OPTIMIZATION OF HUMAN RESOURCES IN GYNECOLOGY: FACTORS INFLUENCING THE TURNOVER OF YOUNG SPECIALISTS

Introduction: There is a shortage of medical personnel all over the world and this trend is only increasing every year. Trends in leaving the medical profession in the modern world are caused by various factors, including the aging of the population, emotional burnout, lack of support and equipment with innovative tackle, and an increase in workload that took place during the coronavirus pandemic. All the above leads to difficulties in retaining medical personnel, respectively, to a decrease in the quality of patient care and pronounced financial difficulties for medical institutions. It is no secret that all over the world, as well as in Kazakhstan, steps are being taken to solve these problems, including ongoing changes in the education system and the use of the latest digital technologies, telemedicine. The purpose of the study: is to evaluate the factors influencing the desire to leave work among young gynecologists. Materials and methods: A cross–sectional study was conducted, in which a telephone interview was conducted with 36 young gynecologists who completed their studies at the expense of a state grant from three to eight years ago. The group of respondents is conditionally divided into those who no longer work in their specialty or are going to change their profession or migrate (15 people – group 1) and those who continue to work in their specialty and will work soon (21 people — group 2). Data processing was carried out using the data analysis package of the Microsoft® Office Excel 365 spreadsheet processor, SPSS IBM Statistics version 26.0 for Windows. Results: Dissatisfaction with the protection of the rights of medical workers increased the chance to leave the profession by 10 times (95% CI:2.1-48.5, p=0.003), stress increased the chance to leave by 5.5 times 95% CI: 1.3-23.7, p=0.018), difficulties with purchasing preferential housing by 5.5 times (95% CI: 1.3-23.7), dissatisfaction with wages increased the chance of leaving the profession by 5.3 times (95% CI:1.2-24.7). These same factors had statistically significant correlations with the desire to leave the profession. The imperfection of the system of financing medical services, the difficulties of working with it and unfair fines, according to respondents, influenced the reluctance to work in public medical institutions. Conclusion: During the interviewing of young obstetrician-gynecologists, a rather unfavorable tendency towards the desire to leave practical healthcare was revealed. Almost a third does not work or does not want to work in the practical healthcare of the Republic of Kazakhstan, while more than half works in the private sector or prefers to go to the private sector. Factors that can be considered when planning personnel policy in medicine for decision makers have been identified.