Transformation of Professional Values of Doctors in the Process of Optimization of the Public Health Service. Part I
How to Cite
Shilova L.S. 2018. Transformation of Professional Values of Doctors in the Process of Optimization of the Public Health Service. Part I — Sociologicheskaja nauka i social’naja praktika. Vol. 6. No. 4. P. 148-160. DOI: https://doi.org/10.19181/snsp.2018.6.4.6092
Abstract
Reforms in the public health service continue to receive disapproval from doctors for a number of reasons. Their expectations of improved financial standing have not been met. The basic component of wages did not increase commensurate with increased loads. Wage premiums and incentive payments are fully distributed by the institution’s chief physician by criteria not discussed in teams. While earning funds for domestic needs, medical institutions are not interested in providing doctors with any material or temporary opportunities for additional education. A doctor has to master all areas of practice in off-duty time at their own cost and expense. The requirements of the administration to the work of doctors often go against their traditional professional values and ethical norms. The combination of the existing working conditions and requirements of the administration contribute to increasing the level of dissatisfaction of doctors with their work, and their professional burnout. Dysfunctional management activities of the administration of medical institutions are short-sighted in nature and reduce the work motivation of doctors.
Keywords:
optimization, organization of medical care, commercialization, advanced training
References
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Granina N. «Vrach dolzhen uchit'sya vsyu zhizn'». Kakie peremeny ozhidayut stolichnoe zdravookhranenie, moskovskikh medikov i patsientov. Interv'yu A. Khripuna. ["The doctor must study all his life." What changes await the Moscow health care, Moscow doctors and patients]. 22.05.2017. [Elektronnyy resurs]. "Lenta.ru": [veb-sajt]. URL: https://lenta.ru/articles/2017/05/22/xripun/ (Data obrascheniya: 24.05.2017). (In Russ.).
Prikaz Ministerstva zdravookhraneniya RF ot 2 iyunya 2015 g. № 290n "Ob utverzhdenii tipovykh otraslevykh norm vremeni na vypolnenie rabot, svyazannykh s posescheniem odnim patsientom vracha-pediatra uchastkovogo, vracha-terapevta uchastkovogo, vracha obschey praktiki (semeynogo vracha), vracha-nevrologa, vracha-otorinolaringologa, vracha-oftal'mologa i vracha-akushera-ginekologa". [Order of the Ministry of health of the Russian Federation of June 2, 2015 № 290n "On approval of standard industry standards of time to perform work related to the visit of one patient pediatrician district, physician district, General practitioner (family doctor), neurologist, otolaryngologist, ophthalmologist and obstetrician-gynecologist"]. [Elektronnyy resurs]. URL: https: http://base.garant.ru/71169514/ (Data obrascheniya: 15.10.2018). (In Russ.).
Reznik I. Medikov kidayut na den'gi. [Medics throw money]. [Elektronnyy resurs]. MED RUSSIA: [veb-sajt]. 03.03.2017. URL: https://medrussia.org/2228-medikov-kidayut-na-dengi/ (Data obrascheniya: 10.11.2018). (In Russ.).
Tsipenyuk O. «Cherez 10–15 let u nas obrazovannykh vrachey v printsipe ne budet». Glavnyy urolog Minzdrava Dmitriy Pushkar' – o problemakh meditsinskogo obrazovaniya v Rossii. 06.02.2017. [“In 10–15 years, in principle, we will not have educated doctors.” The chief urologist of the Ministry of Health, Dmitry Pushkar, on the problems of medical education in Russia]. [Elektronnyy resurs]. Kommeersant. URL: http://www.kommersant.ru/doc/3205843 (Data obrascheniya: 06.02.2017). (In Russ.).
Valeev R. Do 43% rabochego vremeni vrachi tratyat na oformlenie dokumentov. 18.10.2016. [To 43% of working time doctors spend on paperwork]. [Elektronnyy resurs]. Vrachi RF: [veb-sajt]. URL: http://vrachirf.ru/company-announce-single/26580 (Data obrascheniya: 09.10.2018). (In Russ.).
Zemlyanukhina A. A. Pochemu ya reshila ujti iz gosudarstvennoj meditsiny. Why I decided to leave the state medicine]. [Elektronnyy resurs]. Vrachi RF: [veb-sajt]. 07.02.2018. [URL: https://vrachirf.ru/concilium/47862.html (Data obrascheniya: 07.02.2018). (In Russ.).
Citation Formats
Other cite formats:
Harvard
Shilova, L. S. (2018) ’Transformation of Professional Values of Doctors in the Process of Optimization of the Public Health Service. Part I’, Sociologicheskaja nauka i social’naja praktika, 6(4), pp. 148-160. doi: https://doi.org/10.19181/snsp.2018.6.4.6092.
Section
SOCIOLOGY OF SOCIAL GROUPS
Publisher: Federal Center of Theoretical and Applied Sociology of the Russian Academy of Sciences (FCTAS RAS)