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A.E. Chirikova1,2, E.A. Tarasenko1
1National Research University, Higher School of Economics, Moscow
2Institute of Sociology of Russian Academy of Sciences, Moscow.
Abstract. In Western countries governments actively
cooperate with professional medical associations to improve quality of
medical care. In Russia issues related to responsibility for monitoring
medical competence that could be delegated to medical associations are
still being actively debated by the professional community. Today,
medical associations compete with each other for selecting direction to
follow to ensure positive changes in the Russian healthcare. Competition
of the bidders for the leading position weakens associations and makes
the possibility of their cooperation as required by the rules of the
game rather questionable.
The aim of the study is to determine potential
readiness of professional medical associations to take on new functions
for ensuring professional development of doctors as well as
possibilities of their cooperation with the state to improve
professional competence of doctors.
Methodology. The study was conducted using a
qualitative technique: method of in-depth interview. Overall we
conducted 25 in-depth interviews with heads of leading medical
associations, physicians representing different regions and leading
experts in the sphere.
Results and conclusions. The state is required to
invest in people and those techniques that will allow medical
associations to move forward towards improving professional competence
of doctors. Sequential actions are required for step-by-step assumption
of new functions by associations. Governmental objective control over
such activity of medical associations is necessary as well. Failure of
leaders of professional medical associations to come to agreement among
themselves could be overcome by adopting clear rules of the game which
could be offered by the state.
Keywords: professional medical associations; provision
of professional development of doctors; self-regulation of professional
activities of doctors; the National Medical Association.
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