Journal of Family Medicine and Health Care

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The Role of the Doctor in the System of Social Protection of Russian Citizens

Received: 19 November 2018    Accepted: 05 December 2018    Published: 07 January 2019
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Abstract

The effectiveness of medicine as a social institution depends, among other things, on the social status of the doctor, which determines the place of his personality in the system of social relations and the set of certain social functions. At present, the role of a doctor in society is constantly changing in connection with changes in both society and healthcare. The patient became a consumer of medical services, the doctor - their supplier, which put the patient and the doctor in the framework of market relations. The result was a lack of confidence in the healthcare system in the society, which is associated with an increase in the expectations and requests of the population for the quality of medical services and the reluctance of people to contact medical facilities without extreme necessity. Only the motivation of the doctor to provide high-quality medical care, high-quality medical management and the allocation of paid time for the doctor to his own education will help to change the situation. As the burden on the doctor grows every year, and his social role becomes more and more important for the population. The article deals with the role of a doctor in the social protection of citizens. The main link in the social protection of patients in medical organizations is the medical commissions. A large amount of work of the medical commission is not taken into account in the burden of doctors and in the payment of their labor. The purpose of the presented study was to study the scope, dynamics and peculiarities of the work of the medical commission to determine the patients' need for prolongation of leaflets of disability, referral to medical and social expertise, and other health-related problems. One of the main conclusions reached by the researchers: taking into account the increase in the contingent of citizens of the older age group, it is necessary to adapt the work of expert services to the needs of older people in expert assistance, by amending the normative acts and including the necessary specialists in the expert commissions.

DOI 10.11648/j.jfmhc.20180404.11
Published in Journal of Family Medicine and Health Care (Volume 4, Issue 4, December 2018)
Page(s) 20-25
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Social Protection, Social Status of the Doctor, Medical Commission (MC), Medical and Social Expertise (MSE), Citizens of the Older Age Group

References
[1] Reshetnikov A. V. Sociology of medicine: a guide. - M.: GEOTAR-Media, 2014. - 864p. (in Russian).
[2] Lyadova A. V., Panich N.A. Social status of a doctor in modern Russian society. https://doi.org/10.24158/spp.2017.4.4. (in Russian).
[3] Doyutova M. V., Guseva N. K., Sokolov V. A. Polyclinic of the XXI century: problems, management, organization: monograph.– Nizhniy Novgorod: izdatel'stvo Nizhegorodskoy gosudarstvennoy meditsinskoy akademii, 2015. – 258p. (in Russian).
[4] Tronevskaya M. A. Identification as a mechanism for the formation of social roles // Theory and practice of social development, 2015. - № 15. P. 31-34. (in Russian).
[5] Approximate periods of temporary incapacity for work with some injuries. Approved by21.08.2000g. № 2510/9362-34. (in Russian).
[6] Suverneva A. I. About electronic medical sick-leave certificates. Personnel department of a commercial organization; 2017, (7): 34-38. (in Russian).
[7] The main indicators of public health and the activities of public health organizations of the Nizhny Novgorod region for 2017, 2012. Collection (red. A.A. Konovalov, L.E.Varenova). - Nizhniy Novgorod, 2017; 226p. (in Russian).
[8] Rossiyskaya gazeta 14.11.2017, Tuesday No. 257, p. 14. The standard of living. An elderly person in the information environment of a modern metropolis: how to place accents. An old man and a sea of figures. (in Russian).
[9] Health and public health: a textbook for further professional education. ed. G. N. Tsarik. - Moscow: GEOTAR-Media, 2018. – 912p. (in Russian).
[10] Nikolskaya O.G., Suslin S.A. Organizational model of improving the examination of temporary disability in an urban multi-disciplinary hospital. The role of the organization of medical care in the protecting of public. Health: Proceedings of the International Scientific Conference. Bulletin of the National Research Institute of Public Health named after N.A. Semashko.; M., 2016; Vol. 1 - P. 121-124.(in Russian).
Author Information
  • Department of Visiting and Innovative Education, Biomedical University of Innovation and Continuing Education of "The State Scientific Center of the Russian Federation - Federal Medical Biophysical Center Named After А.I. Burnazyan” FMBA of Russia, Nizhny Novgorod, Russia

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  • APA Style

    Berdutin Vitaly. (2019). The Role of the Doctor in the System of Social Protection of Russian Citizens. Journal of Family Medicine and Health Care, 4(4), 20-25. https://doi.org/10.11648/j.jfmhc.20180404.11

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    ACS Style

    Berdutin Vitaly. The Role of the Doctor in the System of Social Protection of Russian Citizens. J. Fam. Med. Health Care 2019, 4(4), 20-25. doi: 10.11648/j.jfmhc.20180404.11

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    AMA Style

    Berdutin Vitaly. The Role of the Doctor in the System of Social Protection of Russian Citizens. J Fam Med Health Care. 2019;4(4):20-25. doi: 10.11648/j.jfmhc.20180404.11

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  • @article{10.11648/j.jfmhc.20180404.11,
      author = {Berdutin Vitaly},
      title = {The Role of the Doctor in the System of Social Protection of Russian Citizens},
      journal = {Journal of Family Medicine and Health Care},
      volume = {4},
      number = {4},
      pages = {20-25},
      doi = {10.11648/j.jfmhc.20180404.11},
      url = {https://doi.org/10.11648/j.jfmhc.20180404.11},
      eprint = {https://download.sciencepg.com/pdf/10.11648.j.jfmhc.20180404.11},
      abstract = {The effectiveness of medicine as a social institution depends, among other things, on the social status of the doctor, which determines the place of his personality in the system of social relations and the set of certain social functions. At present, the role of a doctor in society is constantly changing in connection with changes in both society and healthcare. The patient became a consumer of medical services, the doctor - their supplier, which put the patient and the doctor in the framework of market relations. The result was a lack of confidence in the healthcare system in the society, which is associated with an increase in the expectations and requests of the population for the quality of medical services and the reluctance of people to contact medical facilities without extreme necessity. Only the motivation of the doctor to provide high-quality medical care, high-quality medical management and the allocation of paid time for the doctor to his own education will help to change the situation. As the burden on the doctor grows every year, and his social role becomes more and more important for the population. The article deals with the role of a doctor in the social protection of citizens. The main link in the social protection of patients in medical organizations is the medical commissions. A large amount of work of the medical commission is not taken into account in the burden of doctors and in the payment of their labor. The purpose of the presented study was to study the scope, dynamics and peculiarities of the work of the medical commission to determine the patients' need for prolongation of leaflets of disability, referral to medical and social expertise, and other health-related problems. One of the main conclusions reached by the researchers: taking into account the increase in the contingent of citizens of the older age group, it is necessary to adapt the work of expert services to the needs of older people in expert assistance, by amending the normative acts and including the necessary specialists in the expert commissions.},
     year = {2019}
    }
    

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