THE ROLE OF PERSONNEL MONITORING IN THE EVALUATION OF INNOVATIVE MEASURES RELATED TO RESOURCES SUPPORT OF REGIONAL HEALTH CARE

The article presents calculation and analysis of medical manpower support of population as exemplified by such megalopolis as Moscow during implementation of the program of development of manpower of medical organizations and according to strategy of development of health care of the region. The time span of observation made up to 2013-2015 because up to that time the structural transformations in municipal health care system were factually finalized and conditions for analysis of achieved results took shape. It is established that higher support with physicians in the beginning of transformations, untypical on other territories, during three years moderately decreased and stabilized. The directions of optimization of number of physicians depending on types of medical organizations were reflected in predominant decreasing of number of established posts, in lesser degree - employed posts and in most lesser degree - number of individuals as workers. In polyclinics the process of division of labor between physicians and paramedical personnel increased. The conditions for amelioration of effectiveness of using physicians' resources and modes of remuneration of labor were organized. The presence of particular disproportions in physicians' manpower dictates necessity of proceeding monitoring of support of application of assessment and consideration of its results with the purpose of more rational distribution and priority directions of functioning of manpower resources.

physicians, physicians, support of population, established employed posts, physicians' manning of medical organizations, coefficient of moonlighting, indicator of ratio “paramedical personnel/physicians”