DOI: 10.21045/2071-5021-2018-63-5-3
1Zakalsky V.A., 2Butrina V.I., Kasapov K.I.
1Institute of advanced training Federal Medial and Biological Agency, Moscow, Russia
2All-Russia Research Institute of Railway Hygiene, Moscow
Contacts: Butrina Vera, e-mail:
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Information about authors:
ZakalskyV.A., http://orcid.org/0000-003-3617-3311
Kasapov K.I., http://orcid.org/0000-0002-4631-4617
Acknowledgments. The study was supported by the Russian Federal Medical and Biological Agency.
Conflict of interests. The authors declare no conflict of interest.
Abstract
Significance. Effective performance of medical
organizations largely depends upon proper work organization of heads of
resuscitation and anesthesiology departments in multi-specialty
hospitals harmonizing activity of the entire medical organization,
systematically improving personnel’s skills, monitoring quality of
medical care, ensuring supportive psychological environment and
introducing new diagnostic and treatment methods.
Purpose: to analyze activities of heads of
resuscitation and anesthesiology departments in multi-specialty
hospitals in terms of the organizational component.
Material and methods. Study period: 2012-2016. The
survey involved 507 anesthesiologists-resuscitators and heads of
resuscitation and anesthesiology (RA) departments. A total of 1521
questionnaires were processed (each doctor and department head filled
out 3 questionnaires). Statistical processing was implemented according
to a unified algorithm using computer programs including calculation of
traditional statistical parameters for all indicators in the study.
Results. The structure of time spent on professional
duties of such specialists according to their priorities is the
following: “control” – 61.8±0.1% of all working time; “coordination” –
15.2±0.1%, “organization” - 11.6±0.2%.
It was found out that men were much interested in improving their
professional skills - 92.9±3.0. Male heads of RA departments seem more
interested in new professional knowledge and skills compared to their
female peers: 92.9±3.0 vs 81.1±2.3 respectively, p <0.05.
Conclusions. 1. Assigning a head of the RA department
top management of the organization does not take into account managerial
and organizational competences of the physician to become a mid-level
manager.
2. The study found out that staff are much interested in improving
their competences before assignment to a position that is a positive
trend.
Keywords: organization; activity; heads of departments; multi-specialty hospital; anesthesiologists-resuscitators.
References
- Avksent'eva M.V. Prinyatie upravlencheskikh resheniy v
zdravookhranenii na osnove kliniko-ekonomicheskogo analiza
[Decision-making in health care on the basis of clinical and economic
analysis]. Ekonomika zdravookhraneniya 2003; (2): 44-48. (In Russian).
- Akopyan A.S., Dergisova R.G., Shilenko Yu.V. Upravlenie ekonomikoy
mediko-proizvodstvennogo kompleksa [Economic management of medical and
industrial complex]. Ekonomika zdravookhraneniya 2002; (7): 9-13. (In Russian).
- Akopyan A.S., Raysberg B.A., Shilenko Yu.V. V. Problemy
strukturnogo reformirovaniya zdravookhraneniya: otnoshenie rukovoditeley
i spetsialistov [The problems of structural reforms of health care: the
attitude of managers and specialists]. Problemy upravleniya zdravookhraneniem 2002; (4): 26-32. (In Russian).
- Gabrielyan A.R. Zdravookhranenie v usloviyakh rynochnoy ekonomiki.
Spros, predlozhenie i rynochnye struktury v zdravookhranenii [Health
care in the conditions of market economy. Demand, supply and market
structures in health care]. Sotsial'nye aspekty zdorov'ya naseleniya
[serial online] 2013 [cited 2014 Apr 26]; 34 (6). Available from:
http://vestnik.mednet.ru/content/view/522/30/lang EN/. (In Russian).
- Gan'shin I.B., Shelenberg L.V. Izuchenie dominirovaniya vo
vzaimootnosheniyakh vrach – patsient [Study of dominance in
doctor–patient relationships]. Meditsinskie nauki 2013;(6): 19-20. (In Russian).
- Goulmen D. Emotsional'nyy intellekt [Emotional intellect]. [Transl. from Eng]. Moscow: AST; 2009. 478 p. (In Russian).
-
Kalininskaya A.A., Kuznetsov S.I., Shlyafer S.I., Grechko A.V., Volkova
N.V. Obespechennost' naseleniya koykami dnevnykh statsionarov v
Samarskoy oblasti [Population provision with day hospital beds in Samara
region]. Glavvrach 2002; (10): 20-22. (In Russian).
- Martynov A.A., Vlasova A.V. Effektivnost' resheniya zadach po
obespecheniyu naseleniya Rossiyskoy Federatsii vysokotekhnologichnoy
meditsinskoy pomoshch'yu [Efficiency of providing the population of the
Russian Federation with high-tech medical care]. Problemy standartizatsii v zdravookhranenii 2014;(3): 3-11. (In Russian).
- Skvirskaya G.P., Il'chenko I.N., Syrtsova L.E. Ukreplenie zdorov'ya
i profilaktika zabolevaniy kak osnova gosudarstvennoy sotsial'noy
politiki v sfere zdravookhraneniya [Population health promotion and
disease prevention as the basis of the state social policy in health
care]. Voprosy ekonomiki i upravleniya dlya rukovoditeley zdravookhraneniya 2007;(12):7-19. (In Russian).
- Solov'ev V.V., Kuz'minov O.M. Sostavlenie individual'noy
professional'noy psikhologicheskoy diagnosticheskoy karty dlya
zaveduyushchikh reanimatsionnymi otdeleniyami mnogoprofil'nykh
statsionarov, obespechivayushchikh meditsinskuyu pomoshch' lyudyam
srednego, pozhilogo i starcheskogo vozrasta [Development of the
individual professional psychological diagnostic card for the heads of
resuscitation departments of the multidisciplinary hospitals providing
medical care to people of average, elderly, and old ages]. Sovremennye problemy nauki i obrazovaniya [serial
online] 2016 [cited 2017 Mar 28]; (5). Available from:
https://science-education.ru/ru/article/viewid=25116. (In Russian).
- Ulumbekova, G.E. Zdravookhranenie Rossii. Chto nado delat':
nauchnoe obosnovanie «Strategii razvitiya zdravookhraneniya RF do 2020
goda» [Healthcare in Russia. What to do? Scientific grounds of the
"Strategy for health care development in the Russian Federation until
2020"]. Monograph. Moscow: GEOTAR-Media, 2010. 592 p. (In Russian).
-
Shlyafer S.I., Kuznetsov S.I., Zlobin A.N., Grechko A.V. Analiz
vnedreniya statsionarozameshchayushchikh form organizatsii meditsinskoy
pomoshchi v Rossiyskoy Federatsii [The analysis of implementation of
hospital-replacing forms of health care organization in the Russian
Federation]. Byulleten' Nauchno-issledovatel'skogo instituta
sotsial'noy gigieny, ekonomiki i upravleniya zdravookhraneniem im. N.A.
Semashko. 2002; (4): 63-65. (In Russian).
- Shchepin O. P., Medina V. A. Zdorov'e naseleniya regiona i
prioritety zdravookhraneniya [Population health in the region and
priorities of health care]. Moscow: GEOTAR - Media; 2012. 384 p. (In
Russian).
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