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[ON THE ISSUE OF STAFF AND REGULATORY SUPPORT AND MAIN FUNCTIONS OF THE REGIONAL CENTER OF PUBLIC HEALTH AND MEDICAL
V M Shipova1, P V Zhelezova1, E N Mingazova1,2,3
1N. A. Semashko National Research Institute of Public Health, 105064, Moscow, Russia.
Abstract:
The article considers issues of staff and regulatory support of Regional Centers of Public Health and Medical Prevention including their basic functions. The evolution of approaches to organization of preventive activity in health care system is considered from initial health centers to modern Regional Centers of Public Health and Medical Prevention as independent medical organizations with expanded powers in field of population prevention. The particular attention is given to norms of staffing for key personnel categories, especially for physicians specializing in medical prevention. The significant discrepancies are identified between established norms of staffing and actual peopleware. Also, contradictions in norms of labor fixed in various normative documents are revealed. The analysis demonstrates that current staff requirements are not supported by available personnel resource that creates risks for sustainable implementation of prevention programs. The recommendations are formulated concerning unification and specification of norms of staff norms in order to enhance realism of staff planning and to enhance role of Regional Centers of Public Health and Medical Prevention within the public health system.
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