doctoral candidate
The article is devoted to the analysis of the personnel shortage in the healthcare system of the Russian Federation with an emphasis on the dynamics of the number of doctors and nursing staff, as well as an assessment of the effectiveness of the targeted training mechanism. Based on statistical data for 2015-2024, a multidirectional trend has been revealed: with an increase in the availability of doctors, there is a steady decrease in the number of secondary medical personnel and a decrease in its ratio to doctors. It is proved that this disparity reduces the organizational stability of medical institutions and increases the burden on staff. A comparative analysis of the Russian model of targeted learning and foreign programs (USA, UK, Canada) has been carried out, problems of forecasting personnel needs, low motivation of graduates and weak responsibility mechanisms have been identified. Measures to improve the system are proposed: the introduction of a digital forecasting platform, strengthening the motivation package and increasing control over the execution of contracts. The conclusion is made about the need for institutional modernization of targeted training as a tool for sustainable staffing.
personnel shortage, healthcare, targeted training, secondary medical personnel, needs forecasting, staff retention, public policy, system sustainability
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