DOI: 10.21045/2071-5021-2016-50-4-10

Siburina T.A.
Federal Research Institute for Health Organization and Informatics of Ministry of Health of the Russian Federation, Moscow

Contacts: Tatyana A. Siburina, e-mail: This e-mail address is being protected from spam bots, you need JavaScript enabled to view it

Underestimation of the human factor leads to a decline in the number of doctors in the context of healthcare, based on multiple restrictions, adopted legal regulations and increasing role of insurance companies, improper practices of staff management focused on penalties for defects rather than success encouragement, as well as labor organization and remuneration that fail to comply with induced expenditures and life and professional needs of health workers.

This situation results in heavier overload of specialists and lost interest in work, formation of the doctor’s personality with destructive changes in the emotional sphere. Such position of the key person in the industry may lead to further collapse of the system. This paper attempts to implement a critical analysis of the situation in the Russian healthcare related to physicians’ personnel from the point of view of a constructive assessment of actual possibilities to reveal and improve their potential and create working environment necessary to solve staffing problems, that reaches far beyond medical organizations.

The article emphasizes the need to develop a concept to intensify activities of medical organizations aimed at increasing value of medical labor, offers its structure encouraging changes of the attitude towards doctors’ work and centering the doctor in the entire healthcare system, suggesting to review institutional characteristics of doctor’s work organization and role of additional structures and supporting development of a management system that would provide for environment in medical organizations most appropriate to the creative nature of doctor’s work.

Keywords: characteristics of physicians’ work; position of doctor in medical organization; labor regulation; medical staff potential; a creative work.

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