Vol 14, No 2 (2015)

The article presents the results of complex sociological survey carried out within the framework of research study under order of the Federal fund of mandatory medical insurance in April-June 2014. The article includes analysis of main directions, themes and approaches to realization of questionnaire surveys of medical workers in 2009-2014. The analysis of results of sociological questionnaire survey of medical workers concerning their informativeness and satisfaction of changes in health care system and mandatory medical insurance.

The article discovers controversies containing in definition of notion “medical error”. The most prevalent errors committed by physicians and patients are considered. The social and legal issues of committing medical errors are analyzed.

In the Russian Federation more than 40 medical organizations successfully implemented principles of quality management into their common activities. One of the major conditions of successful functioning of system of quality management is involvement of personnel as a main resource of organization and major section in support of activity quality. The sociological survey covered 312 principal workers if the research institute of complex problems of cardiovascular diseases in 2012 and 311 individuals in 2014. It is established that most of the workers saw no effect of implementation of system of quality management. At that, the percentage of workers complaining that system complicated their job diminished reliably. The percentage of positive responses concerning usefulness of implementation of system decreased from 36.3% in 2012 to 32.5% in 2014 (p=0.31). The analysis of responses of 2014 established that the greatest positive effect from implementation of system of quality management was marked by executive personnel and minimal by junior medical personnel and “research worker-physician”. The system of management is obscure to the most of junior personnel and in less degree to executive personnel. The degree of involvement of personnel determines effectiveness of any modern management system. At the initial stage of implementation of system of quality management the opposition of personnel is inevitable which requires from administration patience and commitment to principles of quality, widespread application of educational programs and moral and material reward for achievements in quality area. The application of sociological approach in evaluation of opinions of staff will permit distinguishing problems and to formulate priority tasks for their step-by-step elimination.

The results of study of summing up of implementation of managerial solutions concerning optimization of regular personnel and intensity of work of nursing staff. The information was obtained by using timekeeping of intensity of work of paramedical personnel of admitting office of typical multifield hospital of the budget sector of health care. The objective necessity was marked concerning rationalization alterations in organization of activity and positioning of medical personnel of admitting office of medical organizations of this type subject to peak periods of patient flow and related intensity of working activity and workload of personnel during full day and working week.

The article presents the results of comparative analysis of actual system of rehabilitation of the disabled with stoma in Russia and approved sociological model of innovative management of social rehabilitation of this contingent of patients. The indicators of quality oflife of the disabled with stoma are the best criteria of evaluation of effectiveness of one or another management model and substantiated by facts. These indicators are estimated on the basis of the International classification of functioning directly determining effectiveness of social rehabilitation of the disabled. The mentioned criteria permit, after implementation of rehabilitation measures, to evaluate adaptation of the disabled with stoma to habitual conditions of life and establish degree of one's reintegration into society since they provide the most accurate estimate of conditions of such main functions of human life activity as physical, psychic, social and spiritual. The analysis demonstrated that amelioration of quality of life of the disabled with stoma and their accelerated come back to working and active life activities is conditioned by amelioration of most of the indicators of quality of life: physical functioning, role physical functioning, common health, social functioning; role emotional functioning, psychic health. It is marked that on the basis of developed and approved model of innovative management of social rehabilitation applied at the earliest period of rehabilitation process the reintegration of the disabled with stoma into socium is possible.

The study was carried out concerning management of carrier of medical staff in medical organizations. The anonymous questionnaire survey was implemented. The sampling consisted of 285 health professionals. The data was collected in 51 medical organizations related to development of documents of management of carrier. The analysis was applied to implementation of principles of management of carrier, conditions of its planning, ratio of roles of subjects of management, its document registration. The characteristic of formation of human resources reserve. It is established that management of carrier of medical staff in medical organizations requires optimization.