Institution of certification of medical workers: the reasons for dysfunction
Research Article
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Olga A. Kolennikova
ISESP FCTAS RAS; NIIOZMM DZM, Moscow, Russia
kolennikova@mail.ru
ORCID ID http://orcid.org/0000-0002-0138-6115
Elibrary Author_id 77253How to CiteKolennikova O.A. Institution of certification of medical workers: the reasons for dysfunction. Population. 2023. Vol. 26. No. 3. P. 158-169. DOI: https://doi.org/10.19181/population.2023.26.3.13
Abstract
Institutions of qualification assessment in the field of medicine are designed for improving the level of qualification of medical specialists, and as a result for providing quality medical care. One of them is certification of medical workers for the qualification category. Certification was introduced into the Soviet healthcare system, but in recent years, the interest of doctors in obtaining the category has significantly weakened. This actualizes clarification of the causes of the situation. The article makes a retrospective analysis involving a wide range of sources of the regulatory and statistical information and presents an assessment of the factors of this phenomenon by medical specialists themselves, obtained during their questionnaire survey in organizations of Moscow. The obtained results showed that the dysfunction of the certification institute was caused by a complex of internal and external factors. First of all, there was a failure in the mechanism of material incentives, directly related to the general system of remuneration in the public sector of the economy. Due to the work overload, the conditions for preparing for certification activities have deteriorated significantly, the interest of managers in having workers of the category has decreased, and the prestige of the category itself, especially among young cadres, has fallen. Therefore, without taking special measures, the institute of certification for the qualification category is threatened with deinstitutionalization. The key areas of the necessary changes are revision of the operating mode with reservation of the required time for additional professional training, as well as organizational combination of the certification and accreditation examination procedures. The restoration of the effectiveness of material incentives for the category can be expected with the introduction of a new wage system in the public sector of medicine, but the start of its testing has been postponed again until 2025.Keywords:doctor, nurse, healthcare, qualification, qualification category, certificationReferences
1. Soboleva I. V. Problemy vosproizvodstva chelovecheskogo potentsiala v transformatsionnoj ekonomike [Problems of Reproduction of Human Potential in the Transformational Economy]. Moscow. IE RAS [Institute of Economics RAS]. 2006. (in Russ.)
2. Kolennikova O. A. Spetsialisty s vysshim meditsinskim obrazovanijem na rynke truda [Specialists with higher medical education on the labor market]. Narodonaselenie [Population]. 2021. Vol.24. No. 2. P. 131–141. DOI: 10.19181/population.2021.24.2.12 (in Russ.)
3. Schoenstein M., Ono T., LaFortune G. Skills use and skills mismatch in the health sector: what do we know and what can be done? Health Workforce policies in OECD Countries: Right Jobs, Right Skills, Right Places. Paris. Organization for Economic Cooperation and Development. 2016. P. 163–183. DOI: 10.1787/9789264239517–9-en
4. Khan A. W. Continuing Professional Development (CPD); What should we do? Bangladesh Journal of Medical Education. 2012. No. 1(1). Р. 37–44. DOI: 10.3329/bjme.v1i1.12857
5. Maeda A., Socha-Dietrich K. Skills for the future health workforce: Preparing health professionals for people-centred care. OECD Health Working Paper No. 124. Paris. OECD Publishing. 2021. 46 p. DOI: 10.1787/68fb5f08-en
6. Kolennikova O. A. Vladenije meditsinskimi spetsialistami tsifrovymi tekhnologiyami [Using digital technologies by medical professionals]. Narodonaselenie [Population]. 2022. No. 3(25). P. 189–199. DOI: 10.19181/population.2022.25.3.15 (in Russ.)
7. Zeer E. F. Teoreticheskije osnovaniya professional’nogo razvitiya cheloveka [Theoretical foundations of professional development of a person]. Professional’noje obrazovanije i rynok truda [Vocational Education and Labour Market]. 2013. No. 1. P. 8–10. (in Russ.)
8. Shishkin S. V., Temnitsky A. L. Rol’ attestatsii meditsinskih rabotnikov v povyshenii trudovoj motivatsii [The role of certification of health workers in labor motivation]. Voprosy gosudarstvennogo i munitsipal’nogo upravleniya [Public Administration Issues]. 2019. No. 2. P. 141–67. (in Russ.)
9. Kolennikova O. A., Toksanbaeva M. S. Problemy sistemnosti institutov otsenki kvalifikatsii meditsinskih spetsialistov [Systemic problems of institutions for assessing the qualification of medical specialists]. Problemy sotsial’noj gigieny, zdravoohraneniya i istorii meditsiny [Problems of Social Hygiene, Public Health and History of Medicine]. 2022. Vol. 30. Special issue. P. 1027–1032. DOI: 10.32687/0869–866X-2022–30-s1–1027–1032 (in Russ.)
10. Abakarov S. I., Vagner V. D., Sorokin D. V., Abakarova D. S. O neobkhodimosti reorganizatsii sistemy attestatsii vrachej-stomatologov [On the need to reorganize the system of attestation of dentists]. Institut stomatologii [The Dental Institute]. 2012. No. 1(54). P. 18–21. (in Russ.)
11. Alekseeva N. Yu. Sotsiologicheskoje issledovanije effektivnosti vnedreniya novoj sistemy oplaty truda v uchrezhdeniyah zdravookhraneniya [Sociological aspects of efficacy of payment new system in health care establishments]. Sibirskij meditsinskij zhurnal [Siberian Medical Journal]. 2010. No. 2. P. 86–90. (in Russ.)
12. Aksenova A. I., Aleksandrova O. A., Alikperova N. V. at al. Professional’nyj rost i trudovyje strategii meditsinskih spetsialistov [Professional Growth and Labor Strategies of Medical Workers]. Moscow. 2020. 226 p. (in Russ.)
ArticleReceived: 15.03.2023
Accepted: 13.09.2023
Citation FormatsOther cite formats:
APAKolennikova, O. A. (2023). Institution of certification of medical workers: the reasons for dysfunction. Population, 26(3), 158-169. https://doi.org/10.19181/population.2023.26.3.13SectionISSUES OF SOCIAL AND FINANCIAL SYSTEMS
