Articles from rubric: «Sociology of health care»
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2020 № 6 The syndrome of professional emotional burnout in doctors of cancer institutions in Moscow: the prevalence and severity of the syndrome, the factors affecting its development
The health protection system plays an important role in preserving and developing the country’s economic potential. Features of medical activity are a high degree of use of social contacts, its significant responsibility and stress. High requirements for doctors of professional, organizational and psychological nature contribute to the development of constant work stress, against which there is a decrease in the psychological adaptability of specialists, leading to the development of «professional burnout syndrome».
The purpose of this study is to assess the prevalence and severity of the syndrome in doctors who provide specialized high-tech medical care to patients with cancer, as well as to identify factors for the development of this syndrome.
This article presents the results of a survey of 58 doctors. High and extremely high levels of the syndrome were detected in 64% of respondents. Individual, organizational and social factors associated with the development of this condition are identified. As the main methods of prevention and control of this syndrome, preliminary and periodic assessment of the level of employee’s susceptibility to organizational stress, the degree of their satisfaction with organizational factors of work, as well as the social environment is proposed.
The results obtained can help to optimize the process of working with personnel in medical organizations, as well as in- crease the productivity of medical workers. -
2020 № 6 Subjective assessment of satisfaction of mothers of newborns with the attitude of para- medical personnel of obstetric care organizations
Purpose. To assess the satisfaction of mothers of newborns with the attitude of paramedical personnel in obstetric care organizations of the metropolis.
Methods. An anonymous survey of 2949 mothers of newborns was conducted in 4 obstetric care organizations in St. Pe- tersburg. To assess the satisfaction of mothers, the methods recommended by FFOMS were used. Mathematical data pro- cessing was carried out using spreadsheets “MS Office Excel 2010” and the statistical software package PASW STATISTICS. Results. The obstetric care organizations of St. Petersburg have a “high level” of an integral indicator of satisfaction with the attitude of paramedical personnel in providing medical care to newborns (77.4%), which is higher in maternity hospitals than in perinatal centers (integral indicator (78.5% and 75.1%, respectively.) Regardless of the level of organization of obstetric care, mothers were more satisfied with the human qualities of the paramedical staff working with newborns (“high level” on the FFOMS scale). Motors were less satisfied with the amount of time and attention that nurses paid to children (“average level” according to the FFOMS scale). In contrast to maternity hospitals, when assessing the activities of nurses of perinatal centers, 16.7% more mothers were indicated in the rush and insufficient time, and 32 more were indifferent, 3%. Overall, 72.4% of mothers rated the work of secondary medicine the maternity staff of obstetric institutions with newborns was “excellent” and “good” (on av- erage 4.03 ± 0.07 points), but in maternity hospitals the respondents more often rated “good” and less often “satisfactory”. Conclusions. The study showed a high satisfaction of mothers with the attitude of paramedical personnel to newborns in obstetric organizations of a megalopolis, regardless of the level of medical care provided to them. The attitude of nurses in maternity hospitals was rated higher than in perinatal centers.
Scope of the results. Development of organizational measures aimed at improving the quality of medical services in obstetric care organizations. -
2020 № 3 Population relation research to the healthy lifestyle (on the example of the fish and suburban region of Republic of Tatarstan)
One of the main tasks of modern health care is decrease in incidence and noninfectious diseases mortality of the population which are preventable at observance of a healthy lifestyle, early identification and timely effective treatment. Results of a sociological research of the relation to a healthy lifestyle on estimates of adult population of the Fish and Suburban Region of Republic of Tatarstan are presented in article. Purpose: reveal commitment of the population to a healthy lifestyle, investigate connection of a healthy lifestyle with presence of noninfectious diseases. The research is conducted on the basis of questionnaire by method of random check of adult population. 2346 respondents from 21 year to 74 years took part in questioning. Authors developed the questionnaire concerning commitment of the population to a healthy lifestyle and presence of noninfectious diseases.. The average physical activity among all respondents is slightly higher than 20%. The commitment to a healthy power supply in all groups does not exceed 25%. Respondents aged from 31 to 40 years are most committed to healthy nutrition. Among the polled respondents smoke 22.21%, regularly take alcohol of 0.2%. From among the respondents who noted presence of cardiovascular diseases of 98.6% monthly visit the doctor and regularly take medicines; with digestive tract diseases monthly visit the doctor of 16.3% and regularly take the drugs of 18.5% of respondents; from among respondents with diabetes regularly take the drugs and monthly visit the doctor of 100%. Analyzing data retrieveds, authors came to a conclusion that the commitment to a healthy lifestyle among the population does not exceed 30%. Results of questioning of the population can be used when developing the address program of treatment-and-prophylactic actions for forming of commitment to a healthy lifestyle for each age group.
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2015 № 1 Special features of applying methods of medicine's sociology in the environment of children's infection in-patient facility
Doctor-Parent communication influences the treatment outcomes of child. In article application's features of techniques of medicine sociology used for studying interaction in doctor-parent relationships in children's infectious hospital are described.
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2014 № 4 On the question of study on public's satisfaction with health care system (Samara State Medical University, Samara, Russia; Ryazan State I.V. Pavlov Medical University, Ryazan, Russia).
Satisfaction of public having accessibility and quality of medical care, as well as its organization became one of the main criteria of valuating the system of health care in the recent time. Conducting sociological research requires a scientific approach and high qualification from its organizers. Sociological valuation can become of the criteria of complex valuation of medical care quality.
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2013 № 7 Special interest groups in the Russian health care system (The Graduate School of Management, Saint-Petersburg State University, Russia)
The article deals with the role of special interest groups in the health sector. The attention is focused on classification of special interest groups, the approaches to the analysis of the motives of collective action and the formation of special interest groups. The activit ies of special interest groups in the Russian system of health insurance are analysed.
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2013 № 6 The results of pilot sociological research of patient's satisfaction with ambulatory care at Saint-Petersburg (The Regional medical insurance fund of Saint-Petersburg, Saint-Petersburg, Russia)
The article presents the main results of pilot sociological research of patient's satisfaction with ambulatory care. The research was carried out at Saint-Petersburg in the year of 2012.