The Role of the Doctor in the System of Social Protection of Russian Citizens

Abstract

The effectiveness of medicine as a social institution depends, among other things, on the social status of the doctor, which determines the place of his personality in the system of social relations and the set of certain social functions. At present, the role of a doctor in society is constantly changing in connection with changes in both society and healthcare. The patient became a consumer of medical services, the doctor - their supplier, which put the patient and the doctor in the framework of market relations. The result was a lack of confidence in the healthcare system in the society, which is associated with an increase in the expectations and requests of the population for the quality of medical services and the reluctance of people to contact medical facilities without extreme necessity. Only the motivation of the doctor to provide high-quality medical care, high-quality medical management and the allocation of paid time for the doctor to his own education will help to change the situation. As the burden on the doctor grows every year, and his social role becomes more and more important for the population. The article deals with the role of a doctor in the social protection of citizens. The main link in the social protection of patients in medical organizations is the medical commissions. A large amount of work of the medical commission is not taken into account in the burden of doctors and in the payment of their labor. The purpose of the presented study was to study the scope, dynamics and peculiarities of the work of the medical commission to determine the patients' need for prolongation of leaflets of disability, referral to medical and social expertise, and other health-related problems. One of the main conclusions reached by the researchers: taking into account the increase in the contingent of citizens of the older age group, it is necessary to adapt the work of expert services to the needs of older people in expert assistance, by amending the normative acts and including the necessary specialists in the expert commissions.