PROVIDING THE POPULATION WITH PRIMARY CARE PHYSICIANS:FACTS, TRENDS AND PROGNOSIS

To ensure the availability of primary health care compliance with regulatory requirements, taking into account population density, and personnel stability are very important. Methods. According to the reporting form №30 analyzed accordance staffing table one of the polyclinic of St. Petersburg regulatory and target indicators, presented in the Orders of medical care. Analyzed frequency of layoffs of doctors from polyclinic throughout the year, taking into account the duration of the employment relationship. Results. The population living in the polyclinic area of health care, is extremely insufficient provided by dentists, rheumatologists, urologists, oncologists and psychotherapists, as their numbers on 57,5-80,8% below the regulatory and target indicators. Insignificant shortage of staff identified among allergist, cardiologists, gastroenterologists, infectious disease specialists, general practitioners and otolaryngologists precinct because the lack of individuals working in these fields, is 10-30%. There is no shortage of such specialists as endocrinologists, ophthalmologists and neurologists. Over the last year 20,5% of doctors quit from a polyclinic and the newly employed at 1,5% less than retired from work. Conclusion. The current staffing table does not fully meet the regulatory requirements on the number of posts and the number of actually working doctors on 10 thousand of population. Another problem is the turnover of medical staff, which exacerbates the staffing imbalance.

personnel policy, staffing, health care workforce, health manpower shortage