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Challenges in stafng of TB services with phthisiologists

https://doi.org/10.21292/2075-1230-2022-100-6-7-14

Abstract

In order to understand problems, resources, and ways of improving TB epidemic situation, it is important to analyze stafng of TB Services.

Subjects and Methods. The number of phthisiologists, full-time and employed positions of phthisiologists in 2011-2020 was assessed based of Federal Statistical Surveillance Form no. 30, and for the period of 2005-2014, Form no. 17 was additionally used. The number of phthisiologists was calculated as the ratio of the number of phthisiologists (Form no. 30) to the population at the end of the reporting year multiplied by 10,000. The physician workforce capacity was additionally analyzed based on audit reports of on-site visits in 10 regions of the Russian Federation (RF) in 2021.

Results. As of late 2020, the stafng level with physical persons amounted to 52.5%, the shortage of personnel was more than 4,000 phthisiologists. The provision of the population with phthisiologists ranged from 0.49 (2014) to 0.47 per 10,000 population (2020). In 2011-2020, the coefcient of part-time employment varied from 1.6 to 1.7, exceeding the regulatory value (no more than 1.5) but for 2019. The sampling analysis in 10 regions of the Russian Federation demonstrated that the proportion of phthisiologists of retirement age among physicians was 37.2%. In 2011-2020, the number of tuberculosis patients per one phthisiologist position  decreased from 19.0 to 7.8, the number of patients with multiple drug resistant tuberculosis - from 2.7 to 2.1. There is a significant decrease in the number of staff positions and occupied positions of phthisiologists providing medical care in out-patient settings (by 14.0%), while the number of phthisiologists in in-patient facilities remained the same.

Conclusion. Challenges in stafng of TB Services are as follows: shortage of personnel, high level of phthisiologists working part-time, insufcient stafng of out-patient and polyclinic services, high proportion of physicians of pre-retirement and retirement age and insufcient level of professional competence of young specialists.

About the Authors

I. A. Vasilyeva
National Medical Research Center of Phthisiopulmonology and Infectious Diseases
Russian Federation

  Irina A. Vasilyeva, Doctor of Medical Sciences, Professor, Director.
Phone: +7 (495) 681-15-15, ext. 1003 

4, Dostoevsky St., Moscow, 127473 



S. A. Sterlikov
National Medical Research Center of Phthisiopulmonology and Infectious Diseases; Russian Research Institute of Health
Russian Federation

  Sergey A. Sterlikov, Doctor of Medical Sciences, Head of Department for Tuberculosis and HIV Epidemiology and Monitoring.

SPIN-code: 8672-4853 

4, Dostoevsky St., Moscow, 127473 



L. E. Parolina
National Medical Research Center of Phthisiopulmonology and Infectious Diseases
Russian Federation

  Lyubov E. Parolina,Doctor of Medical Sciences, Professor, Head of Education Center 

4, Dostoevsky St., Moscow, 127473 



V. V. Testov
National Medical Research Center of Phthisiopulmonology and Infectious Diseases
Russian Federation

  Vadim V. Testov, Candidate of Medical Sciences, Deputy Director for Reporting and Statistics.
Phone: +7 (495) 681-15-15, ext. 1005 

4, Dostoevsky St., Moscow, 127473 



A. V. Gordina
National Medical Research Center of Phthisiopulmonology and Infectious Diseases; Russian Research Institute of Health
Russian Federation

 Aleksandra V. Gordina, Russian Research Institute of Health,
Chief Specialist of Federal Monitoring Center for Prevention of Tuberculosis Transmission in the Russian Federation.

11, Dobrolyubova St.,Moscow, 127254 

 4, Dostoevsky St., Moscow, 127473 



N. P. Doktorova
National Medical Research Center of Phthisiopulmonology and Infectious Diseases
Russian Federation

 Natalya P. Doktorova, Candidate of Medical Sciences, Researcher
of Tuberculosis Differential Diagnostics Department 

 4, Dostoevsky St., Moscow, 127473 



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Review

For citations:


Vasilyeva I.A., Sterlikov S.A., Parolina L.E., Testov V.V., Gordina A.V., Doktorova N.P. Challenges in stafng of TB services with phthisiologists. Tuberculosis and Lung Diseases. 2022;100(6):7-16. (In Russ.) https://doi.org/10.21292/2075-1230-2022-100-6-7-14

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ISSN 2075-1230 (Print)
ISSN 2542-1506 (Online)