Social portrait of a general practitioner
Grodno State Medical University, Grodno, Republic of Belarus
Vestnik VGMU. 2020;19(4):113-121.
The purpose of this study was to describe the social portrait of a general practitioner in accordance with the principles of sociology of medicine. Material and methods included a sociological survey by means of the author’s questionnaire of 113 respondents. The unit of observation was a general practitioner of Grodno region health organization, the subject of study –social portrait of the general practitioner. It has been established that every second specialist does not have any medical category, in fact, every third one has not purchased any professional literature over the past year, and the absolute majority do not use foreign languages. General practitioners rated their family’s well-being as average or below average. The results of work with a high degree of confidence (p<0.01) indicate social problems in the professional group of general practitioners: assessment of their salary as «low», specialization as insufficiently prestigious, with nonoptimal motivation to work in the form of fear of being out of work, dissatisfaction with the profession as a whole. More than half of the general practitioners surveyed ponder over changing their specialization. The author has substantiated a sociological approach to the study of the social portrait of a general practitioner, including the social status, prestige of the profession and social role characteristics. The theoretical and practical significance of the work consists in applying methods of sociology of medicine while drawing up the social portrait of a specific category of medical workers – general practitioners, which can be used in other medical and sociological researches.
Key words: general practitioner, social portrait, sociology of medicine, satisfaction with the profession.
The study was supported by the Belarusian Republican Foundation for Fundamental Research (agreement with BRFFR No. G 19-061 of 2 May, 2019) and is a part of the thesis.
The author expresses her gratitude to Doctor of Medical Sciences, associate professor, head of the Chair of Public Health & Health Service of Grodno State Medical University Surmach M.Y. for the help provided while drawing up the sociological questionnaire and discussing the data obtained as well as to Candidate of Medical Sciences, associate professor, head of the General Practitioner & Outpatient Therapy Chair of Grodno State Medical University Yakubova L.V. for assistance rendered while conducting the survey.
1. Abaev IuK. Good doctor. Part 5. Medicine called «doctor». Zdravookhranenie. 2019;(12):26-33. (In Russ.)
2. Abaev IuK. Good doctor. Part 2. School of Medicine. 2019;(8):17-25. (In Russ.)
3. Ashcheulova NA, Lomovitckaia VM, Kugel SA. Scientists focus on scientists [Elektronnyi resurs]. Sotsiol Issled. 2010;(5):147-50. Rezhim dostupa: http://ecsocman.hse.ru/socis/msg/33469321.html. Data dostupa: 02.09.2020. (In Russ.)
4. Bravve IuI, Akhremenko GP, Peskov SA. Sociological monitoring of medical institution personnel. Sotsiologiia Meditsiny. 2010;(2):15-20. (In Russ.)
5. Bystritckaia OA, Pokhodenko AV, Zhukova EA. Rural health manager: social and psychological portrait. Zdravookhranenie Rossiiskoi Federatsii. 2007;(1):17-9. (In Russ.)
6. Gamova IV, Prisiazhniuk DI. A professional group of doctors in a changing public health system. Vestnik PAGS. 2014;(6):78-85. (In Russ.)
7. Gorbach NA, Goncharova GN, Bolshakova IA. Comparative analysis of medical, social and psychological portrait of students. Zdravookhranenie Rossiiskoi Federatsii. 2002;(3):38-40. (In Russ.)
8. Social portrait of students [Elektronnyi resurs]. Aspirans.com: sodeistvie nauchnym stremleniiam: [sait]. Rezhim dostupa: http://aspirans.com/sotsialnyi-portret-studentov#/. Data dostupa: 02.09.2020. (In Russ.)
9. Starkova AD. Analysis of linear distribution based on the results of the study «Social portrait of a modern official» [Elektronnyi resurs]. Ekonomika i sotsium. 2018;(5). Rezhim dostupa: https://readera.org/analiz-linejnogo-raspredelenija-po-rezultatom-issledovanija-socialnyj-portret-140238908. Data dostupa: 02.09.2020. (In Russ.)
10. Tcyplenkova LP, Sliusar IV, Shut KV. Study of the components of the social status of a doctor in the system of medical and sociological monitoring. Sotsiologiia Meditsiny. 2012;(2):32-4. (In Russ.)
11. Iurev VK, Tarkhanov VS. Self-assessment by doctors of various specialties of their social status and professional activities [Elektronnyi resurs]. Sovremen Problemy Nauki Obrazovaniia. 2014;(2):310. Rezhim dostupa: https://science-education.ru/ru/article/view?id=12498. Data dostupa: 02.09.2020. (In Russ.)
12. van der Burgt SME, Kusurkar RA, Wilschut JA, Tjin A Tsoi SLN, Croiset G, Peerdeman SM. Medical specialists’ basic psychological needs, and motivation for work and lifelong learning: a two-step factor score path analysis. BMC Med Educ. 2019 Sep;19(1):339. doi: http://dx.doi.org/10.1186/s12909-019-1754-0
13. Boiko SL, Surmach MIu. Diagnostic capabilities and limits of application of modern methods for assessing organizational culture in health care. Voprosy Organizatsii Informatizatsii Zdravookhraneniia. 2019;(3):47-53. (In Russ.)
14. Liutcko VV, Ivanova MA, Son IM, Zimina EV, Perkhov VI. Provision and staffing with general practitioners (family doctors) providing primary health care to the population on an outpatient basis in the Russian Federation for the period 2007-2016. Profilakt Meditsina. 2019;22(1):43-8. (In Russ.)
15. Manerova OA, Osmanova SG. Medico-social portrait of a modern doctor-anesthesiologist-resuscitator. Problemy Upravleniia Zdravookhraneniem. 2008;(5):61-4. (In Russ.)
16. Laptieva LN, Rublevskaia EI, Divakova TS, Loban DS. The role of professional and social-personal qualities in the practical activities of medical workers with secondary specialized education. Vestn VGMU. 2019;18(1):92-8. (In Russ.)
17. Kuzevanova AL, Petrova IA, Nedogoda SV. Problems of regional health care and the practice of training and work of a family doctor in the Volgograd region (sociological aspect). Strezhen': nauch ezhegod. 2004;(vyp 4):384-8. (In Russ.)
18. Bugaj TJ, Blohm M, Schmid C, Koehl N, Huber J, Huhn D, et al. Peer-assisted learning (PAL): skills lab tutors’ experiences and motivation. BMC Med Educ. 2019;19:353. doi: http://dx.doi.org/10.1186/s12909-019-1760-2
19. Efimenko SA. Social portrait of medical workers of the local therapeutic service. Sotsiologiia Meditsiny. 2004;(1):15-7. (In Russ.)
20. Fung CSC, Wong CKH, Fong DYT, Lee A, Lam CLK. Having a family doctor was associated with lower utilization of hospital-based health services. BMC Health Serv Res. 2015 Jan;15:42. doi: http://dx.doi.org/10.1186/s12913-015-0705-7
21. Reshetnikov AV. Sociological research technology as a methodological basis for medical and sociological monitoring (part I). Sotsiologiia Meditsiny. 2010;(1):3-12. (In Russ.)
Information about authors:
Boyko S.L. – Candidate of Medical Sciences, associate professor, dean of the Medicopsychological Faculty, Grodno State Medical University.