Analysis of the staffing of the ambulance service in the constituent entities of the Russian Federation: problems and solutions

Abstract

The article presents an analysis of the staffing of the ambulance service in various regions of the Russian Federation. The problems of personnel shortage are outlined and possible ways of their solution are presented. The purpose of the study was to analyze the staffing of the ambulance service in the constituent entities of the Russian Federation.  Methods.  A  retrospective  analysis of the reporting forms of federal statistical observation No. 30  «Information  on a   medical organization» was carried out on the availability, staffing and part ‑time ratio of doctors working in emergency medical care in the Russian Federation, in federal districts and their subjects for the full period from 2016  to 2021.  Results. According to the results of the analysis, a  trend  of aggravation of the personnel shortage in various regions of the Russian Federation was revealed. One of the solutions to this problem was to change the curriculum for 5^th and 6^th year students, after which an increase in students’ interest in emergency medicine was revealed. Another solution to this problem was proposed by the department of the Ivanovo region  —  to increase the financial support of full ‑time employees of the ambulance service through various programs. Thanks to these changes, it was possible to increase the staffing of medical personnel by 20% in the period from 2021   to 2023.  Conclusion. To address the staffing shortage issue, various solutions are possible, including increasing the interest of young professionals through changes in curricula and increasing the salaries of emergency medical staff through various funding programs.