More than 44% of Russians did not receive help in clinics due to a lack of necessary specialists


More than 44% of patients did not receive outpatient care in 2022 due to the lack of necessary specialists, Rosstat calculated. MV drew attention to the data from the Comprehensive Observation of Living Conditions of the Population from the statistical collection “Healthcare in Russia 2023” published at the end of December.




Rosstat studied the opinions of people over the age of 15 who applied for outpatient care in a medical organization in 2022 and did not receive medical care. These, according to statistics, are only 2%. Comprehensive monitoring of living conditions of the population covers 60 thousand households in all regions of the Russian Federation.

Among those who contacted medical organizations and did not receive the necessary help, most patients express dissatisfaction with the fact that clinics do not have the necessary specialists. 44.1% of respondents think so (Fig. 1). In cities, the share of such answers is lower – 42.2%, and in rural areas it is higher – 52.5%.

According to surveillance data, in 2022, about 15% of patients who did not receive care were unable to make an appointment with a doctor. Slightly fewer citizens (13.6%) complain that the necessary treatment was offered on a paid basis. Almost 12% report long queues for appointments.

9.9% of patients were unable to get to the medical facility due to the introduction of quarantine. Due to a lack of necessary medicines or equipment, 2.8% did not receive help, and 2.6% of citizens were denied medical care for other reasons.

Reasons for patients over 15 years of age not receiving outpatient care in 2022, %

11.jpg (68 KB)Source: Rosstat

Every year, people increasingly cite the lack of specialists as the reason they do not receive medical care in clinics. In 2022, maximum indicators for this answer are observed.

The year 2020, when quarantine was introduced in medical institutions due to the COVID-19 pandemic, is not taken into account. Then the majority of patients were not able to get to clinics at all (Fig. 2).

Over the years under study, indicators in some categories decreased. 16.3% of Russians complained about long queues in 2016, and 11.8% in 2022. Six years ago, 23.3% of patients were offered to pay for treatment; in 2022, almost two times less – 13.6%.

Dynamics of the most common reasons for patients over 15 years of age not receiving outpatient care in 2016–2022, %

22.jpg (56 KB)Source: Rosstat

The Ministry of Health believes that the population’s satisfaction with medical care in the compulsory medical insurance system shows a steady upward trend: before the COVID-19 pandemic, this figure was about 30%, at the end of 2022 it was 41.4%, and in the first half of last year it was close to 46%. . At the same time, the hospital segment still looks better than the outpatient segment. According to research The Central Research Institute of Organization and Informatization of Healthcare (TsNIIOIZ), in 2022 and 2023, patients were most often dissatisfied with “availability of an appointment,” “waiting for medical care,” and “waiting at the doctor’s office.” Only a little more than a third of respondents demonstrated satisfaction with these options.

At the same time, the Ministry of Health denies there is an actual shortage of doctors. The reasons for the lack of employees in the staffing lists of medical organizations are said to be imbalances in the distribution of specialists between territories and the outflow of personnel to private clinics. The number of doctors leaving the Russian healthcare system approximately corresponds to the number of specialists entering the industry, the Deputy Minister of Health said in December Tatiana Semenova.



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