Abstract

The reason for psychosocial discomfort in medical organizations were the processes taking place in the social environment, the legislative framework, the transfer of medical institutions to new operating conditions, increasing requirements for the safety and quality of medical services, digitalization of the healthcare sector, the introduction of "smart technologies" aimed at improving the quality of life of the population. Healthcare organizers and medical workers are not always ready to carry out organizational and psychological changes, and in order to optimize the processes of digitalization, it is necessary to identify the psychological causes of organizational resistance and cross-counseling workers to overcome difficulties in interpersonal relationships. 
 The subject of the study is the interaction of actors (initiator, creator, agent and addressee) in the process of organizational and psychological changes during the reorganization of the dental service.
 The relevance of this study is due to the need to study the process of development of psychological changes during the reorganization of dental institutions during the period of digitalization of medical organization employees.
 The purpose of the study is to develop the concept of organizational and psychological determinants integrating organizational, group (subdivision) and individual psychological levels during the period of organizational changes during the introduction of digitalization of a medical institution.
 Methodology. The general scientific methodology of the study was determined by the following principles of consideration of complex social objects: consistency, determinism, unity of consciousness and activity, development.
 We relied on the general psychological theory of activity the concept of the development of professionalism and the image of the professional world. The study used methodological and theoretical foundations for the analysis of labor activity, the concept of group training, the theory of planned and phased formation of actions.
 Conclusions. An effective cross-consulting system for digitalization in a dental organization should include the following subsystems:
 1) Psychological counseling and support of actors (initiators and social groups (groups of medical workers) involved in the process of digitalization of dental care and interacting with each other;
 2) A set of factors affecting the digitalization of the dental service, affecting the activity of medical workers at the organizational, group (subdivision) and individual psychological levels;
 3) Formation of professionalism of employees using regulatory, cognitive, communicative and performing components.

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