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Vol. 27, Art. 2 (pp. 15-26) | 2026
Analysis of the provision of emergency medical care physicians in the regions of the russian federation
Barsukova I.M. 1, 2, Polyukova M.V.1, 2, Tyakokina E.Yu.1
1St. Petersburg Research Institute of Emergency Care named after I.I. Dzhanelidze, St. Petersburg, Russia 2 First St. Petersburg State Medical University named after I.P. Pavlov of the Ministry of Health of the Russian Federation, St. Petersburg, Russia
Brief summary
Physicians are the healthcare system's primary resource, determining the accessibility and quality of medical care. The shortage of emergency medical technicians is critical. Objective. to assess the availability of emergency medical doctors in the regions of the Russian Federation. Material and methods. An analysis of federal statistical data presented in statistical digests of the Russian Ministry of Health for the period 2022-2024 was conducted. Statistical, comparative, and analytical research methods were used. Statistical processing of the primary data was performed using Microsoft Office Excel 2019. Results. A study of data for 2022-2024 on the number of emergency medical personnel shows a presence of approximately 10,000 specialists (individuals, 9608.0±195.3 people) and a negative trend of a 2.4% decline in their numbers over the observation period in the Russian Federation. The physician density rate was 0.7±0.02 people per 10,000 population, a decrease of 3.0% over the observation period. The personnel shortage and the continued negative trend in emergency medical personnel place hopes on trainee physicians, who can partially compensate for the shortage of individuals. The average number of emergency medical personnel in the Russian Federation was 3180.7±1222.3 people, with an average increase of 85.6% over the observation period. Analysis of data across Russian regions revealed significant differences. These high figures indicate a healthy workforce in these regions, driven by the development of emergency medical personnel training systems in these constituent entities of the Russian Federation and the specifics of the regional emergency medical care system, including the level of financial and economic support, the high proportion of medical teams, and the development of an inpatient emergency medical care system, where these specialists are also in demand. At the same time, extremely low staffing levels in a number of regions indicate the opposite. Conclusion. Human resources are the most important resource in the healthcare system. For emergency medical services, they are a central structural element in the life-saving chain for patients requiring emergency medical care, ensuring an adequate level of accessible and high-quality medical care. Overcoming the human resources shortage is one of the key challenges facing the state, determining its planned human resources policy for the medium and long terms. Key words staffing, medical personnel, emergency medical care, emergency medical doctors. (The article in PDF format. For preview need Adobe Acrobat Reader)  Open article in new window
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