The aim of this study: To determine the trajectory of improving human resource management as an element of operational management in the organization of primary health care. Methods. Within the framework of the study, a comparative analysis of statistical data on the provision of PHC doctors by regions for 2017-2019 was carried out according to the information system of the Ministry of Health of the Republic of Kazakhstan «Additional component of the per capita standard». Results. When analyzing the provision of health care organizations with general practitioners, district pediatricians, district therapists at the level of primary health care (PHC) in the republic, a dynamic decrease in the quantitative indicator of doctors providing PHC was revealed. And also noted a stable tension in the workload of a doctor in terms of the number of served (attached) population. Conclusions. Staff-oriented approaches, such as calculating the required number of staff or creating formulas and algorithms, provide only partial solutions. More comprehensive solutions are needed that will focus on effective multifactor human resource management. For the most effective use of human resources, health care organizations must expand a systems approach that takes into account organizational and institutional conditions