze normative legal documents and their modifications in order to determine the labor standards of medical personnel in case of rendering and planning obstetric gynecological care in the Russian Federation, including standards of number of medical personnel in medical organizations and modes of operation of various types. The materials of the study were normative legal documents presented at the WEB-portal "garant.ru". The comparative analysis of actual normative legal set of documents concerning labor standards in the profile of "obstetrics and gynecology" demonstrated that the new order of Minzdrav of Russia № 1130n of 20.10.2020 introduced significant changes as compared with the current one. Its provisions contribute to reducing staffing by obstetricians-gynecologists of medical organizations providing primary health care, and to decreasing significantly the number of nurses for all types of considered medical organizations. The main drawback of the new order and the erroneousness of the orders on Procedures of Minzdrav of Russia in terms of staff support of round-the-clock functioning are demonstrated. The methodology of calculating the number of positions under different modes of operation of medical organizations are presented. The dynamics of general population morbidity in classes "Pregnancy, childbirth and complications of the postpartum period" and "Diseases of the genitourinary system" was analyzed.The corresponding trends were prognosticated for the period up to 2024. The results of the study testify the necessity to amend actual normative legal documents governing labor standards of medical personnel in case of providing obstetric gynecological and other types of medical care in the Russian Federation.
该研究的目的是分析规范性法律文件及其修订情况，以确定在俄罗斯联邦提供和规划妇产科护理时医务人员的劳动标准，包括医疗机构中医务人员数量标准以及各类别的运作模式。研究材料为在“garant.ru”网站上公布的规范性法律文件。对“妇产科”领域劳动标准的实际规范性法律文件集进行的比较分析表明，俄罗斯卫生部2020年10月20日第1130n号新命令与现行命令相比有重大变化。其规定有助于减少提供初级医疗保健的医疗机构中妇产科医生的人员配备，并显著减少所有类型医疗机构中护士的数量。研究表明了新命令的主要缺陷以及俄罗斯卫生部关于全天候运作人员支持程序命令的错误性。介绍了医疗机构不同运作模式下职位数量的计算方法。分析了“妊娠、分娩和产后期并发症”及“泌尿生殖系统疾病”类别中普通人群发病率的动态变化，并对截至2024年的相应趋势进行了预测。研究结果证明有必要修订俄罗斯联邦现行的关于提供妇产科及其他类型医疗护理时医务人员劳动标准的规范性法律文件。
