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Currently, the national project «Healthcare» is being actively implemented in the Russian Federation, the most important tasks of which are to increase the availability of medical care and the quality of medical services, the development of high-tech methods of diagnosis and treatment of diseases, strengthening the personnel reserve of the industry and achieving maximum staffing of medical organizations at various levels with doctors, secondary and junior medical personnel. As a basis for achieving these goals, of course, an increase in the level of motivation, satisfaction and psycho-emotional well-being of healthcare workers should be considered, which can contribute to the retention of existing and influx of young personnel, increase the level of staff working capacity, increase the quality of services provided and the availability of medical care. The peculiarities of the doctor’s work determine a consistently high level of work stress, which to a certain extent is determined by individual factors and personal characteristics of the specialist, as well as a number of organizational predictors. The degree of satisfaction of healthcare professionals with the workflow largely determines the quality and availability of medical care. This article presents data from domestic and foreign literary scientific sources that highlight the level of satisfaction of doctors with work and various factors associated with it, the impact of this indicator on the social and professional life of doctors, as well as possible measures to increase the satisfaction of specialists with their own work.
Currently, the national project «Healthcare» is being actively implemented in the Russian Federation, the most important tasks of which are to increase the availability of medical care and the quality of medical services, the development of high-tech methods of diagnosis and treatment of diseases, strengthening the personnel reserve of the industry and achieving maximum staffing of medical organizations at various levels with doctors, secondary and junior medical personnel. As a basis for achieving these goals, of course, an increase in the level of motivation, satisfaction and psycho-emotional well-being of healthcare workers should be considered, which can contribute to the retention of existing and influx of young personnel, increase the level of staff working capacity, increase the quality of services provided and the availability of medical care. The peculiarities of the doctor’s work determine a consistently high level of work stress, which to a certain extent is determined by individual factors and personal characteristics of the specialist, as well as a number of organizational predictors. The degree of satisfaction of healthcare professionals with the workflow largely determines the quality and availability of medical care. This article presents data from domestic and foreign literary scientific sources that highlight the level of satisfaction of doctors with work and various factors associated with it, the impact of this indicator on the social and professional life of doctors, as well as possible measures to increase the satisfaction of specialists with their own work.
BACKGROUND: Modern strategic planning for the development of the health care system in the region involves regular monitoring of problem areas for the timely identification of emerging problems, as well as monitoring the effectiveness of measures designed to eliminate the identified problems. Based on this, within the framework of the 5th level of medical and sociological monitoring of the results of strategic planning for the development of regional health care, which involves studying the opinions of regional experts, a study was conducted focused on studying the main problems and prospects for the development of the health care system in the Moscow Region on the most important ones from the standpoint of its strategic planning directions. AIM: To determine the degree of relevance of problems for the health care system of the Moscow Region and for the next medium-term strategic planning of measures for its development, as well as to evaluate the indicators from the standpoint of their significance, which will serve as the basis for compiling the archetype of the health care system in the territory of the municipal formation of the Moscow Region in order to adopt further management decisions, including taking into account municipal features. MATERIALS AND METHODS: A survey was conducted of experts from among the heads of regional medical organizations of the Moscow Region, their deputies for the medical profile of activity, as well as the main freelance specialists of the Ministry of Health of the Moscow Region. A total of 126 people were interviewed using formalized structured interviews and questionnaires. RESULTS: In the course of the study, a range of the most pressing problems of the health care system of the Moscow Region was determined today. In addition, activities were identified, the strategic planning of which is most relevant for the formation of the next medium-term program “Health of the Moscow Region”. The study also made it possible to streamline the list of indicators characterizing the archetype of the health care system in the territory of the municipality of the Moscow Region, according to the degree of their importance in making and implementing management decisions in the framework of medium-term strategic planning for health care development. CONCLUSION: The study demonstrated the sustainability of some problems in the health care system of the Moscow Region that currently need to be addressed.
Introduction: Job satisfaction of oncologists at outpatient cancer centers is an important factor that determines not only personal well-being of a doctor, but also the effectiveness of provision, quality and availability of primary specialized oncological care. Objectives: To assess the risk of emotional burnout and to determine the level of job satisfaction of oncologists working in outpatient departments in order to propose actions to reduce the risk of job burnout and to elaborate measures promoting job satisfaction. Materials and methods: In June–August 2022, as part of quantitative sociological surveys, 71 oncologists of Outpatient Cancer Centers located in Moscow and the Moscow and Ivanovo Regions were interviewed to assess their job satisfaction using V.A. Rozanova’s questionnaire. In addition, we conducted a qualitative sociological study consisting of six in-depth interviews with healthcare experts, including heads of federal and regional cancer clinics. Results: We established that 21.1 % of the respondents were not satisfied with their job. Male specialists and surgeons demonstrated significantly lower job satisfaction than their colleagues. The main reasons for such dissatisfaction were the amount and fairness of wages, long working hours, disunity of actions between employees when performing collective tasks, and the leadership style of the chief. As measures to optimize the performance, the respondents emphasized better equipment of departments, impartial record of achievements of each employee for fair incentive pays, clear distribution of duties and responsibilities within implementation of collective project tasks, creation of opportunities for paid extra work, and organization of regular meals at the expense of the employer. Conclusions: The main ways to increase job satisfaction of oncologists at outpatient cancer centers can be optimization of the incentive system that takes into account individual performance indicators, effective organization of the workflow in departments and their sufficient equipment, elaboration of personal development plans, organization of additional formal internal communication channels, an increase in the level of knowledge, skills and abilities of chief medical officers in the field of human resource management, and expansion of employee benefits based on their preferences.
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