REMEDIUMREMEDIUM1561-59362658-3534Joint-Stock Company Chicot208510.32687/1561-5936-2026-30-3-364-367Original ArticleSpatial mobility of medical personnel and the development of touring forms of employment in regional healthcareSarkhadovNazir Sh.uro-sarkhadov@mail.ruN. A. Semashko National Research Institute of Public Health, Moscow, Russia2809202630336436729092026Copyright © 2026,2026The article examines the spatial mobility of medical workers as one of the tools to compensate for geographically localized staff shortages in regional healthcare. The purpose of the study is to theoretically substantiate the touring employment of medical workers as a special organizational model of planned, recurrent and repetitive labor mobility. A distinction has been made between touring employment, permanent labor migration, business trips, part-time work, shift work and the activities of mobile medical teams. It is shown that the term tour employment is not fixed in Russian legislation and can be used as a scientific category combining various ways of temporarily attracting medical workers to provide assistance outside their main place of employment. The main elements of the touring model are highlighted: diagnosis of territorial personnel needs, formation of a pool of mobile specialists, legal and financial registration, development of schedules, logistics, clinical integration and digital support. It is proved that touring employment can temporarily increase the availability of specialized medical care, maintain the continuity of medical organizations and ensure the transfer of professional competencies to local staff. At the same time, it should not replace the long-term policy of training, attracting and retaining medical personnel. Criteria for assessing the organizational, medical, social and economic effectiveness of touring forms of employment are proposed.medical personnelspatial mobilitytour employmentstaff shortageregional healthcaremobile medical teamspart-time worktemporary employmentaccessibility of medical careмедицинские кадрыпространственная мобильностьгастрольная занятостькадровый дефицитрегиональное здравоохранениемобильные медицинские бригадысовместительствовременная занятостьдоступность медицинской помощи1.Ferreira N., McKenna O., Lamb I. R. et al. Approaches to locum physician recruitment and retention: a systematic review. Hum. Resour. Health. 2024;22:24.2.O’Sullivan B. G., McGrail M. R., Stoelwinder J. U. Reasons why specialist doctors undertake rural outreach services: an Australian cross-sectional study. Hum. Resour. Health. 2017;15:3.3.110 Приказ Минздрава России от 14.04.2025 №202н «Об утверждении Положения об организации оказания первичной медико-санитарной помощи взрослому населению». URL: https://static-0.minzdrav.gov.ru/system/attachments/attaches/000/079/741/original/Приказ_Минздрава_Росси-и_от_14_04_2025_N_202н.pdf?1765200024 (дата обращения: 07.06.2026).4.111 WHO guideline on health workforce development, attraction, recruitment and retention in rural and remote areas. URL: https://www.who.int/publications/i/item/9789240024229 (дата обращения: 07.06.2026).