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[Russian and regional performance indices of local therapists]
V I Starodubov1, M A Ivanova1, O V Armashevskaya1
1Central Research Institute for Organization and Informatization of Public Health, Ministry of Health of Russia.
Aim:
To analyze the statistical indicators of a local therapist's performance in the Russian Federation and its districts in the 2008- 2012 period.
Materials And Methods:
The authors analyzed staffing and understaffing in the federal districts with respect to the Russian Federation, a doctor's actual function and its deviation ratio, staffing of local therapists, secondary employment coefficient, and the total number of physician visits with the ratio of the number of home/polyclinic ones.
Results:
The staffing of local therapists was steady-state in the country as a whole in the period analyzed. At the same time, there was a decline in staffing. The performance of doctors everywhere is greater than the recommended one since 2009. There was a reduction in the number of visits to local therapists in both the country as a whole and its regions, with more visits being made by rural dwellers.
Conclusion:
The current approach to the standards for the load and number of physicians should determine needs for specialists of this profile and become a major part to solve the problem of delivering available and high-quality primary outpatient care to the population of Russia.
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