{"title":"改革下医护人员的适应性实践","authors":"L. Temnova, E. G. Bapinaeva","doi":"10.22363/2313-2272-2022-22-3-630-645","DOIUrl":null,"url":null,"abstract":"The theory of high modernism and the concept ‘metis’ by J. Scott identify one of the reasons for unsuccessful state reform in various areas: when preparing changes, local practical experience is often neglected, but the success of the reform as a whole may depend exactly on such knowledge. The system ignores the possible strategies of workers’ resistance to the coming changes, many of which are unconscious. The reforms in the field of healthcare, including in Russia, have shown that doctors remain the most vulnerable group affected by changes. A side effect of the ongoing reforms is the development by the professional community of doctors of certain adaptive practices aimed at adaptation to changes with the least losses for the individual and professional activity. To identify the adaptive practices of medical workers in response to the reforms and their consequences, the authors examined the available data and conducted interviews with doctors of various specialties. As a result, adaptive practices of doctors in their professional activities were systematized, and their classification was proposed: deviant/non-deviant and active/passive. Active adaptive practices prevail and are implemented in three subsystems: doctor-administration, doctor-doctor and doctor-patient. Most doctors tend to accept changes that involve adding new practices rather than changes removing traditional practices. All respondents positively assessed new technologies, but negatively assessed rigid standards that limit their professional freedom. The development of adaptive practices depends on various factors - gender, age, length of service, specialization, position. Such practices help doctors to keep the habitual way of professional life and to adapt to new working conditions.","PeriodicalId":42659,"journal":{"name":"RUDN Journal of Sociology-Vestnik Rossiiskogo Universiteta Druzhby Narodov Seriya Sotsiologiya","volume":" ","pages":""},"PeriodicalIF":0.3000,"publicationDate":"2022-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Adaptive practices of healthcare workers under the reforms\",\"authors\":\"L. Temnova, E. G. Bapinaeva\",\"doi\":\"10.22363/2313-2272-2022-22-3-630-645\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"The theory of high modernism and the concept ‘metis’ by J. Scott identify one of the reasons for unsuccessful state reform in various areas: when preparing changes, local practical experience is often neglected, but the success of the reform as a whole may depend exactly on such knowledge. The system ignores the possible strategies of workers’ resistance to the coming changes, many of which are unconscious. The reforms in the field of healthcare, including in Russia, have shown that doctors remain the most vulnerable group affected by changes. A side effect of the ongoing reforms is the development by the professional community of doctors of certain adaptive practices aimed at adaptation to changes with the least losses for the individual and professional activity. To identify the adaptive practices of medical workers in response to the reforms and their consequences, the authors examined the available data and conducted interviews with doctors of various specialties. As a result, adaptive practices of doctors in their professional activities were systematized, and their classification was proposed: deviant/non-deviant and active/passive. Active adaptive practices prevail and are implemented in three subsystems: doctor-administration, doctor-doctor and doctor-patient. Most doctors tend to accept changes that involve adding new practices rather than changes removing traditional practices. All respondents positively assessed new technologies, but negatively assessed rigid standards that limit their professional freedom. The development of adaptive practices depends on various factors - gender, age, length of service, specialization, position. Such practices help doctors to keep the habitual way of professional life and to adapt to new working conditions.\",\"PeriodicalId\":42659,\"journal\":{\"name\":\"RUDN Journal of Sociology-Vestnik Rossiiskogo Universiteta Druzhby Narodov Seriya Sotsiologiya\",\"volume\":\" \",\"pages\":\"\"},\"PeriodicalIF\":0.3000,\"publicationDate\":\"2022-09-29\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"RUDN Journal of Sociology-Vestnik Rossiiskogo Universiteta Druzhby Narodov Seriya Sotsiologiya\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.22363/2313-2272-2022-22-3-630-645\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q4\",\"JCRName\":\"SOCIOLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"RUDN Journal of Sociology-Vestnik Rossiiskogo Universiteta Druzhby Narodov Seriya Sotsiologiya","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.22363/2313-2272-2022-22-3-630-645","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"SOCIOLOGY","Score":null,"Total":0}
Adaptive practices of healthcare workers under the reforms
The theory of high modernism and the concept ‘metis’ by J. Scott identify one of the reasons for unsuccessful state reform in various areas: when preparing changes, local practical experience is often neglected, but the success of the reform as a whole may depend exactly on such knowledge. The system ignores the possible strategies of workers’ resistance to the coming changes, many of which are unconscious. The reforms in the field of healthcare, including in Russia, have shown that doctors remain the most vulnerable group affected by changes. A side effect of the ongoing reforms is the development by the professional community of doctors of certain adaptive practices aimed at adaptation to changes with the least losses for the individual and professional activity. To identify the adaptive practices of medical workers in response to the reforms and their consequences, the authors examined the available data and conducted interviews with doctors of various specialties. As a result, adaptive practices of doctors in their professional activities were systematized, and their classification was proposed: deviant/non-deviant and active/passive. Active adaptive practices prevail and are implemented in three subsystems: doctor-administration, doctor-doctor and doctor-patient. Most doctors tend to accept changes that involve adding new practices rather than changes removing traditional practices. All respondents positively assessed new technologies, but negatively assessed rigid standards that limit their professional freedom. The development of adaptive practices depends on various factors - gender, age, length of service, specialization, position. Such practices help doctors to keep the habitual way of professional life and to adapt to new working conditions.
期刊介绍:
The mission of the Journal is a broad exchange of scientific information, and of the results of theoretical and empirical studies of the researchers from different fields of sociology: history of sociology, sociology of management, political sociology, economic sociology, sociology of culture, etc., philosophy, political science, demography – both in Russia and abroad. The articles of the Journal are grouped under ‘floating’ rubrics (chosen specially to structure the main themes of each issue), with the following rubrics as basic: Theory, Methodology and History of Sociological Research Contemporary Society: The Urgent Issues and Prospects for Development Surveys, Experiments, Case Studies Sociology of Organizations Sociology of Management Sociological Lectures. The titles of the rubrics are generally broadly formulated so that, despite the obvious theoretical focus of most articles (this is the principal distinguishing feature of the Series forming the image of the scientific journal), in each section we can publish articles differing substantially in their area of study and subject matter, conceptual focus, methodological tools of empirical research, the country of origin and disciplinary affiliation.