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[Evidence-based proposals for improving the Zemsky Doctor program].

A A Popova^1,2, M A Meshkov³, I B Minulin³

¹National Quality Institute of Russia of Roszdravandzor, 109074, Moscow, Russia, popalinandreev@gmail.com.

Problemy Sotsial'Noi Gigieny, Zdravookhraneniia I Istorii Meditsiny

|October 25, 2022

Summary

This summary is machine-generated.

Medical students are hesitant about the "Zemsky Doctor" program due to its fading effectiveness. Improving the program with flexible contracts and differentiated payments could boost participation in rural healthcare.

Keywords:

Zemsky doctor compensation rural areas students

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Area of Science:

Public Health
Healthcare Workforce Studies
Rural Medicine

Context:

Addressing the critical shortage of medical staff in rural and remote areas is a growing concern.
The "Zemsky Doctor" program offers one-time compensations to incentivize healthcare professionals in rural regions.
However, the program's effectiveness has diminished over time, with declining participation from medical students.

Purpose:

To investigate medical students' attitudes towards the "Zemsky Doctor" program.
To identify factors influencing their willingness to participate.
To propose actionable strategies for enhancing the program's appeal and sustainability.

Summary:

A survey of 250 medical students nationwide and interviews with students and healthcare professionals were conducted.
The study explored current and potential participants' perspectives on the "Zemsky Doctor" initiative.
Key findings highlight the need for program improvements to re-engage medical graduates.

Impact:

Recommendations include offering flexible contract durations and location-based payment differentiation.
Establishing a dedicated information portal and providing military service deferment are suggested enhancements.
These measures aim to revitalize the "Zemsky Doctor" program and ensure continued rural healthcare staffing.