Expert assessment of the organization of comprehensive support for the prolongation of professional effective activity of a doctor

A. Vorobeva, M. Yakushin
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Abstract

BACKGROUND: Medical workers are one of the professions that significantly strengthen the country’s economy [1, 2]. The development and implementation of health-saving technologies to prolong the effective professional life of medical workers of older age groups will preserve them as a labor resource of the country, which will exclude economic losses of the state. The results of a sociological survey of doctors providing medical care in the polyclinic segment of Moscow and the Moscow region were used to assess the professional competencies of specialists [3]. An organizational technology was then formed based on these findings, which was subsequently proposed for expert assessment. AIM: The aim of this study was to ascertain the significance of organizational technology measures for the professional longevity of doctors in older age groups. MATERIALS AND METHODS: The study employed a multi-methodological approach, integrating sociological, statistical, and expert evaluation techniques. A total of 50 experts were invited to rank the activities comprising the integrated technology in terms of their perceived importance for achieving the desired outcome, namely, the support of effective professional longevity of doctors in the event of the implementation of such technology. The experts were specialists in the field of health care and public health, including chief physicians and heads of departments of urban polyclinics in Moscow and the Moscow region, who were accredited in the specialty 03.02.03. They had experience of management in the field of health care ranging from one to 29 years. RESULTS: All experts concur that a medical organization should implement measures to prevent the deterioration of doctors due to aging. The necessity to test doctors over the age of 50 for cognitive disorders and dementia was confirmed by 90% of experts. Additionally, 60% of experts agreed that doctors over the age of 50 require a less demanding work schedule, including a reduction in intellectual workload and an extension of rest periods. At the same time, 20% of experts approve of the transition to a lighter work regime on an individual basis after testing, 10% agreed only with the prolongation of rest, and 10% gave a negative answer. In the opinion of 90% of experts, the widespread introduction of medical information systems (and training in working with them) will help to support the effective professional longevity of doctors of older age groups. A mere 40% of experts concurred that the transfer of senior physicians to monoprofile appointments would assist in prolonging their effective professional longevity. The majority of experts (80%) recommend regular cognitive training for doctors of advanced age, while 10% believe it is only necessary in specific cases and 10% are opposed to the idea. Only 70% of experts in the medical field implement organizational measures to maintain effective professional longevity, while the remaining 30% employ single measures. The therapeutic learning technology [5] was evaluated positively by all experts. The list of measures proposed by experts included the introduction of “time-outs” in addition to lunch break during the working shift, industrial gymnastics, the provision of psychological assistance to doctors by a psychologist, and the holding of computer literacy schools. CONCLUSIONS: The need to introduce organizational technology for prolongation of medical competencies has been confirmed by experts in the field of health care and public health. However, the proposed technology should be adjusted taking into account the received expert opinions.
专家对延长医生专业有效活动的综合支持组织工作的评估
背景:医务工作者是显著增强国家经济实力的职业之一[1, 2]。开发和实施保健技术以延长老年医务工作者的有效职业寿命,将保护他们作为国家的劳动力资源,从而避免国家的经济损失。对莫斯科和莫斯科地区综合医院提供医疗服务的医生进行社会学调查的结果被用来评估专家的专业能力[3]。然后根据这些结果形成了一种组织技术,随后提出了专家评估建议。目的:本研究旨在确定组织技术措施对老年组医生职业寿命的意义。材料与方法:本研究采用了多种方法,整合了社会学、统计学和专家评估技术。共邀请了 50 位专家,根据他们对实现预期结果(即在实施综合技术的情况下,支持医生有效延长职业寿命)的重要性的认识,对综合技术的各项活动进行排序。专家们都是医疗保健和公共卫生领域的专家,包括莫斯科和莫斯科州城市综合医院的主任医师和科室主任,他们都获得了 03.02.03 专业认证。他们在医疗保健领域的管理经验从 1 年到 29 年不等。结果:所有专家一致认为,医疗机构应采取措施防止医生因年龄增长而退化。90%的专家确认有必要对 50 岁以上的医生进行认知障碍和痴呆症测试。此外,60%的专家同意 50 岁以上的医生需要减轻工作强度,包括减少脑力劳动和延长休息时间。同时,20% 的专家同意在测试后根据个人情况过渡到较轻松的工作制度,10% 的专家只同意延长休息时间,10% 的专家给出了否定的答案。90% 的专家认为,广泛采用医疗信息系统(并对如何使用这些系统进行培训)将有助 于支持老年医生有效地延长职业寿命。仅有 40%的专家同意,将高龄医生转为单病种任命将有助于延长他们的有效职业寿命。大多数专家(80%)建议对高龄医生进行定期认知培训,10%的专家认为只有在特殊情况下才有必要,10%的专家表示反对。只有 70% 的医学领域专家采取组织措施来保持有效的职业寿命,而其余 30% 的专家则采取单一措施。治疗学习技术[5]得到了所有专家的积极评价。专家们提出的措施清单包括:在工作时间的午休之外引入 "暂停时间"、工业体操、由心理学家为医生提供心理援助以及举办计算机扫盲学校。结论:医疗保健和公共卫生领域的专家已经确认,有必要引入组织技术来延长医疗能力。不过,应根据专家意见对拟议技术进行调整。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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CiteScore
1.30
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44
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