Aitmanbetova A.A., Shahiyeva A.M., Nyrbakyt A.N.

Kazakh National Medical University, Almaty, Kazakhstan.

Social and medical assessment of status

of the General Practice Doctor

It is known that social value of being doctor is historical spiritual basis and authority of humane medicine. However, with the beginning of crisis the socio-economicproblems andprofessional, moral duties of medical staff worsened in the market economy. In our investigation we explored the questions of social protection, searching reserves that will reduce labor and economic loss, learning lifestyle, protection of health and labor of medical staff and general doctors.

To achieve our tasks we used modern methods of scientific research: sociological, analytical, statistical, content analysis and historical. Special forms of interview were prepared and handed around. 110 general doctors of Almaty city polyclinic were being involved in this social interview. As a result we had got information about doctors’ experience of changing specialization, upgrade of qualification their working conditions, health, lifestyle, financial situation and plans for the future.

According to doctors’ meanings the government protects only 8.7% of specialists another 91.3% don’t feel it. GD said that there are a lot of problems among outstanding problems of government including 92.7 % of low salary, 43.6% oflegal and professional insecurity, 32.2% of unsecured old age, 23.7% of outstanding apartment problems, 23.1% of less places of rest and treatment, 22% of no benefits. The level of financial situation of doctor affects to the value of social and legal supports by the side of the government, the less financial situation the worse the value.

As it is known, future perspectives of the job affect to the professional adaptation. The prestige isn’t the main motive however it plays its role in choosing job. Devotion to medicine was founded in the period of choosing medical profession. More than 60 % of people chose medical profession because they liked it and were confident in their decisions. Nevertheless some of them, about 20.3%, hesitated when choosing the profession, 10.4% of doctors disappointed in their job, but insist of loosing job, 1.4% disappointed, and wants to quit, 7.9%- were hesitating in choosing the answer. 34.1% of specialists chose this profession to get medical education, 18.6%- wanted social vocation, high authority, 15,2% thought their profession to be stable and reliable, 11.4% linked to the romantic idea of serving people, 9.5% chose as a family profession, 8.6% of them were suggested by friends parents relatives, 1.6% had an opportunity to enter medical school, 1.1% chose this profession because of less medical staff in their region. Despite the doubts and disappointments in choosing a profession more than half of the respondents (51.7% ) said that they would choose this profession again, 17.4%- would choose this profession but another specialty, 15.1%- would choose this profession but would prefer to work in the other country, 15.8%- wouldn’t choose this profession.

Five-point scale assessment of performance side of doctors’ life was used for analysis of their life value. The 4.8 point was given to the doctors’ answer about importance of good conditions to save and protect the family and health. The second place took the answer about having an interesting and independent job (4.5 point). On the third place is the answer about satisfying financial situation (4.4 point). The answer about having an opportunity in development and job growth took the fourth place, satisfying with the spiritual needs took 5^th place, satisfying with good conditions of having a rest 6^th place. Hard to understand why ambitions to social vocation or authority took the last place. According to the answers of importance of life planes for the nearest future, the most important one was demand to make better financial situation. Solving problems, related with the kids and other members of the family took the second place in our survey. The problem with the chronic diseases among the doctors explains their answer to have a rest and get the medical treatment in the sanatoriums.

The conception related with the high status of doctor in the society was fully examined in our research. 40.4% of doctors, ignoring the aspect of high financial situation were giving the answers about the importance of the doctors’ role and respect among the population. 21.7% of specialists related high status of the doctor with financial situation, 18%- related high status of the doctor with high moral and ethnic qualities. 15.3% is social and legal protection, 4.6% is having high spiritual value.

In conclusion we must point that achievement of professional authority is difficult for doctor without the government support.