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The human resources allocation of the regional tuberculosis service

Written by Krivelevich E.B., Shakhgeldyan K.I., Geltser B.I., Trankovskaya L.V.

  UDK: 616.002.5:614.2(571.63) | Pages: 77–81 | Full text PDF | Open PDF 

Annotation:

Objective. The study objective is to assess the allocation of human resources management of the tuberculosis service in Primorsky territory using modern information technologies Big Data.
Methods. Primary information about human resources of the tuberculosis service obtained from the datat of the state statistical reporting during 2000–2014. Processing was performed in the R-Studio.
Results. The number of full-time positions of TB specialist in Primorsky territory increased by 1.875 units, whereas the number of population decreased by 2.5 units (r = –0,53). The number of TB specialists grew down much faster that the number of population (average rate of decrease – 3.58). The rate of TB-specialists per 100 hundred of population reduced from 6.73 to 5.8. The total number of full-time positions was inversely proportional to the average number of the population. The analysis of the staffing level and the rate of pert-time positions completes the vision of disproportions in human resources allocation. The dynamics of the rate of part-time positions shows that during 2004–2013 the duties of physicians increased. The number of specialized beds per 10 000 of population reduced from 7.7 to 6.3. The total number of visits to TB specialists grew up on 20 %, and the number of visits caused by a disease grew up on 15.7 %. TB specialists could not take more patients in outpatient clinics and worked at the maximum possible load.
Conclusions. The results of our research indicate a range of problems impairing the tuberculosis service management. The one of them is a shortage of specialists in outpatient units that lead to the increased load per one physician by 20 %. Meanwhile in TB inpatients hospitals the load decreased by 15 %. It is necessary to conduct the in-depth study of human resources of all medicinal specialists using wide range of statistical
methods. On this basis, should be developed additions and changes in the regional health development programs and should be ensured their effective implementation.

Links to authors:

E.B. Krivelevich1, K.I. Shakhgeldyan2, 3, B.I. Geltser1, 4, L.V. Trankovskaya1
1 Pacific State Medical University (2 Ostryakova Ave. Vladivostok 690950 Russian Federation),
2 Vladivostok State University of Economics and Service (41 Gogolya St. Vladivostok 690014 Russian Federation),
3 National Research University of Electronic Technology (1 Shokin Sq. Zelenograd, Moscow 124498 Russian Federation),
4 Far Eastern Federal University (8 Sukhanova St. Vladivostok 690950 Russian Federation)


1. Almitova R.A. Prediction of lung TB according to medical and social risk factors // Organization and Management of Health. 2004. No. 1. P. 29–33.
2. Volkova M.V., Shakhgeldyan K.I., Geltser B.I. [et al.]. Analysis of personnel resources of the health system of Primorsky territory // Pacific Medical Journal. 2016. No. 3. P. 52–56.
3. Litvinov V.I., Seltsovskiy P.P., Son I.M. [et al.]. The epidemiological situation of tuberculosis and the organization of TB care to the population of Moscow. М.: MNPTSBT, 2001. 212 p.
4. Lopakov K.V., Sabgayda T.P., Popov S.A. New integral indicator ‘Epidemiological potential of tuberculosis’ // Social aspects of population health. 2009. No. 1. P. 4.
5. Nechaeva O.B. Staffing of TB control activities in the Russian Federation. URL: http://www.mednet.ru/images/stories/files/ materialy_konferencii_i_seminarov/2010/po_k (date of access: 07.27.2016).
6. Skachkova E.I., Mazharov V.N., Lopakov K.V. [et al.]. Staffing of TB control activities in the Russian Federation in 2011. // Social aspects of population health. 2010. Vol.13. URL: http:// vestnik.mednet.ru/content/view/181/27/lang,ru/ (date of access 07.27.2016).
7. Tuberculosis in the Russian Federation, 2012/2013/2014: analytical review of statistical data used in the Russian Federation and worldwide. М., 2015. URL: https://yadi.sk/i/zrwSLWSFnrh5Y (date of access: 07.27.2016).
8. Schepin O.P., Medik V.A. Public health and healthcare: textbook. М.: GEOTAR-Media, 2011. 592 p.
9. Andreu-Perez J., Poon C., Merrifield R. [et al.]. Big Data for health // IEEE Journal of biomedical and health informatics. 2015. Vol. 19, No. 4. P. 1193–1208.
10. Bossert Т., Bärnighausen T., Bowser D. [et al.]. Assessing financing, education, management and policy context for strategic planning for human resources in health. URL: http://who.int/publications/ list/hrh_9789244547311/ru/ (дата обращения: 27.07.2016).
11. Elastic. We’re About Data. URL: https://www.elastic.co/ (date of access: 27.07.2016).
12. RStudio. URL: https://www.rstudio.com/ (date of access: 27.07.2016).

PUBLISHER: "MEDITSYNA DV"

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