Transformation of Personnel Management Process: Reshaping Responsibilities of Non-Medical Personnel

Background. One of the major challenges in modern healthcare that is timely delivery of high-quality medical care to the population must be addressed. First of all, it requires effective staff management. The quantitative and structural imbalance of medical professionals is another common issue in modern healthcare. The current changes in staff management are primarily related to reshaping of responsibilities of medical personnel. In this context, we will discuss reshaping as the transfer of some responsibilities of medical personnel to non-medical one, which is expected to reduce the excessive physician workload.
The purpose of this article is to study and analyze the existing positive practices and solutions in personnel management aimed at delegating tasks not related to health care delivery to non-medical personnel in medical organizations.
Materials and methods. The authors conducted an expert interview with heads of medical organizations, doctors, heads of divisions and chiefs of departments of medical organizations in Moscow and Russian regions. Along with interviews, authors used SWOT analysis.
Results. The conducted survey revealed potential transformation trends. According to expert opinion, the main transformations aimed at reshaping responsibilities of non-medical personnel are related to a set of functions such as work in call centers, implementation of telemedicine technologies, use of high-tech equipment and technologies for timely health care delivery. This study methods and findings can contribute to recommendations on job responsibilities of non-medical workers including the reduction of physicians workload. The results will be of interest to scientists, researchers, HR managers and health authorities engaged in the process of optimization and improvement of medical care provision.

1. Aksenova E. I. (ed.), Aleksandrova O. A. (scientific ed.). Organizatsionno-kadrovye mekhanizmy povysheniya effektivnosti raboty meditsinskikh organizatsij: monografiya [Organizational and personnel mechanisms for improving the efficiency of medical organizations: monograph], Moscow, Research Institute for Healthcare Organization and Medical Management of Moscow Healthcare Department Publ., 2022, 205 p. (in Russian).

2. Son I. M., Gazheva A. V., Senenko A. Sh., Zakharchenko O. O., Leonov S. A., Kupeeva I. A. Non-medical and other personnel working in medical organizations subordinate to the subject of the Russian Federation. Health manager, 2017, no. 2, pp. 40-48 (in Russian).

3. Menshikova L. I., Burkovskaya Yu. V., Ivanov A. V. Unsolved problems of using personnel with non-medical education in medical organizations. Social aspects of public health, 2021, vol. 67, no. 3, p. 2. doi: 10.21045/2071-5021-2021-67-3-2 (in Russian).

4. Korablev V. N. On the problem of goal-setting and the results of the activities of medical personnel of a medical organization. Far Eastern medical journal, 2016, no. 3, pp. 123-126 (in Russian).

5. Benkovskaya O. P., Chernaya I. P., Gorshkova O. V. Non-medical personnel of medical institutions: problems of definition of the concept and regulation of the number. Pacific medical journal, 2016, vol. 65, no. 3, pp. 89-92 (in Russian).

6. Medvedeva E. I., Alexandrova O. A., Kroshilin S. V. Telemedicine in modern conditions: the attitude of society and the vector of development. Economic and social changes: facts, trends, forecast, 2022, vol. 3, no. 15, pp. 200-222. doi: 10.15838/esc.2022.3.81.11 (in Russian).

7. Towolawi T. Impact of Telemedicine in Management of Chronic Diseases. Health and social care, 2018, vol. 3, no. 1, pp. 41-61.

8. Kidholm K., Clemensen J., Caffery L. J., Smith A. C. The model for assessment of telemedicine (MAST): A scoping review of empirical studies. Telemed telecare, 2017, vol. 23, no. 9, pp. 803-813. doi: 10.1177/1357633X17721815.

9. Shi Z., Mehrotra A., Gidengil C. A., Poon S. J., Uscher-Pines L., Ray K. N. Quality of Care for Acute Respiratory Infections During Direct-to-Consumer Telemedicine Visits for Adults. Health aff, 2018, vol. 37, no. 12, pp. 20-23. doi: https://doi.org/10.1377/hlthaff.2018.05091.

10. Gvozdenko A. N. Using the methodology of multifactorial SWOT analysis for the development of strategic directions of enterprises’ activities. Marketing and marketing research, 2006, no. 4, pp. 316-321 (in Russian).

11. Alexandrova O. A., Medvedeva E. I., Makhrova O. N., Kroshilin S. V. Seminar devoted to methods of improving the staffing provision of medical care to the population. Population, 2022, vol. 25, no. 3, pp. 200-206. doi: 10.19181/population.2022.25.3.16 (in Russian).

12. Alekperova N. V. Iskusstvennyj intellekt v meditsine: poisk novykh vozmozhnostej [Artificial intelligence in medicine: the search for new opportunities]. Aksenova E. I. (ed.) Trudy Nauchno-issledovatel'skogo instituta organizatsii zdravookhraneniya i meditsinskogo menedzhmenta: sbornik [Proceedings of the Research Institute of Health Organization and Medical Management: collection], Moscow, 2022, pp. 94-97 (in Russian)