[Development of a methodology for calculating the need for medical staffing taking into account the regulatory framework and infrastructure indicators].

Abstract

The issue of calculating the personnel needs in healthcare remains key for the sustainable functioning of the medical care system and ensuring the availability of medical services. This paper provides a critical analysis of regulatory documents and methods used in the Russian Federation to assess the need for medical and paramedical personnel. Particular attention is paid to orders No. 230 and No. 974 of the Ministry of Health of the Russian Federation their applicability to various types of institutions the role of part-time job coefficients reception time standards as well as the impact of regional amendments. Approaches to calculating the need are considered from the point of view of adaptability to the actual workload and infrastructure development scenarios. The main limitations of existing approaches are presented: outdated standards lack of an updating mechanism in the context of demographic shifts and data heterogeneity. Based on a summary of sources official statistics and expert assessments a step-by-step methodology for calculating the personnel needs has been developed including elements of scenario modeling digitalization and automation of the calculation process. Explanatory charts and tables illustrate typical approaches to working with data as well as potential distortions when using incorrect coefficients. The proposed scheme is aimed at integrating personnel planning into the management practice of regional bodies and medical organizations in order to improve the validity of decisions made.