Professional Risks of Physicians in Russian Megacities in Terms of Precarization of Social and Labor Relations
Acknowledgments
The research was supported by the Russian Science Foundationproject No. 16-18-10306
How to Cite
Klimenko L.V., Posukhova O.Y. Professional Risks of Physicians in Russian Megacities in Terms of Precarization of Social and Labor Relations. Humanities of the South of Russia. 2018. Vol. 7. No. 4. P. 91-106. DOI: https://doi.org/10.23683/2227-8656.2018.4.7 (in Russ.).
Abstract
The article is based on the applied research conducted in the spring of 2017 and involved 870 physicians of state organizations in Moscow (468 respondents) and Kazan (402 respondents). We examine the indicators of labor precariation and occupational risks of medical workers. The doctors' assessments of their social and economic vulnerability, the growth of the workload, not accompanied by higher wages, instability, risks of loss/change of work are investigated.The empirical material allows to conclude, that there is a high level of labor precarization and occupational risks among city doctors. The general socio-economic vulnerability of doctors is shown, when the assessment of the basic aspects of one's life (prosperity, health, recreation, housing, life prospects) is rather satisfactory. The overwhelming majority of the surveyed doctors (65 to 80 %) are concerned about the increase in the workload (official duties, administrative burden, reporting, activities not related to official duties), which is not accompanied by an increase in labor remuneration. Many doctors are concerned about the risks of further workload increase (from 63 to 95 % of respondents), job losses (from 57 to 89 %), salary cuts/delays (from 43 to 89 %). Overall Moscow doctors are more concerned about professional risks than Kazan doctors.It is justified that the precarization of social and labor physicians' relations is a very important indicator of the institutional changes quality in the healthcare sphere. The growth of their workload, inadequate wages, violation of social and labor rights, uncertainty in the professional future lead to losing long-term guidelines, medical professional values are eroded. Reforms in healthcare should take into account not only economic and quantitative indicators, but be aware of the motivation development, improving the quality of human capital in the public sector.
Keywords:
occupational risks, physicians, labor precari-zation, megacities, healthcare, workload, vulnerability
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Bobkov, V.N., Veredyuk, O.V., Kolosova, R.P., Razumova, T.O. (2015). Employment and social precarization in Russia: introduction to the analysis. M.: Teis. (in Russian).
Salaries of doctors are growing only in the official reports of Rosstat (2017). Rossiyskaya Gazeta, 7224 (58). (in Russian).
Klimenko, L.V., Posukhova, O.Yu. (2017). The gender dimensions of the precarization of labour in Russian society. Zhenshchina v rossiyskom obshchestve, 1. (in Russian).
Klimenko, L.V., Posukhova, O.Yu. (2017). Professional identity of city teachers in terms of modernization of the Institute of education. Zhurnal institutsional'nykh issledovaniy, 9 (2). (in Russian).
Hired worker in modern Russia / Ed. by Z.T. Golenkova. (2015). M.: New chronograph. (in Russian).
Prisyazhnyuk, D. I. (2017). 2013. Dynamics of the professional status of doctors of polyclinics in the 2000s. Professions of the social state. M. : Variant, CzSPGI.
“The confrontation of logic”: the doctor, the patient and the government in terms of reforming the health system (2016). Summary analytical report. Levada center. Yuri Levada analytical center. Available at: http://www. levada.ru/cp/wp-content/uploads/2016/05/299_1-15_Svodnyj-analiticheskij-otchet.pdf.
The order of the Government of the Russian Federationof 26.11.2012 No. 2190-R (edition of 14.09.2015) “On approval of the Program for the gradual improvement of the remuneration systemat state (municipal) institutions in 2012-2018”. Available at: http://www.gks.ru/ free_doc/new_site/population/trud/itog_monitor/ zarplata.html.
Shkaratan, O.I., Karacharovskij, V.V., Gasyukova, E.N. (2015). Precariat: theory and empirical analysis (based ons urveys in Russia, 1994-2013. Sotsiologicheskiye issledovaniya, 12. (in Russian).
Emanuel, E. J., Pearson, S. D. (2012). Physician autonomy and health carere form. Jama, 307, 4, 367-368.
Iliffe, S. (2017). A tale of three disputes: junior doctors against the government 2015-2016. Soundings, 64, 64.
Wu, D., Wang, Y., Lam, K. F., Hesketh, T. (2014). Health system reforms, violence against doctors and jobs atisfaction in the medical profession: a cross-sectional survey in Zhejiang Province, Eastern China. BMJ open, 4, 12.
Citation Formats
Other cite formats:
APA
Klimenko, L. V., & Posukhova, O. Y. (2018). Professional Risks of Physicians in Russian Megacities in Terms of Precarization of Social and Labor Relations. Humanities of the South of Russia, 7(4), 91-106. https://doi.org/10.23683/2227-8656.2018.4.7
Section
SOCIAL STRUCTURE AND SOCIAL INSTITUTIONS IN MODERN SOCIETY
