Medical and managerial aspects of labor migration by the example of the Republic of Tatarstan

Aim. To define the steps for improving the medical aid availability for labor migrants basing on the migration environment of the Republic of Tatarstan assessment, review of legislative acts and results of own research. Methods. Legislative acts and subordinate legislative acts regulating the medical aid and medical care for labor migrants were studied. Annual statistical forms of the Federal Migration Service of RT and 400 standard questionnaires filled by labor migrants covering social-demographic questions, health care and health assessment in 2007-2010 in three cities of the Republic of Tatarstan were analyzed. Results. The number of labor migrants in the Republic of Tatarstan is growing and the scope of their activities is expanding. However, of medical care coverage remains low: 14-28.3% of registered migrants, although potentially dangerous communicable diseases were found in 2.0-2.97% of cases. Questioning of 400 labor migrants in three cities of the republic determined that 55-69% of the respondents do not have an access to health care facilities. There is a number of outstanding issues that requires legislation initiatives to improve the regulatory framework, to improve the coverage and to expand the medical examinations list necessary for labor migrants registration, to improve medical aid and to create an insurance system for labor migrants. Conclusion. Results of the research indicate the need for further study of medical and managerial aspects of labor migration and the relevance of improving the legislative framework to improve access to medical aid for labor migrants.

healthcare management, social hygiene, labor migrants, medical examination, sanitary inspection, migration