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Development of a method for calculation of demand for medical personnel in the healthcare of the Russian Federation, using a mathematical model

https://doi.org/10.17749/2070-4909/farmakoekonomika.2020.069

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Abstract

Aim. The study is aimed to determine and test the approaches to the development of a method for calculation of the demand for medical personnel in the healthcare in the Russian Federation, using a mathematical model of human resource for healthcare HRH balancing.

Materials and methods. As part of the study, the development of a project of the calculation method for the demand for medical personnel in healthcare in the Russian Federation was carried out. The authors based on the foreign experience in the approaches to the calculation of the demand for medical personnel in the economically developed countries that apply socially-oriented healthcare systems (state or social insurance-based) as well as experience of using various approaches to methods of calculation of the demand for medical personnel existing in Russia. To calculate the justified demand for medical personnel in certain specialties, calculations were carried out stagewise and data tables were created, which provided a base for a mathematical model of HRH balancing implemented in the Microsoft Excel environment. The conceptual model was based on a balance of supply and demand modules. As a result of the calculation and comparison of the number of different specialty doctors, this model shows the deficit or surplus of HHR in each module.

Results. This mathematical model of balancing the HRH based on the results of two modules operating to calculate the supply and demand for one specific planning horizon can be used to calculate and compare the following factors: the number of doctors in the simulated period; increase/decrease in demand for HRH; increase/decrease in the number of doctors in the medium and long-term compared to the base year. This model can be supplemented with a block calculating the labor remuneration fund (LRF) for the simulated period and accounting for changes in the consumption (demand) of medical care depending on the implementation of various national projects in the field of healthcare. The presented calculation approach shows that the demand for medical personnel will grow in the next 7-10 years. However, in the long-term perspective, the opposite situation is possible due to an oversupply of personnel in healthcare, which may entail other organizational and social problems and, consequently, other managerial solutions.

Conclusion. The results of this study can be used to reform the existing approaches to the calculation of the demand for medical personnel to increase the organizational and economic efficiency of workforce planning in healthcare, as well as to develop techniques to check the justifiability of funding levels, including those aimed at the provision, maintenance and professional development of health human resources.

About the Authors

V. V. Omelyanovsky
Center for Healthcare Quality Assessment and Control of the Ministry of Healthcare of the Russian Federation; Financial Research Institute of the Ministry of Finance of the Russian Federation; Russian Medical Academy of Postgraduate Education, Moscow
Russian Federation

Vitaly V. Omelyanovskiy- MD, Dr Sci Med, Professor, General Director of the Center of Healthcare Quality Assessment and Control of Ministry of Health of the RF; Head of the Center for Healthcare Funding, Financial Research Institute of the Ministry of Finance of Russia; Head of the Chair of Healthcare Economics, Management and Technology Assessment, RMACPE; Scopus Author ID: 6507287753; WoS Researcher ID: P-6911-2018.

10-5 Khokhlovskii pereulok, Moscow 109028; 3-2 Nastasyinsky pereulok, Moscow 127006; 2-1 Barrikadnaya Str., 123995 Moscow



T. V. Semenova
Ministry of Health of the Russian Federation
Russian Federation

Tatiana V. Semenova - MD, PhD, Deputy Minister of Health of the Russian Federation.

3 Rakhmanovskiy per., Moscow 127051



D. V. Lukyantseva
Center for Healthcare Quality Assessment and Control of the Ministry of Healthcare of the Russian Federation; Financial Research Institute of the Ministry of Finance of the Russian Federation; Russian Medical Academy of Postgraduate Education
Russian Federation

Daria V. Lukyantseva - MD, PhD, Head of Department at the Center for Healthcare Quality Assessment and Control, MH RF; Chief Specialist at the Center of Healthcare Funding, FRI, MF RF; Associate Professor of the Department of Health Care Organization and Public Health at the Federal State Budgetary Educational Institution of Further Professional Education "RMAof Continuous Professional Education", Ministry of Health of the RF, WoS Researcher ID: X-3920-2019.

10-5 Khokhlovskii pereulok, Moscow 109028; 3-2 Nastasyinsky pereulok, Moscow 127006; 2-1 Barrikadnaya Str., 123995 Moscow



D. V. Fedyaev
Center for Healthcare Quality Assessment and Control of the Ministry of Healthcare of the Russian Federation; Financial Research Institute of the Ministry of Finance of the Russian Federation
Russian Federation

Denis V. Fedyaev- Head of Department at the Center for Healthcare Quality Assessment and Control, Ministry of Health RF, Specialist at the Center of Healthcare Funding, FRI, Ministry of Finance of the RF.

10-5 Khokhlovskii pereulok, Moscow 109028; 3-2 Nastasyinsky pereulok, Moscow 127006



E. A. Shalaeva
Center for Healthcare Quality Assessment and Control of the Ministry of Healthcare of the Russian Federation; National Research University Higher School of Economics
Russian Federation

Ekaterina A. Shalaeva - Specialist at the Center for Healthcare Quality Assessment and Control, Ministry of Health of the Russian Federation, Research Assistant at the Centre for Health Policy, NRU Higher School of Economics.

10-5 Khokhlovskii pereulok, Moscow 109028; 20 Myasnickaya Str., Moscow 101000



References

1. iHRIS Health Workforce Information Systems Software [Электронный ресурс]. URL: https://www.ihris.org/about/. Accessed: 21.10.2020.

2. World Health Organization. National Health Workforce Accounts: A Handbook. 2016; 160 p.

3. Kroezen M., Van Hoegaerden M., Batenburg R. The Joint Action on Health Workforce Planning and Forecasting: Results of a European programme to improve health workforce policies. Health Policy. 2018; 122 (2): 87-93.

4. Omelyanovskiy V.V., Bezdenezhnykh T.P., Alkhasov T.G., Lukyantseva D.V. linternational experience in health workforce planning. Meditsinskiye tekhnologii. Otsenka i vybor. 2019; (3): 32-45. (in Russ).

5. Hall T., Mej’ia A., Organization W.H. Health manpower planning: principles, methods, issues. 1978.

6. Malgieri A., Michelutti P., Hoegaerden M. Van. Handbook on health workforce planning: Methodologies across EU countries. 2015; 1-344.

7. Tishkina S.N., Alkhasov T.G., Lukyantseva D.V., Bezdenezhnykh T.P. Approaches to assessing the demand for medical personnel in the Russian Federation. FARMAKOEKONOMIKA.ModernPharmacoeconomic and Pharmacoepidemiology. 2019; 12 (3): 230-238. (In Russ.) https://doi.org/10.17749/2070-4909.2019.12.3.230-238.

8. International Classification of Diseases ICD-10 (Adapted in three parts). Source of publication of the Research Institute named after N.A. Semashko, Moscow. 1999. (In Russ.)

9. Resources and activities of medical healthcare organizations. Medical personnel. Part I. Ministry of Health of the Russian Federation. Moscow 2018. (In Russ.) [Electronic resource]. URL: https://www.rosminzdrav.ru/ministry/61/22/stranitsa-979/statisticheskie-i-informatsionnye-materialy/statisticheskiy-sbornik-2018-god. Accessed: 21.10.2020.

10. Resources and activities of medical healthcare organizations. Medical personnel. Part I. Ministry of Health of the Russian Federation. Moscow 2017. (In Russ.) [Electronic resource]. URL: https://www.rosminzdrav.ru/ministry/61/22/stranitsa-979/statisticheskie-i-informatsionnye-materialy/statisticheskiy-sbornik-2017-god. Accessed: 21.10.2020.

11. Resources and activities of medical healthcare organizations. Medical personnel. Part I. Ministry of Health of the Russian Federation. 2016. (In Russ.) [Electronic resource]. URL: https://www.rosminzdrav.ru/ministry/61/22/stranitsa-979/statisticheskie-i-informatsionnye-materialy/statisticheskiy-sbornik-2016-god. Accessed: 21.10.2020.

12. Resources and activities of medical healthcare organizations. Medical personnel. Part I. Ministry of Health of the Russian Federation Moscow 2019. (In Russ.) [Electronic resource]. URL: https://mednet.ru/miac/meditsinskaya-statistika. Accessed: 21.10.2020.

13. Demographic forecast until 2036. Population change according to forecast options. Rosstat. (In Russ.) 2019. [Electronic resource]. URL: http://old.gks.ru/wps/wcm/connect/rosstat_main/rosstat/ru/statistics/population/demography/#. Accessed: 02.10.2019.

14. Forecast of social and economic development of the Russian Federation for the period up to 2036. Ministry of Economic Development of the Russian Federation. 2019. (In Russ.) [Electronic resource]. URL: http://economy.gov.ru/minec/about/structure/depmacro/201828113. Accessed: 21.10.2020.

15. Results of federal statistical observation in the field of remuneration of certain categories of workers in the social sphere and science for January-December 2018. Rosstat. 2019. (In Russ.) [Electronic resource]. URL: http://www.gks.ru/free_doc/new_site/population/trud/itog_monitor/. Accessed: 21.10.2020.

16. Federal Law of November 21, 2011 No. 323-FZ "On the Basics protection of health of citizens in the Russian Federation ”. Official Internet portal of legal information. (In Russ.) [Electronic resource]. URL: http://www.pravo.gov.ru. Accessed: 12.07.2020


For citation:


Omelyanovsky V.V., Semenova T.V., Lukyantseva D.V., Fedyaev D.V., Shalaeva E.A. Development of a method for calculation of demand for medical personnel in the healthcare of the Russian Federation, using a mathematical model. FARMAKOEKONOMIKA. Modern Pharmacoeconomics and Pharmacoepidemiology. 2020;13(4):427-437. (In Russ.) https://doi.org/10.17749/2070-4909/farmakoekonomika.2020.069

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ISSN 2070-4909 (Print)
ISSN 2070-4933 (Online)