On the issue of personnel support of medical organizations in conditions of structural transformation of health care system of the City of Moscow
The article presents the results of analysis of the number and structure of physicians and specialists with secondary medical education in the Moscow health care system. The results of study demonstrated that in 2019, the support of the population with physicians and specialists with secondary medical education decreased as compared with 2014 from 39.4 to 37.1 and from 74.2 to 55.7 (per 10 thousand people) respectively. The number of occupied medical positions increased from 84.6% in 2014 to 87% in 2019, the staffing rates (for occupied positions of secondary medical personnel) also increased from 84.9% to 87.4 %. It was established that the staffing of individuals, both for physicians and paramedical personnel, increased from 66.8% to 79.8% and from 69.4% to 79.0%, respectively. The concurrency coefficient was 1.1 (for medical positions and positions of secondary medical personnel). The issues related to low staffing levels and high co-employment rates for individual medical positions and positions of secondary medical personnel require further resolution.