A MEDICAL AND SOCIOLOGICAL STUDY AMONG DOCTORS ON THE MOTIVATIONAL COMPONENT OF ENSURING THE QUALITY OF MEDICAL CARE IN HEALTH CARE FACILITIES.

Abstract

Aim: To analyze the impact of medical reform on the motivational component of improving the quality of medical care in health care facilities in Sumy based on the results of a medical and sociological study of doctors. Materials and Methods: The study involved 154 doctors working in inpatient and outpatient departments of health care facilities in Sumy. Sumy in June-August 2023. The study used a systematic approach, bibliosemantic, comparative and statistical analysis, and logical generalization. The data were processed and statistically analyzed using Google Forms and Microsoft Excel 2010 for Windows. Results: The study showed that 49 respondents (31.8%) are satisfied with the material and technical support at the workplace and working conditions. Almost all doctors (138 people (89.6%)) said that the actual amount of their salary does not correspond (partially or fully) to the workload at the workplace. Only 4.5% of them said that they receive extra payments for the quality of healthcare services, 21.4% of them said that they receive extra payments periodically, and 74.1% said that they do not receive extra payments at all. Despite the high level of workload and dissatisfaction with salaries, the majority of respondents (109 people (70.2%)) would not agree to change their profession to another one, even if the salary was higher. According to doctors, the most important incentives for improving the quality of healthcare services are: moral satisfaction from work and well-coordinated teamwork (76.6% of answers), financial incentives (74.7% of answers), opportunities for professional and career growth (48.7% of answers), respect from patients and society (46.8% of answers), and management recognition (13.6% of answers). Conclusions: The study has shown that today, in the context of health care system reform, there is practically no effective motivational component to improve the quality of health care in health care facilities in Sumy: 40.9% of people gave negative answers, 42.2% of people indicated only its partial existence. Regardless of the length of service, for all respondents, one of the most important motivational incentives is not only material but also moral factors and public recognition.