Sociology of MedicineSociology of Medicine1728-28102413-2942Eco-Vector10096610.17816/socm100966Research ArticleMedical personnel potential of the regional healthcare system: risks and development opportunitiesEreminaMariya G.<p>MD, Cand. Sci. (Med.)</p>913693@mail.ruhttps://orcid.org/0000-0001-9752-1352KovalevEvgeniy P.kovalevevgeni2005@yandex.ruhttps://orcid.org/0000-0002-7725-3036KromIrina L.irina.crom@yandex.ruhttps://orcid.org/0000-0003-1355-5163EruginaMarina V.lab48@yandex.ruhttps://orcid.org/0000-0003-4253-5313LipchanskayaTatiyana P.lab48@yandex.ruhttps://orcid.org/0000-0002-7755-1834Saratov State Medical University named after V.I. Razumovsky1512202120221251702202218022022Copyright © 2021, Eco-Vector2021<p>The current period of development of the Russian healthcare system is characterized as a crisis, which is primarily due to the personnel imbalance. The authors, on the basis of a medical and statistical study of the staffing of medical organizations in the Saratov region, revealed the presence of structural imbalances: both between the actual population of the region and the staffing of the healthcare system with medical personnel in general, and between the indicators that characterize the staffing of organizations providing primary healthcare and specialized medical care with medical personnel. In regional healthcare, with a general shortage of medical personnel in the state health system (-986 doctors), there is a particularly pronounced shortage of polyclinic doctors (-986 doctors, mostly district pediatricians and internists), with a slight surplus of doctors in inpatient medical organizations (+91 people). The personnel shortage in the primary health care system determines a decrease in the level of its availability and quality and is a key risk factor for the reputational losses of the regional health care system.</p>regional healthcare systempersonnel crisisshortage of medical personnel potentialavailability and quality of medical careрегиональная система здравоохранениякадровый кризисдефицит врачебного кадрового потенциаладоступность и качество медицинской помощи[Reshetnikov AV. Sovremennye podkhody k otsenke vzaimootnoshenii mezhdu patsientom i vrachom, meditsinskoi organizatsiei, strakhovoi meditsinskoi organizatsiei. Proceedings of the Russian science conference «Sotsial’naya rol’ vracha v rossiiskom obshchestve»; 2018 May 30; Nizhnii Novgorod. (In Russ).][Reshetnikov AV. The social institution of medicine. Part II. Sotsiologiya meditsiny. 2018;17(2):68–79. (In Russ). doi: 10.18821/1728-2810-2018-17-2-68-79][Lindenbraten AL. Aktual’nye problemy rossiiskogo zdravookhraneniya. Byulleten’ Natsional’nogo nauchno-issledovatel’skogo instituta obshchestvennogo zdorov’ya imeni N. A Semashko. 2020;(3):60–71. (In Russ). doi: 10.25742/NRIPH.2020.03.008][Viatkina NI, Prisiazhnaia NV, Vasserman BA. The Labor Employment of Graduates of Medical Universities: The Main Discourses of Investigation. Sociology of Medicine. 2018;17(2):88–97. doi: 10.18821/1728-2810-2018-17-2-88-97][Khalfin RA, Kakorina EP, Ignatieva MV, Madyanova VV. Otsenka effektivnosti deyatel’nosti organov gosudarstvennoi vlasti v sfere zdravookhraneniya RF. Moscow: GEOTAR-Media; 2013. (In Russ)][Ulumbekova GE. Programma neotlozhnykh mer v zdravookhranenii RF dlya vykhoda iz sistemnogo krizisa. ORGZDRAV: Novosti. Mneniya. Obuchenie. Vestnik VShOUZ. 2020;(1):4–16. (In Russ).][Order of the Ministry of Health of the Russian Federation № 974 of 29.11.2019. «Ob utverzhdenii metodiki rascheta potrebnosti vo vrachebnykh kadrakh». Available from: https://rulaws.ru/acts/Prikaz-Minzdrava-Rossii-ot-29.11.2019-N-974/. (In Russ).]