scholarly journals THE ROLE OF REGIONAL PROGRAMS OF SOCIAL ECONOMIC INCENTIVES IN INVOLVEMENT OF MEDICAL PERSONNEL TO RURAL HEALTH CARE

2019 ◽  
Vol 62 (4) ◽  
pp. 172-180
Author(s):  
Ol’ga A. Doshchannikova ◽  
T. V. Pozdeeva ◽  
Yu. N. Filippov ◽  
A. L. Khlapov

The study established impacting of regional activities of social economic incentives of medical personnel on the process of employment in medical institutions of rural area. The analysis of Federal and regional legislation regulating process of incentives of physicians to employment in rural health care system was implemented. The study material was based on the results of implementation of activities of social economic incentives of medical personnel to join rural medical institutions applied in the territory of the Nizhny Novgorod region in 2006-2017. The comparative analysis was implemented concerning normative base of activities of social economic support of physicians including assessment of quality and scope of material preferences and also analysis of effect of types of material incentives on amount of input of specialists in rural health care. The comparative characteristics are presented concerning regional activities of supporting rural medical personnel with ready-made accommodation and vehicles and also assessment of federal activities related to granting rural physicians with single compensation payment of one million rubles. The implemented study demonstrated that problem of recruitment of medical personnel in general and in rural health care in particular is an extremely complicated task. The Federal and regional health authorities were engaged in development of alternatives of solution of this problem until now. It is established that a significant importance in decision making related to employment in rural medical institutions is attached to implementing programs of social economic support. It is derived that measures of social economic support related to granting ready-made accommodation within the framework of regional activities favored more active involvement and long-term assignment of medical personnel in rural area than granting with single compensation payment of one million rubles.

2020 ◽  
pp. 41-52
Author(s):  
Olga Doshchannikova ◽  

The study determines the impact of regional measures of socio-economic stimulation of medical personnel on the process of employment in medical institutions in rural areas. The analysis of Federal and regional legislation regulating the process of encouraging doctors to find employment in the rural health system is carried out. It was found that measures of socio-economic support for the provision of ready-made housing in the framework of regional events, contributed to a more active involvement and long-term consolidation of medical personnel in rural areas.


Author(s):  
N. N. Petrukhin ◽  
O. N. Andreenko ◽  
I. V. Boyko ◽  
S. V. Grebenkov

Introduction. The activities of health workers are associated with the impact of many harmful factors that lead to loss of health. Compared with other professional groups, health care workers are ill longer and harder, which may be due to polymorbidity pathology.The aim of the study based on the survey data to study the representation of health workers about working conditions and to identify their impact on the formation of occupational diseases.Materials and methods. In order to get a real idea of the attitude of medical workers to their working conditions in 2018, an anonymous survey was conducted of 1129 doctors and 776 employees of secondary and junior medical personnel working in health care institutions in St. Petersburg, Moscow, Krasnoyarsk, Vologda and Orel.Results. Research of working conditions and health of physicians allowed to establish that work in medical institutions imposes considerable requirements to an organism of working, its physical condition and endurance, volume of operational and long-term memory, ability to resist to mental, moral and ethical overloads.Conclusions: The most important method of combating the development of occupational diseases is their prevention. Organizational and preventive measures should be aimed primarily at monitoring the working conditions and health of medical staff .


Author(s):  
Ekaterina V. Shulyak

Development of health care of Siberia in the 18<sup>th</sup>&nbsp;— first half of the 19<sup>th</sup> century was closely connected with economic and political development of the Russian state. Before the medical personnel emergence in Siberia its population received medication only in the form of folk remedies. Development of its territory, insanitary conditions of life of Siberians, constant contingent of exiled to the indigenous people, and severe climate contributed to the spread of such diseases as smallpox, syphilis, and others.<br> The first medical institutions of Siberia were military hospital and infirmaries. In the days of reign of the Empress Anna Ioannovna, the city medical care started developing, and thanks to an initiative of the industrial enterprises owners&nbsp;— medical care for miners. After the establishment of the Public Charity Orders in Siberia, hospitals under their jurisdiction began to function in Tobolsk, Irkutsk, and Tomsk. A worthy contribution to the development of local medical institutions was made by donators Tolstopyatov, Bednyagin, Chupalov, and others. However, deficiency of financing, hospitals, and the medical personnel couldn’t adequately satisfy the needs of Siberian inhabitants in medical care.<br> The purpose of the article is to analyse the condition of public health, causes of morbidity and mortality of the population, as well as the process of medical care development in Siberia the turn of the 18<sup>th</sup> century by means of a historical and genetic method.


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