Manager Zdravookhranenia最新文献

{"title":"Role of the S. Fyodorov Eye Microsurgery Federal State Institution in the work of the regional children’s ophthalmological service.","authors":"A. V. Tereshchenko, I. G. Trifanenkova, S. N. Popov, S. V. Silayeva, A. Vydrina, G. V. Murav’yeva","doi":"10.21045/1811-0185-2024-6-32-39","DOIUrl":"https://doi.org/10.21045/1811-0185-2024-6-32-39","url":null,"abstract":"One of the main tasks of the children’s ophthalmological service in any region is to ensure the availability of high-tech medical care, however, personnel and technological shortages can negatively affect this indicator. Using the resources of a federal specialized clinic at the regional level can help resolve this issue. The goal is to reflect the participation of the federal specialized clinic in the work of the regional children’s ophthalmological service. Material and methods. The data used to assess the state of provision of ophthalmological care to children was taken from the electronic database of medical records of patients who received ophthalmological care at the Kaluga branch of the S. Fyodorov Eye Microsurgery Federal State Institution in the period from 2017 to 2023. Results. In 2005, a pediatric surgical department was organized at the Kaluga branch of the S. Fyodorov Eye Microsurgery Federal State Institution. The work of the department’s ophthalmologists is primarily aimed at providing modern surgical treatment for children with various ophthalmological diseases. The leading scientific and practical direction is retinopathy of prematurity. To ensure optimal accessibility of specialized medical care, implementation of a system for early diagnosis and monitoring of the vision status of children, in the fall of 2020, a Children’s Ophthalmological Diagnostic Center (DOC) was opened within the structure of the Kaluga branch of the MNTK. The priority direction of the DOC is the introduction into clinical practice of innovative medical technologies aimed at early detection and formation of stages in the treatment of eye diseases in children and adolescents, and the determination of recommendations for preventive measures. From 2017 to 2023, the volume of ophthalmological care provided by the Kaluga branch of MNTK was within the range of 1,400–3,000 operations per year. Every year, ophthalmological care is provided directly to more than 1000 children at the Children’s Center. In total, over the entire period of operation of the center, conservative treatment was carried out in 3552 cases of amblyopia, myopia and other forms of ametropia, including severe forms. Using the new treatment method, 809 courses of treatment have been carried out at the Amblyokor complex since September 2020. During the work of the Center, 1908 orthokeratology lens sets were selected and issued. In addition to accepting patients living in the Kaluga region, we are actively accepting children from other regions. Conclusion. Thanks to the work of the branch of the MNTK «Eye Microsurgery» in the Kaluga region, the shortage of highly qualified medical personnel is compensated, the effective use of complex and unique diagnostic and treatment equipment is concentrated and implemented, the widespread introduction of progressive treatment methods into practice is ensured, the optimal route for patients is developed, taking into account the structure of medical organizati","PeriodicalId":270155,"journal":{"name":"Manager Zdravookhranenia","volume":"57 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141710125","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"On the need to improve legal regulation regarding medical care for patients before and after organ transplantation.","authors":"A. V. Novozhilov, I. S. Kitsul, D. Piven","doi":"10.21045/1811-0185-2024-6-4-12","DOIUrl":"https://doi.org/10.21045/1811-0185-2024-6-4-12","url":null,"abstract":"The article substantiates a set of problems associated with imperfect legislation regarding mechanisms for regulating the provision of medical care to patients before and after organ transplantation. The authors show that the current legislation does not define who is the attending physician of a patient awaiting and undergoing an organ transplant, and the legal context for organizing such medical care is not substantiated. This may pose significant risks to patients, reduce the quality of medical care provided, and adversely affect the function of the transplanted organ. Based on the analysis carried out, the article makes specific proposals for making additions to the current specialized procedure for providing medical care and the law of the Russian Federation “On transplantation of human organs and (or) tissues.”","PeriodicalId":270155,"journal":{"name":"Manager Zdravookhranenia","volume":"8 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141709964","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Mixed, hybrid training as a necessary component of modern training of medical professionals.","authors":"T. B. Sviridova, R.G. Makiev, A. S. Lutikov, E. A. Goldina","doi":"10.21045/1811-0185-2024-6-87-96","DOIUrl":"https://doi.org/10.21045/1811-0185-2024-6-87-96","url":null,"abstract":"The article presents a review of the literature on the introduction of mixed, hybrid training in educational programs of additional professional education of medical workers. Definitions of mixed and hybrid learning are given. Publications, research and best practices related to mixed, hybrid training of medical professionals are considered. Attention is focused on the importance of this approach and information is provided that can be useful for teachers, educational institutions and medical professionals seeking to update their skills and knowledge.","PeriodicalId":270155,"journal":{"name":"Manager Zdravookhranenia","volume":"98 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141695601","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluation of clinical observation of children in the first year of life.","authors":"K. E. Moiseeva, M. G. Karailanov, V. V. Danilova, K. G. Shevtsova, Sh D Kharbediya, M. Daineko","doi":"10.21045/1811-0185-2024-6-23-31","DOIUrl":"https://doi.org/10.21045/1811-0185-2024-6-23-31","url":null,"abstract":"Children’s health is a powerful resource that can become the key to the future health of the nation. Considering the significant increase in morbidity among children in recent years, the assessment of dispensary observation of children in the first year of life is a relevant topic for research. Purpose: to assess the level and dynamics of dispensary observation indicators for children in the first year of life living in St. Petersburg. Materials and methods. Based on copying information from statistical reporting forms No. 12, a retrospective one-time study of indicators of the frequency of taking children of the first year of life into dispensary registration, the frequency of continuing dispensary observation after the first year of life, as well as the proportion of children of the first year of life remaining under dispensary observation from those registered during the year. The significance of differences in indicators was assessed using Student’s t-test. Differences were considered significant at p<0.05. Statistical data processing was carried out using the MS Office‑2016 and StatSoft-Statistica 10.0 software packages. Results. Most often, children in the first year of life needed examination and treatment on an outpatient basis for diseases of the nervous system, certain conditions that arise in the perinatal period, as well as diseases of the respiratory and digestive organs. Most often, in children’s clinics of the metropolis, after the first year of life, dispensary observation of children with diseases of the nervous system, eyes and its appendages, digestive organs and congenital malformations continued. With a high frequency of children with respiratory diseases and certain conditions arising in the perinatal period being taken under dispensary observation, in most cases, by the end of the first year of life, children with these diseases are removed from the dispensary register. At the same time, with a low frequency of children being admitted to convalescent care, on average 71.3% of such patients remain under further dispensary registration. A high proportion of children who remain under clinical observation are patients with diseases of the genitourinary system, the eye and its adnexa, skin and subcutaneous tissue, the musculoskeletal system and connective tissue and the nervous system. Conclusion. In St. Petersburg, the increase in morbidity among children in the first year of life was due to the growing need for dispensary monitoring of children for almost all classes of diseases, except for respiratory diseases and certain conditions that arise in the perinatal period.","PeriodicalId":270155,"journal":{"name":"Manager Zdravookhranenia","volume":"90 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141708664","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparative assessment of the quality life of children with bronchial asthma in different age groups.","authors":"Z. R. Alikova, L. S. Baisangurova, S. S. Enaldieva, I. T. Kusova","doi":"10.21045/1811-0185-2024-6-119-126","DOIUrl":"https://doi.org/10.21045/1811-0185-2024-6-119-126","url":null,"abstract":"The purpose of the study: assessment of quality of life indicators and their impact on life parameters in children aged 6–17 years with bronchial asthma. Materials and methods. The study was performed using the Russian version of the SF‑36 questionnaire, which was filled out by children with bronchial asthma of younger age (6–14 years old) with their parents, older age (15–17 years old), independently. The survey was conducted among 408 children (6–17 years old) on the basis of the pulmonology department of the Republican Children’s Clinical Hospital and children’s polyclinics of the Republic of North Ossetia-Alania. The average age in the sample is 13.0 years, of which 76.2% are boys, 23.8% are girls. A comparative analysis of quality of life indicators was carried out in four age groups: 6–8 years (12.3%), 9–11 years (16.7%), 12–14 years (28.2%), 15–17 years (42.8%). The average values and the standard deviation (M±SD) were determined. The processing of the obtained data was carried out using the SPSS application software package (vers. 21). Results. According to the design of the study, the assessment of the health status of children was carried out in different age groups from 6 to 17 years old. The most unsatisfactory assessments of their health were revealed in three older age groups, especially pronounced at the age of 12–14 years. At the same time, half of the surveyed children (50.2%) did not improve their health during the year and more than 8% of them began to feel worse. It was revealed that bronchial asthma affects the parameters of quality of life: the physical and psychological condition of children suffers, their social adaptation is disrupted. With equal indicators of these components in girls, boys have a slightly higher physical component than the mental one. When comparing the age groups, a more significant violation of the mental component of the quality of life with the age of children was revealed. The largest number of children with bronchial asthma (31.1%) experience significant limitations during heavy physical exertion. A direct correlation has been revealed between the increase in difficulty with physical exertion and their performance in a smaller volume with age. According to the evaluation scales, the total indicators of the quality of life of children with bronchial asthma are interpreted unambiguously, low, and amount to slightly more than 47 points. Older children who have pronounced negative symptoms and need correction of therapeutic and preventive measures require special attention. At the same time, the existing complex problems in the organization of effective dispensary monitoring of children with bronchial asthma are being updated. Conclusion. The obtained quantitative measures of the health of children suffering from bronchial asthma indicate a low level of quality of life for patients in all age groups. For the identified risk groups, a full-fledged individual monitoring of the condition of patients shou","PeriodicalId":270155,"journal":{"name":"Manager Zdravookhranenia","volume":"68 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141714781","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Building an internal communication mechanism for participants in the procurement process of a public health institution.","authors":"A.V. Boychuk","doi":"10.21045/1811-0185-2024-6-50-59","DOIUrl":"https://doi.org/10.21045/1811-0185-2024-6-50-59","url":null,"abstract":"The relevance of the work is determined by the need to optimize the procurement process in state medical institutions to improve the quality and efficiency of medical services provided. The subject of the study is the socio-economic interactions between participants in the procurement process, including preparation, implementation, and monitoring of procurement agreements. The purpose of the study is to identify and systematize the main problems in the field of procurement activities of public medical institutions and develop proposals for solving them based on the principles of cost-effectiveness, transparency and fairness. Materials and methods. The study includes a comprehensive analysis of current regulations governing procurement activities, as well as a study of the experience of implementing procurement procedures in medical institutions. Methods of comparative analysis, systematization and synthesis of the obtained data are used to identify key problems and challenges. Results. The work identified the main problems associated with the procurement process in medical institutions, including shortcomings in the regulatory framework, lack of a clear distribution of responsibilities between participants in the process and ineffective management decisions. Proposals were developed to optimize the procurement process, including adapting procurement models to the size and specificity of the activities of institutions, improving the documentation of the distribution of responsibilities and using digital technologies to improve the monitoring and management of procurement. Conclusions. Optimization of the procurement process in state medical institutions requires a comprehensive approach, including improving the legislative framework, enhancing interaction between structural units, and applying modern technologies to increase transparency and efficiency of procurement activities. These measures will not only help eliminate existing problems but also ensure higher quality and availability of medical services. Application of results. The results of the work can be applied in the healthcare system at the level of state medical institutions for the development and implementation of effective procurement models. They can also be used in the development of regulatory documents regulating procurement in the healthcare sector, as well as in the educational process for training specialists in procurement and logistics management in medical institutions.","PeriodicalId":270155,"journal":{"name":"Manager Zdravookhranenia","volume":"14 12","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141703440","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Expert assessment of indicators and indicators for the development of a model of digital maturity of primary health care","authors":"D. V. Voshev, I. M. Son, A. P. Stolbov","doi":"10.21045/1811-0185-2024-6-97-107","DOIUrl":"https://doi.org/10.21045/1811-0185-2024-6-97-107","url":null,"abstract":"The research is devoted to the development of a model of digital maturity of primary health care in the Russian Federation. Through expert evaluation, key indicators and indicators of digital maturity were identified, which made it possible to create a comprehensive model for assessing the digital development of medical organizations. The main attention is paid to the functional capabilities of medical information systems and information and communication technologies that ensure high quality and accessibility of medical care. Aim: to conduct an expert assessment of indicators and indicators for the development of a model of digital maturity of primary health care. This includes an analysis of existing indicators, identification of key indicators, their classification and assessment of significance for the formation of an objective model for assessing the digital maturity of medical organizations. Materials and methods. For a systematic assessment of the digital maturity of primary health care, a questionnaire was developed containing 6 indicators and 52 indicators reflecting various aspects of the digital maturity of the subjects of the Russian Federation. Regulatory documents, methodological guidelines and recommendations from experts in the field of medicine and information technology were studied. Experts assessed the importance of each indicator on a scale from 0 to 10 points, and the results of the assessments were classified to form the final model. Results. The expert assessment showed that the functionality of the medical information system is evaluated higher than the equipment of information and communication technologies. Key indicators, such as access to research results and telemedicine consultations, received high marks, indicating their importance for the digital maturity of medical organizations. The recommendations include updating the digital infrastructure, developing the functionality of the medical information system and improving the level of training of medical personnel. Conclusions: the study showed that in order to achieve a high level of digital maturity of PHC, it is necessary to pay attention to both the technical equipment and the development of the IIA functionality. An integrated approach, including updating the infrastructure and improving the digital literacy of medical personnel, will significantly improve the quality and accessibility of medical care. The proposed recommendations can serve as a basis for further planning of measures to increase the digital maturity of primary health care in the Russian Federation.","PeriodicalId":270155,"journal":{"name":"Manager Zdravookhranenia","volume":"54 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141689747","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Early diagnosis of malignant skin tumors using a software product based on artificial intelligence and its medical and economic effect.","authors":"N. A. Sivodedova, N. N. Karyakin, I. L. Shlivko","doi":"10.21045/1811-0185-2024-6-108-118","DOIUrl":"https://doi.org/10.21045/1811-0185-2024-6-108-118","url":null,"abstract":"Malignant neoplasms of the skin (hereinafter referred to as MNC) occupy a leading place in the structure of oncological diseases in the Russian Federation (female population: MNC – 13.4%, skin melanoma (hereinafter MC) – 2.2%; male population: MNC – 9.8%, MK – 1.73%). Over the past 10 years, there has been an increasing incidence of MNC [1]. The emergence of new treatment methods leads to increased effectiveness, but at the same time, the cost of treatment invariably increases. In the Russian Federation, the main share of costs for MC are direct medical costs (52%). Indirect costs amount to 14%, which is associated with the onset of disability, since the disease is typical for people of working age. direct non-medical costs, despite the small size of social benefits, also constitute a significant part of the total economic burden (about 34%). [2]. The costs of caring for a patient with early-stage MС are significantly lower than for caring for a patient in unresectable stage III/IV. [3],[4],[5],[6]. At the same time, radical surgical treatment of stage I melanoma can increase the number of positive outcomes for skin melanoma. [8] In general, it can be stated that diagnosing MС at late stages leads to an increase in the cost of treatment. In addition to the above, it should be noted that primary health care specialists are the first to face the problem of differential diagnosis of cancer with benign skin tumors. [9], [10] When conducting a visual examination by these specialists, the sensitivity of MC recognition is 40.2%, which is two times lower than that of an experienced dermatologist (92%) [11], [12]. Considering the seriousness of the identified problems, the search and implementation of new approaches for the early detection of cancer are coming to the fore. Possible solutions include the various methods recently proposed for the early detection of cancer in the form of the use of mobile applications based on artificial intelligence and teledermatology, which can expand the capabilities of imaging systems and help primary care specialists identify cancer [13], [14], [15], [16], [17], [18]. An equally pressing issue remains the implementation of an effective system for the prevention and early diagnosis of cancer, which would include mass screening of the population at the pre-outpatient stage and the use of modern diagnostic methods in the form of mobile applications at the outpatient stage, for any reason the patient visits a primary care doctor. Since 2023, in two regions of the Russian Federation (Nizhny Novgorod region, Republic of Tatarstan), a pilot project «Region without melanoma» has been carried out, the implementation of which is supported by the «Priority 2030» program of the national project «Science and Universities». The project includes mass screening of the population for the presence of cancer using the «ProRodinki» mobile application. To expedite the routing of patients to an oncologist with suspected cancer, a direct cal","PeriodicalId":270155,"journal":{"name":"Manager Zdravookhranenia","volume":"23 28","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141700184","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Technologies for preventing professional burnout and maintaining the resource state of personnel in primary care in Moscow healthcare.","authors":"A. S. Bezymyannyy, E. N. Mingazova","doi":"10.21045/1811-0185-2024-6-80-86","DOIUrl":"https://doi.org/10.21045/1811-0185-2024-6-80-86","url":null,"abstract":"Advanced technologies for maintaining the resource state of personnel form the basis of a multi-level Comprehensive Program for the Prevention and Combating of Professional Burnout among Medical Workers, developed by the Moscow Department of Health based on an analysis of the experience of global and Russian public and private healthcare organizations. This program covers all aspects of the existing problem and solves it at the system level. Its implementation helps to increase the satisfaction of medical workers with working conditions, leads to a decrease in the number of days of incapacity and dismissals, which in turn leads to an increase in the availability and quality of medical care provided to citizens, as well as an improvement in the image of primary care in Moscow healthcare, and an increase in satisfaction with social policy city from the population as a whole.","PeriodicalId":270155,"journal":{"name":"Manager Zdravookhranenia","volume":"68 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141706130","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Results of targeted employment of health workers in urban and rural areas.","authors":"A. A. Latyshova, T. G. Bogdanova","doi":"10.21045/1811-0185-2024-6-60-67","DOIUrl":"https://doi.org/10.21045/1811-0185-2024-6-60-67","url":null,"abstract":"Targeted training of future medical workers and their guaranteed employment is one of the state measures to address the issue of the shortage of specialists. The key mission of targeted training is the balanced regulation by the organization of training and employment. Currently, there are not enough scientific studies on the results and effectiveness of this measure in the health care system, but many researchers emphasize the problems of targeted employment of medical workers. According to the studies of a number of authors, the imperfection of normative legal regulation of issues of targeted training allows graduates not to fulfill the obligations of employment in medical organizations upon graduation [3–9]. The purpose of the study. Conduct an analysis of indicators reflecting the specifics of targeted employment of health workers in organizations located in urban and rural areas in 2022 and 2023. Materials and methods. The study used statistical data for 85 constituent entities of the Russian Federation on the basis of an operative documented request to the health protection authorities of the constituent entities of the Russian Federation, containing information on the number of employed doctors and nursing staff within the framework of targeted training, as well as the planned values of targeted employment in accordance with the concluded contracts. The study period is 2022 and 2023. The total data on targeted employment of medical workers after completion of the specialty program and completion of residency in the context of the names of positions of doctors and nursing staff were analyzed. Analytical and descriptive statistics methods were used in the research process. Results. The share of doctors and nursing staff employed after completion of targeted training from the total number of medical workers in organizations located in rural areas is higher than the share of those recruited to work in urban medical organizations. On average, 1.3% of doctors and 0.21% of nursing staff are annually recruited to urban medical organizations as part of targeted employment out of the total number of the respective key medical personnel as of the end of the reporting year. In rural areas, these figures are 2.6% and 0.30%, respectively. Specialists are predominantly employed in urban medical organizations, while in rural areas – district doctors. The study revealed that in 2023 there were 128.1 target recruitments per 10,000 doctors in urban areas in a given year, and in 2022–124.8, i. e. the intensity of employment by target recruitment in urban areas increased by 2.6% in two years. In rural areas, there were 260.2 target recruitment admissions per 10,000 physicians in 2023 and 262.8 in 2022, that is, the intensity of target recruitment employment of physicians in rural areas decreased by 1% in two years. When analyzing the indicator comparatively, it is noted that in rural areas it is almost twice as high as in urban areas. Conclusions. Targeted emp","PeriodicalId":270155,"journal":{"name":"Manager Zdravookhranenia","volume":"22 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141709447","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}