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Health workforce policy in the Russian Federation: How to overcome a shortage of physicians?

Russia looks for ways to overcome a shortage of physicians. Health workforce policy is focused on training an additional number of physicians. The current efforts have reduced some areas of the shortage but failed to solve the problem due to many factors that reproduce the deficit. A distorted struc...

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Detalles Bibliográficos
Autor principal: Sheiman, Igor
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9633259/
https://www.ncbi.nlm.nih.gov/pubmed/36339163
http://dx.doi.org/10.3389/fpubh.2022.1023845
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author Sheiman, Igor
author_facet Sheiman, Igor
author_sort Sheiman, Igor
collection PubMed
description Russia looks for ways to overcome a shortage of physicians. Health workforce policy is focused on training an additional number of physicians. The current efforts have reduced some areas of the shortage but failed to solve the problem due to many factors that reproduce the deficit. A distorted structure of service delivery with weak primary care generates demand for outpatient specialists and hospital doctors and requires a perpetual increase in their number. The lack of long-term labor planning results in the oversupply of some specialties and the shortage of others. The regulation of post-graduate training is not enough to improve the allocation of physicians across specialties and health system sectors. We argue that an extensive increase in the number of physicians without changing their composition will hardly change the situation. A more active structural policy is required with a focus on strengthening primary care and improving planning and regulation of health workforce structure.
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spelling pubmed-96332592022-11-05 Health workforce policy in the Russian Federation: How to overcome a shortage of physicians? Sheiman, Igor Front Public Health Public Health Russia looks for ways to overcome a shortage of physicians. Health workforce policy is focused on training an additional number of physicians. The current efforts have reduced some areas of the shortage but failed to solve the problem due to many factors that reproduce the deficit. A distorted structure of service delivery with weak primary care generates demand for outpatient specialists and hospital doctors and requires a perpetual increase in their number. The lack of long-term labor planning results in the oversupply of some specialties and the shortage of others. The regulation of post-graduate training is not enough to improve the allocation of physicians across specialties and health system sectors. We argue that an extensive increase in the number of physicians without changing their composition will hardly change the situation. A more active structural policy is required with a focus on strengthening primary care and improving planning and regulation of health workforce structure. Frontiers Media S.A. 2022-10-20 /pmc/articles/PMC9633259/ /pubmed/36339163 http://dx.doi.org/10.3389/fpubh.2022.1023845 Text en Copyright © 2022 Sheiman. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Public Health
Sheiman, Igor
Health workforce policy in the Russian Federation: How to overcome a shortage of physicians?
title Health workforce policy in the Russian Federation: How to overcome a shortage of physicians?
title_full Health workforce policy in the Russian Federation: How to overcome a shortage of physicians?
title_fullStr Health workforce policy in the Russian Federation: How to overcome a shortage of physicians?
title_full_unstemmed Health workforce policy in the Russian Federation: How to overcome a shortage of physicians?
title_short Health workforce policy in the Russian Federation: How to overcome a shortage of physicians?
title_sort health workforce policy in the russian federation: how to overcome a shortage of physicians?
topic Public Health
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9633259/
https://www.ncbi.nlm.nih.gov/pubmed/36339163
http://dx.doi.org/10.3389/fpubh.2022.1023845
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