ASSESSMENT OF MOVEMENT OF PARAMEDICAL PERSONNEL IN THE IRKUTSK REGION
Significance. The level of development of paramedical staff is significantly influenced by their movement due to their employment and leaving the organization. However, there are few studies devoted to the analysis of this phenomenon in healthcare, although there is considerable experience in calculating and analyzing personnel movement indicators in other sectors. Purpose. To analyze movement of paramedical staff of state medical organizations subordinated to the Ministry of Health of the Irkutsk region in 2015-2019. Material and methods. The study used specially developed statistical charts, that captured information on employment and leaving of paramedical staff of state medical organizations of the Irkutsk region. In total, 648 statistical charts were analyzed, the general population was studied by a continuous method, which made it unnecessary to determine the indicator error and confidence intervals. The analysis was carried out in the context of municipalities and main specialties of paramedical staff. It was based on the calculation of intensive indicators of the workforce movement used in various sectors of the economy. Results. In 2015-2019 the Irkutsk Region registered decrease in the employment rate of the paramedical staff turnover (by 7.0%), a more intense compared to the decrease in leaving rate (by 5.2%). The coefficient of the total staff turnover, which characterizes the total intensity of their movement, also had a negative trend among paramedical staff (-6.1%). However, the replacement rate was negative at the end of 2019, which was due to the fact that more paramedical personnel were leaving compared to employment. There was also a decrease in the indicator of the required turnover of personnel against the background of the increased staff movement resulting in lower share of staff movement in the total number of personnel leaving. As a result, the rate of increase in the movement of paramedical personnel added up to about 1.5%, while its share in its total number of those leaving increased by 4.4% - reaching 67.9%. Conclusion. Analysis of paramedical personnel movement can provide important information for developing evidence-based human resource policy in health. Calculations and interpretation of indicators of movement of paramedical personnel presented in the work clearly demonstrate possibilities for successful implementation of the outlined approaches in healthcare.