RESULTS OF THE SELF-ASSESSMENT OF THE ACTIVITIES OF THE MAIN FREELANCE SPECIALISTS OF THE REGIONAL MINISTRY OF HEALTH

The regulatory document “On the main freelance specialists of the Ministry of Health of the Russian Federation” approves 22 functions, 95.5% of which are related to the organization of medical care to the population. The current nomenclature of chief freelance specialists of the Ministry of Health of the Russian Federation includes 96 specialists in the medical profile or nosology. Materials and methods. The study was conducted in a medical organization where the bulk of the regional chief freelance specialists are concentrated. The sample size was 50 people. The survey was carried out in two stages using a specially developed author's questionnaire within the framework of the regional project 2023-2024. The questionnaire included 4 blocks of questions, including a general individual and personal characteristic of the main freelance specialist, a block of questions related to communications at work, an organizational block of questions and a medical-statistical one. In the statistical processing of the material, descriptive statistics were used using the STATISTICA 6.0 program. Results. A medical and social portrait of the regional chief freelance specialist was obtained: work experience in the position is at least 4 years, in the specialty profile for at least 10 years; presence of the highest qualification category (92%). The majority of respondents indicate active participation in conferences and scientific and educational events of relevant specialties (82%). They consider themselves more managers and health care organizers. Most of them (86%) occupy management positions, mainly deputy chief physicians, heads of structural divisions (centers, departments). Assessing their activities over the course of a year, the GVS, on average, carries out on-site visits to other medical organizations 4 times, most often in rural areas remote from the regional center (90%). Conclusions. The results of the study indicate the need to train chief freelance specialists within the framework of healthcare management activities and create a structural unit of a medical organization with the development of its own tools for their activities.