Management of medical rehabilitation in the regions of Russia: workforce capacity, financing, and efficiency

Irina Burenina; Victoria Kalitskaya; Regina Alchanova; Vadim Yarullin

UDC 614.2 UDC 33

2 more Collapse

MANAGEMENT OF MEDICAL REHABILITATION IN THE REGIONS OF RUSSIA: WORKFORCE CAPACITY, FINANCING, AND EFFICIENCY Management of medical rehabilitation in the regions of Russia: workforce capacity, financing, and efficiency

АА Аа

Published in Journal of Management Studies · Volume 12, Issue 5, 2026 · Pages 130–142 · Rubric: Management

Received: 10.07.2026 Accepted: 15.10.2026 Published: 15.10.2026

Authors

Irina Burenina

Victoria Kalitskaya

Regina Alchanova

Vadim Yarullin

Irina Burenina

Academic degree: doctor of economic sciences

Science rang: professor

Bashkir State Medical University head of the executive directorate · executive directorate of the development program Priority-2030 · Russian Federation · Ufa

Victoria Kalitskaya

Academic degree: candidate of economic sciences

Science rang: docent

Ural State University of Economics associate professor of the department · department of economics of the social sphere · Russian Federation · Ekaterinburg

Regina Alchanova

Bashkirian State Medical University Ufa

Vadim Yarullin

Bashkirian State Medical University Ufa

ABSTRACT

This article develops an economic and managerial approach to evaluating medical rehabilitation in Russian regions through the interaction of workforce capacity, financing, infrastructure development, and actual performance. The relevance follows from rapid expansion of patient coverage and equipment renewal alongside territorial differences in staffing, rehabilitation pathways, and asset utilization. The study aims to identify the factors that determine how budgetary and insurance resources are converted into accessible and sustainable rehabilitation services. The empirical base comprises official information from the Ministry of Health of the Russian Federation, the Federal Compulsory Medical Insurance Fund, the Accounts Chamber of the Russian Federation, federal budget documents, and regional health authorities for 2022–2025. Dynamic, comparative, index, and structural analysis were combined with regional panel comparisons before and after major equipment renewal cycles. The number of patients receiving medical rehabilitation increased from 1,140,831 in 2022 to 1,789,065 in 2025, representing growth of 56.8 percent. During the comparable period of 2022–2024, financial provision grew faster than patient coverage, while estimated financial intensity per patient rose by 34.2 percent. The share of outpatient rehabilitation remained nearly unchanged, indicating no pronounced nationwide transition toward a less resource-intensive model. Staffing levels below 70 percent were recorded in every third region, while 524 equipment units valued at 332.9 million rubles remained unused. Regional evidence revealed several management trajectories, including continued investment expansion, completion of procurement cycles, cluster-based routing, and concentration of advanced resources in supporting organizations. The proposed evaluation framework links three dimensions: financing, workforce readiness, and process-related performance. Its scientific contribution lies in separating formal infrastructure implementation from the real productivity of rehabilitation systems. Its practical value consists in providing indicators for regional planning, budget control, and accessibility management. The findings show that unsynchronized equipment procurement creates underused assets and weakens the conversion of public expenditure into measurable service capacity.

KEYWORDS

rehabilitation, governance, workforce, financing, efficiency, accessibility, healthcare

Text

Text (PDF)

Read Download

1. Çubukçu, U. E., Akbolat, M., Uysal, B. Assessing the Role of Emotional Intelligence in Reducing Job Stress and Enhancing Performance of Health Professionals // The Manager. 2025. Vol. 16, No. 4. P. 101–117. DOI:https://doi.org/10.29141/2218-5003-2025-16-4-7. EDN: https://elibrary.ru/ZRBKDH.

2. Matskeplishvili S., Kontsevaya A. Cardiovascular Health, Disease, and Care in Russia // Circulation. 2021. Pp. 586–588. DOI:https://doi.org/10.1161/CIRCULATIONAHA.121.055239.

3. Andrusov V.E. Development of Systemic Approaches to Regional Morbidity Management: A Literature Review // Health Care of the Russian Federation. 2025. Vol. 69, No. 4. Pp. 330–334. DOI:https://doi.org/10.47470/0044-197X-2025-69-4-330-334.

4. Begicheva S.V., Sokolova V.V. Digital Traces of Medical Behavior in Municipalities of the Sverdlovsk Region: A Spatial Analysis of Differences // Digital Models and Solutions. 2025. Vol. 4, No. 4. Pp. 69–80. DOI:https://doi.org/10.29141/2949-477X-2025-4-4-6. EDN: https://elibrary.ru/MQZZZP.

5. Blinov D.V., Solopova A.G., Sandzhieva L.N., Achkasov E.E., Korabelnikov D.I., Ampilogova D.M., Khlopkova S.V. Improving the Organization of Medical Rehabilitation in the Healthcare System: Situation Analysis // Pharmacoeconomics. Modern Pharmacoeconomics and Pharmacoepidemiology. 2022. Vol. 15, No. 2. Pp. 237–249. DOI:https://doi.org/10.17749/2070-4909/farmakoekonomika.2022.140.

6. Bobrovnitsky I.P. Current Issues in Improving the System of Sanatorium and Resort Treatment of Citizens of the Russian Federation on the Modern Methodological Basis of Restorative Medicine // Problems of Balneology, Physiotherapy and Exercise Therapy. 2023. Vol. 100, No. 3-2. Pp. 45–46.

7. Goncharova M.N., Kirienko A.A. Methods of Attracting Medical Workers in the Sverdlovsk Region // Decent Work as the Basis of a Stable Society: Proceedings of the XV International Scientific and Practical Conference, Yekaterinburg, November 14–18, 2023. Yekaterinburg: Ural State University of Economics, 2023. Pp. 18–22. EDN: https://elibrary.ru/JBMMWJ.

8. Klepach A.N., Lukyanenko R.F. Russian Healthcare: Macroeconomic Parameters and Structural Problems // Studies on Russian Economic Development. 2023. No. 2(197). Pp. 76–96. DOI:https://doi.org/10.47711/0868-6351-197-76-96.

9. Kotlovsky M.Yu., Gurtskoy L.D., Russkikh S.V. Provision of Medical Care by Organizations Subordinate to the Ministry of Science and Higher Education of Russia: Departmental Specifics and Significance for the Russian Healthcare System // Problems of Social Hygiene, Public Health and History of Medicine. 2025. Vol. 33, No. 6. Pp. 1353–1359. DOI:https://doi.org/10.32687/0869-866X-2025-33-6-1353-1359.

10. Kudelina O.V., Zayzer D.V. Improving the Organization of Medical Care for Patients in the Field of Medical Rehabilitation in the Tomsk Region // Siberian Journal of Clinical and Experimental Medicine. 2024. Vol. 39, No. 3. Pp. 173–180. DOI:https://doi.org/10.29001/2073-8552-2024-39-3-173-180.

11. Mavlikaeva Yu.A., Plotnikova O.A. Organization of Interdepartmental Interaction Between Medical and Social Expert Evaluation Institutions and Rehabilitation Institutions in a Region: Evidence from the Perm Territory // Medical and Social Expert Evaluation and Rehabilitation. 2023. Vol. 26, No. 2. Pp. 91–100. DOI:https://doi.org/10.17816/MSER568967.

12. Makarov S.V., Gaidarov G.M. Training of Medical Personnel in the Constituent Entities of the Russian Federation Within the Siberian Federal District // Social Aspects of Population Health. 2021. Vol. 67, No. 5. DOI:https://doi.org/10.21045/2071-5021-2021-67-5-11.

13. Pigarova E.A., Vorotnikova S.Yu. Workforce Problems in the Endocrinology Service and Strategies for Addressing Them // Problems of Endocrinology. 2021. Vol. 67, No. 6. Pp. 8–10. DOI:https://doi.org/10.14341/probl12853.

14. Rugol L.V., Menshikova L.I. Medical Workforce Availability and Measures for Retaining Personnel in Public Healthcare Organizations // Yakut Medical Journal. 2024. No. 4(88). Pp. 44–49. DOI:https://doi.org/10.25789/YMJ.2024.88.11.

15. Rykalina O.A., Kalitskaya V.V., Babintseva A.Yu. Healthcare Economics in Russia: Dynamics of Infrastructure Indicators and Development Factors // Fundamental Research. 2025. No. 3. Pp. 77–83. DOI:https://doi.org/10.17513/fr.43799.

16. Savchenko E.D. Integration of the Medical Monitoring Service for Individuals Engaged in Physical Culture and Sports into the Regional Public Health System // Social Aspects of Population Health. 2021. Vol. 67, No. 6. DOI:https://doi.org/10.21045/2071-5021-2021-67-6-7.

17. Starodubov V.I., Bogachevskaya S.A., Stupak V.S. Trends in Medical Workforce Provision in the Context of Consultative and Diagnostic Care for Patients with Circulatory System Diseases in the Russian Far East // Problems of Social Hygiene, Public Health and History of Medicine. 2025. Vol. 33, No. 6. Pp. 1439–1445. DOI:https://doi.org/10.32687/0869-866X-2025-33-6-1439-1445.

18. Ter-Akopov G.N., Kaisinova A.S., Efimenko N.V. Experience in Providing Medical Rehabilitation at Institutions of the North Caucasus Federal Research and Clinical Center of the Federal Medical and Biological Agency of Russia // Problems of Balneology, Physiotherapy and Exercise Therapy. 2023. Vol. 100, No. 3-2. P. 199.

19. Unesikhina E.S., Goncharova M.N. Inequality in Access to Medical Care in Russia // Industry and Agriculture. 2024. No. 12(77). Pp. 79–87. EDN: https://elibrary.ru/LVOWVG.

20. Khalfin R.A., Demin A.K., Yuldoshev A.A. Problems of Healthcare Workforce Provision Worldwide from 1995 to 2024: Assessments and Recommendations // Problems of Social Hygiene, Public Health and History of Medicine. 2025. Vol. 33, No. 6. Pp. 1446–1454. DOI:https://doi.org/10.32687/0869-866X-2025-33-6-1446-1454.

21. Chudinovskikh M.V., Tkach A.N., Korolkov D.Yu. Employee Turnover Management Based on HR Analytics Data // Digital Models and Solutions. 2024. Vol. 3, No. 3. Pp. 88–97. DOI:https://doi.org/10.29141/2949-477X-2024-3-3-7. EDN: https://elibrary.ru/TEFZKN.

22. Sheiman I.M. Healthcare Workforce Shortage: Causes and Solutions // Public Administration Issues. 2025. No. 4. Pp. 110–138. DOI:https://doi.org/10.17323/1999-5431-2025-0-4-110-138.

23. Ministry of Health of the Russian Federation. Deputy Minister of Health of the Russian Federation Evgeny Kamkin Explained How the Medical Rehabilitation System in Russia Has Changed. [Electronic resource]. URL: https://minzdrav.gov.ru/news/2026/04/06/30625-zamglavy-minzdrava-rossii-evgeniy-kamkin-rasskazal-kak-izmenilas-sistema-meditsinskoy-reabilitatsii-v-rossii (accessed 18.06.2026).

24. Accounts Chamber of the Russian Federation. Report on the Results of the Expert and Analytical Measure “Audit of Measures Implemented in 2022–2023 and the Reporting Period of 2024 to Achieve the Indicators of the Federal Project ‘Optimal Medical Rehabilitation for Health Recovery’”. [Electronic resource]. URL: https://ach.gov.ru/upload/iblock/78b/6xro7z1hm8hwtcusz1ymivt95pizjci7/Otchet-Meditsinskaya_reabilitatsiya.pdf (accessed 18.06.2026).

25. Russian Federation. Federal Law No. 466-FZ of December 5, 2022 “On the Federal Budget for 2023 and the Planning Period of 2024 and 2025”. [Electronic resource]. URL: https://publication.pravo.gov.ru/Document/View/0001202212050007 (accessed 18.06.2026).

26. Russian Federation. Federal Law No. 540-FZ of November 27, 2023 “On the Federal Budget for 2024 and the Planning Period of 2025 and 2026”. [Electronic resource]. URL: https://publication.pravo.gov.ru/document/0001202311270070 (accessed 18.06.2026).

27. Russian Federation. Federal Law No. 419-FZ of November 30, 2024 “On the Federal Budget for 2025 and the Planning Period of 2026 and 2027”. [Electronic resource]. URL: https://www.consultant.ru/document/cons_doc_LAW_491969/ (accessed 18.06.2026).

PDF JATS XML

Otvetstvennyy redaktor

Elena Titova

titova_en@infra-m.ru

chief editor

Alexey Tebekin

tebekin@gmail.com

downloads

GOST

Burenina I. V., Kalitskaya V. V., Alchanova R. D., Yarullin V. A. Management of medical rehabilitation in the regions of Russia: workforce capacity, financing, and efficiency // Journal of Management Studies. 2026. no. 5. pp. 130-142. URL: https://naukaru.ru/en/nauka/publications/article/6a9c167532807fdbab875b16/management-of-medical-rehabilitation-in-the-regions-of-russia-workforce-capacity-financing-and-efficiency/view. (Date of access 16.10.2026).

MLA

Irina Burenina, Kalitskaya V. V., Alchanova R. D., Yarullin V. A.. "Management of medical rehabilitation in the regions of Russia: workforce capacity, financing, and efficiency." Journal of Management Studies 12.5 (2026): 130-142. URL: https://naukaru.ru/en/nauka/publications/article/6a9c167532807fdbab875b16/management-of-medical-rehabilitation-in-the-regions-of-russia-workforce-capacity-financing-and-efficiency/view.

APA

Burenina I. V., Kalitskaya V. V., Alchanova R. D., Yarullin V. A. (2026). Management of medical rehabilitation in the regions of Russia: workforce capacity, financing, and efficiency. Journal of Management Studies, 12(5), 130-142. URL: https://naukaru.ru/en/nauka/publications/article/6a9c167532807fdbab875b16/management-of-medical-rehabilitation-in-the-regions-of-russia-workforce-capacity-financing-and-efficiency/view

Chicago

Irina Burenina, Kalitskaya V. V., Alchanova R. D., Yarullin V. A.. "Management of medical rehabilitation in the regions of Russia: workforce capacity, financing, and efficiency." Journal of Management Studies 12, no. 5 (2026): 130-142. URL: https://naukaru.ru/en/nauka/publications/article/6a9c167532807fdbab875b16/management-of-medical-rehabilitation-in-the-regions-of-russia-workforce-capacity-financing-and-efficiency/view.

WIKI

{{cite journal | author = Burenina I. V., Kalitskaya V. V., Alchanova R. D., Yarullin V. A. | title = Management of medical rehabilitation in the regions of Russia: workforce capacity, financing, and efficiency | journal = Journal of Management Studies | year = 2026 | volume = 12 | issue = 5 | pages = 130-142 | url = https://naukaru.ru/en/nauka/publications/article/6a9c167532807fdbab875b16/management-of-medical-rehabilitation-in-the-regions-of-russia-workforce-capacity-financing-and-efficiency/view }}

Copy

Export: BibTeX EndNote RefMan RusMARC

MANAGEMENT OF MEDICAL REHABILITATION IN THE REGIONS OF RUSSIA: WORKFORCE CAPACITY, FINANCING, AND EFFICIENCY Management of medical rehabilitation in the regions of Russia: workforce capacity, financing, and efficiency

Confirmation