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The Analysis of Working Load of General Practitioners in the Republic of Kazakhstan


Affiliations
1 Department of Public Health, Karaganda State Medical University, 36 Gogol Street, Karaganda city, 100008, Kazakhstan
2 Department of Phtiziology, Astana Medical University, 49 Beibitshilik Str., Astana City, 010000, Kazakhstan
3 Republican Center for Health Development, Ministry of Health of the Republic of Kazakhstan, 8 Entrance 18В Mangylik, Astana City, 010000, Kazakhstan
4 Department of General Practice No. 3, Nursing with a Course of Neurosurgery, Karaganda State Medical University, 40 Gogol str., Karaganda city, 100008, Kazakhstan
5 Department of Pathology, Karaganda State Medical University, 40 Gogol Str., Karaganda city, 100008, Kazakhstan
     

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The article provides results of a chronometric analysis of patients a polyclinic in Kazakhstan, as well as of and analysis and study of the working hours spent by doctors for accomplishment of various labor transactions. The statistical analysis defined the basic factors influencing the duration of reception of patients by general practitioners (GP) doctors. They are: the communicative factor, operating procedures, and document processing. The basic factors influencing the duration of patient reception by GP doctors are the communicative factor or Component 1 (r=0.805), operational procedures or Component 2 (r=0.736), and documentation processing or Component 3 (r=0.528). The forecast of data reception time (by GP doctors), depending on the availability of technical work, the documentation showed us that generally three factors (technical work, internal documentation, and additional procedures) have a very significant effect on the dependent variable (patient reception). It turns out that the time spent for additional inspection of patients, contributes to a more rapid and faithful inspection of results and reduced the patient reception time, on the other hand the presence of technical work and documentation processing helps increase the time of reception be a GP doctor.

Keywords

Patient, Disease, Dispensary Observation, Reception Time, Population.
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  • Turumbetova TB, Mussina, GA, Kabdullina MM. (eds). Methods of planning, forecasting of health care personnel resources: Methodological recommendations. Astana: Republican Center for Healthcare Development, 2015; pp. 6.

  • Popovich VK, Shikina IB, Turchiyev AG, Baklanova TN. The role of medical shots at the implementation of the policy in the field of medical care quality. Soc Asp Publ Health 2011; 1(17). Available from: URL: http://vestnik.mednet.ru/content/view/270/30/lang/ru/

  • Koykov VV. Modern approaches to the problems solution of personnel security in the field of healthcare. Proceedings of the World Anti-Crisis Conference II, the communicative platform GGlobal, 2013 Nov 9; Astana, Kazakhstan.

  • Glukhova EA, Potemkin EL. Analytical system of complex assessment of workforce capacity of the scientific medical organization. Soc Asp Publ Health 2012; 4(26). Available from: URL: http://vestnik.mednet.ru/content/view/425/30/lang/ru/

  • Lukichyova LI. Human resource management: the manual. Omega-L, Moscow, 6th ed. 2011.

  • Maslov EV. Human resource management of the enterprise: the manual. INFRA-M, Moscow – Novosibirsk. 2000.

  • Shipova VM. Rationing of work of nursing staff and medical attendants. Chief Nurse 2008; 8:37-59.

  • Technique of development of norms of time and load of medical personnel: the methodological instructions. Central Scientific Research Institute of Health Organization and Informatization under the Ministry of Health of the Russian Federation. CSRIHO, Moscow. 2013. Available from: URL: http://fillingform.ru/turizm/57054/index.html

  • Shipova VM. Rationing of work in health care: the lectures. Central Scientific Research Institute of Health Organization and Informatization under the Ministry of Health of the Russian Federation, Moscow. 2013.

  • Shipova VM, Eldasheva SA, Abayev ZM, Logina NYu. Methodical recommendations about the organization of work rationing in healthcare. Central Scientific Research Institute of Health Organization and Informatization under the Ministry of Health of the Russian Federation, Moscow. 2004.

  • Son IM, Shipov VM, Ivanov MA, Armashevskaya OV, Bantyeva MN, Sokolovskaya TA, Gazheva AV, Leonov SA. Labor rating of doctors of outpatient appointment when rendering primary medical care. Healthcare 2014; 7: 76-85.

  • Popovich VK, Shikina IB, Turchiyev AG, Baklanova TN. Role of human health resources in realization of the policy of medical care quality. Social aspects of population health. 2011; 1(17). Available from: URL: http://vestnik.mednet.ru/content/view/270/30/lang/ru/

  • Grol R, Mokkink H, Smits A, et al. Workload and job satisfaction of general practitioners and the quality of patient care. Fam Pract 1985; 2: 128-35.

  • Dugdale, DC, Enstein R, Pantilat SZ. Time and Relations: Patient– Doctor. J Gen Intern Med 1999; 14 (Suppl 1): pp. 34-40. DOI: 10,1046 / j.1525-1497.1999. 00263.x

  • Department of Health of the United Kingdom. The new NHS: Modern, Dependable. Presented to Parliament by the Secretary of State for Health by Command of Her Majesty, December 1997.

  • The Stationery Office; London. 1998. Available from: URL: https://www.gov.uk/government/uploads/system/uploads/attachme nt_data/file/266003/newnhs.pdf

  • Son IM, Shipov VM, Ivanov MA, Armashevskaya OV, Sokolovskaya TA. Calculation of working hours of cardiologists, endocrinologists and stomatologists-therapists. Healthcare 2016; 3: 76-79.

  • Ivanova MA. Work rationing is one of optimization ways of medical care patient quality. Soc Asp Publ Health 2007; 4(4). Available from: URL: http://vestnik.mednet.ru/content/view/42/30/lang/ru/

  • About the Statement of Standard States and Regular Standards of the Organizations of Healthcare. The order of the Ministry of Health care of Republic of Kazakhstan No. 238; 2010 July 4, 2010.

  • World Health Organization (WHO), The World Health Report 2008 - Primary Health Care (Now More Than Ever). 2008. Available from: URL: http://www.who.int/whr/2008/en/

  • World Health Organization (WHO). The World Health Report 2002., Geneva, 2002. Available from: URL: http://www.who.int/whr/2002/en/

  • Chudnov VP. The organization of primary health care at the municipal level in modern conditions. PhD. diss. Moscow, 2005.

  • The State Program of Healthcare Development of the Republic of Kazakhstan "Densaulyk" for 2016-2019. Decree of the President of the Republic of Kazakhstan No.176; 2016 Jan 15, 2016.

  • Rosta J, Aasland OG. Doctors’ working hours and time spent on patient care in the period 1994–2014. Tidsskr Nor Legeforen 2016; 136:1355-1359. DOI: 10.4045/tidsskr.16.0011


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  • The Analysis of Working Load of General Practitioners in the Republic of Kazakhstan

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Authors

Aigul Mergentay
Department of Public Health, Karaganda State Medical University, 36 Gogol Street, Karaganda city, 100008, Kazakhstan
Dusentay B. Kulov
Department of Public Health, Karaganda State Medical University, 36 Gogol Street, Karaganda city, 100008, Kazakhstan
Gulbadan S. Bekembayeva
Department of Phtiziology, Astana Medical University, 49 Beibitshilik Str., Astana City, 010000, Kazakhstan
Vitaliy Koikov
Republican Center for Health Development, Ministry of Health of the Republic of Kazakhstan, 8 Entrance 18В Mangylik, Astana City, 010000, Kazakhstan
Baurjan Omarkulov
Department of General Practice No. 3, Nursing with a Course of Neurosurgery, Karaganda State Medical University, 40 Gogol str., Karaganda city, 100008, Kazakhstan
Saule A. Mussabekova
Department of Pathology, Karaganda State Medical University, 40 Gogol Str., Karaganda city, 100008, Kazakhstan

Abstract


The article provides results of a chronometric analysis of patients a polyclinic in Kazakhstan, as well as of and analysis and study of the working hours spent by doctors for accomplishment of various labor transactions. The statistical analysis defined the basic factors influencing the duration of reception of patients by general practitioners (GP) doctors. They are: the communicative factor, operating procedures, and document processing. The basic factors influencing the duration of patient reception by GP doctors are the communicative factor or Component 1 (r=0.805), operational procedures or Component 2 (r=0.736), and documentation processing or Component 3 (r=0.528). The forecast of data reception time (by GP doctors), depending on the availability of technical work, the documentation showed us that generally three factors (technical work, internal documentation, and additional procedures) have a very significant effect on the dependent variable (patient reception). It turns out that the time spent for additional inspection of patients, contributes to a more rapid and faithful inspection of results and reduced the patient reception time, on the other hand the presence of technical work and documentation processing helps increase the time of reception be a GP doctor.

Keywords


Patient, Disease, Dispensary Observation, Reception Time, Population.

References