The motivation of participants of the "Zemstvo doctor" program in the Tyumen oblast and evaluation of their satisfaction with conditions of work and life in rural territory

Abstract

The article presents the results of the second stage of the study of the motivation of participants of the "Zemstvo Doctor" program, working in medical organizations in rural municipal districts of the Tyumen region (without okrugs) and the evaluation of their satisfaction with labor and living conditions. The sociological questionnaire survey was carried out in 2016-2017 with purpose of evaluating effectiveness of the "Zemstvo Doctor" program and the risks of medical personnel support of rural health care system. During the first stage of study, participants of the program in Tyumen municipal district were interviewed and the results were published. While analyzing the reasons of dismissal from previous job and moving to countryside for employment, the main motives of participating in the "Zemstvo Doctor" program were identified. The analysis of satisfaction with conditions of program implementation, as well as social, labor and living conditions in rural areas was implemented. The results made possible to assess the risks associated with medical personnel support of health organizations, both in process of implementing the program, and after completion of a five-year period, which the specialist must work for. The implemented analysis permitted to reveal factors of labor motivation and satisfaction with living conditions in rural areas. In general, the participants of program are satisfied both with its availability and conditions of its implementation. The results of the research can be used by the authorities in managerial decision making related to organization of conditions for attraction and keeping specialists in rural areas.