2026, no. 3
PHILOSOPHY & SOCIOLOGY

The problem of medical staff shortages in the Healthcare system of the Yaroslavl Region: Determinants and strategies for resolution in the context of social transformations

Filipp Yu. KushnarevORCID, Nikita S. Talanov

DOI 10.20339/AM.03-26.022pp. 22–30UDC 316.6:614.3280 RUB

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Abstract

The authors conducted a sociological study aimed at studying the problem of a shortage of medical personnel in the healthcare system of the Yaroslavl Region. An analysis of the factors influencing the choice of a medical profession among young people demonstrates that a significant portion of applicants make decisions about enrolling in medical colleges and universities under the influence of reference personalities. A significant trend towards the reproduction of medical dynasties was identified, which is confirmed by the prevalence of cases where the respondents’ parents are employed in the medical field. Despite a slight decrease in the prestige of the profession and the level of wages in this field, there is a steady desire to continue a career in medicine. The results showed that slightly more than half of the respondents expressed their intention to continue their careers in the medical field, indicating a high level of professional orientation among future specialists. However, slightly less than half of the surveyed students from medical colleges and universities expressed their reluctance to continue their professional activities in the healthcare sector after completing their studies. This is due to a number of factors, including the low prestige of the profession, which contributes to the rapid development of professional burnout. In addition, the overcrowding of primary healthcare facilities, insufficient funding and low wages, as well as the lack of affordable housing, exacerbate the situation, making a medical career less attractive. The results of the study provide insights into the causes and consequences of the shortage of medical personnel, as well as recommendations for addressing it.

References

  1. Data from the Ministry of Health of the Yaroslavl Region. URL: https://portal.yarregion.ru/depts-zdrav/

    portal.yarregion.ru
  2. Zhernakova, N.I., Lebedev, T.Yu., Moskalev, A.A. On the attitude of medical graduates towards employment in primary health care and postgraduate education. Problems of social hygiene, healthcare, and the history of medicine. 2022. Vol. 30. No. 1. Pp. 143–147.

  3. Zadvornaia, O.L. Problems and prospects for the development of human resources in the healthcare system in modern conditions. Contemporary problems of healthcare and medical statistics. 2022. No. 5. Pp. 528–545.

  4. Dulina, N.V., Mansurov, V.A., Pronina, E.I., Shirokalova, G.S., Yuryev, P.S. Young people on the Russian labor market: the desired and the real. In: New Challenges and Threats to the Security of the Russian Federation in the Context of Global and Local Transformations: Monograph / Edited by S.V. Ustinkin, A.V. Nikitin. Moscow: RUSAYNS, 2023. Pp. 236–255.

  5. Vyalshina, A.A. Mechanisms of parental influence on children’s career choices. Sociology of Education. 2018. No. 4. Pp. 23–37. EDN XUKQNV.

  6. Ivanova, E.Yu., Kolesnikova, E.Yu., Mansurov, V.A., Semenova, A.V. The role of the family in young people’s choice of career strategy. Russia in Reform: Yearbook: Issue 22 / Ed. by M.K. Gorshkov. Moscow: FNISTs RAN, 2024. Pp. 86–113.

  7. Panfilova, Yu.S. Professional dynasties in organizations: a reputational resource or a source of tension (based on the example of the medical and academic professional spheres). Scientific Results. Sociology and Management. 2021. Vol. 7. No. 4. Pp. 157–166. https://doi.org/10.18413/2408-9338-2021-74-1-0. EDN ZKPSRH.

    DOI 10.18413/2408-9338-2021-74-1-0
  8. Talanov, S.L. Employment of university graduates as a criterion for evaluating the effectiveness of their activities. Alma Mater (Vestnik vysshey shkoly). 2014. No. 3. Pp. 35–39. http://doi.org/10.20339/AM.03-24.035

    DOI 10.20339/am.03-24.035
  9. Migunova, Yu.V. The essence and characteristics of the shortage and imbalance of medical personnel in the public health system (based on the example of the Volga Federal District). News of the Ufa Scientific Center of the Russian Academy of Sciences. 2022. No. 3. Pp. 110–114.

  10. Polyakova (Krymskaya), I.A. The role of industrial practice in the professional development of a doctor. Vestnik of the Russian State University for the Humanities. Series: Philosophy. Sociology. Art Studies. 2023. No. 1. Pp. 71–81.

  11. Baburkin, S.A., Talanov, S.L., Kushnarev, F.Yu. Attitudes toward studying and secondary employment among students: gender differences. Alma Mater (Vestnik vysshey shkoly). 2022. No. 11. Pp. 47–62. http://doi.org/10.20339/AM.11-22.047

    DOI 10.20339/am.11-22.047
  12. Sadykov, R.M., Migunova, Yu.V. The role of staffing medical organizations in the context of Russian healthcare issues. News of the Ufa Scientific Center of the Russian Academy of Sciences. 2019. No. 3. Pp. 74–80.

  13. Khodakova, O.V., Senotrusova, Yu.E., Deev, I.A., Kobyakova, O.S. Staffing with doctors in primary healthcare in Russia. Healthcare in the Russian Federation. 2023. Vol. 67. No. 6. Pp. 463–470.

  14. Barber, S., Brettell, R., Perera-Salazar, R. et al. UK medical students’ attitudes towards their future careers and general practice: a cross-sectional survey and qualitative analysis of an Oxford cohort. BMC Med Educ 18, 160 (2018). https://doi.org/10.1186/s12909-018-1197-z

    DOI 10.1186/s12909-018-1197-z
  15. Aina, C., Nicoletti, C. The Intergenerational Transmission of Liberal Professions. Labour Economics. 2018. 51. Pp. 108–120. doi: 10.1016/j.labeco.2017.12.003

    DOI 10.1016/j.labeco.2017.12.003
  16. Mikhail F., Chernysh & Valeriy A., Mansurov. Social Justice in Changing Societies. In: Handbook on Sociology of Inequalities in BRICS Countries. London: Frontpage, 2023. Pp. 246–290.