Ensuring the Professional Activity of a Doctor: Analysis of the Regulatory Framework and Organizational Technologies

In recent years, in the Russian Federation, the problems of reducing public confidence in the health care system and weakening the social status of medical workers have become more acute. Ensuring the high quality of services provided does not exclude the possibility of conflict situations in the relationship between the doctor and the patient. This indicates the need for active use by medical professionals of various tools to protect their professional activities and the development of new mechanisms to increase their protection in risk areas. The purpose of this work is to analyze the current regulatory framework and organizational technologies for ensuring and protecting the professional activity of a doctor with the prospect of developing recommendations for their improvement. To achieve this goal, the following tasks were solved: the most significant risk factors for the occurrence and escalation of conflict in the "doctor - patient" relationship were identified; the current regulatory framework for ensuring and protecting the rights of medical workers was analyzed (legislation in the field of public health, labor law, civil law); the existing institutional forms and organizational technologies for ensuring and protecting the professional activities of doctors were analyzed; a sociological survey of doctors was conducted to determine the level of their ethical and legal competence, as well as their attitude to the Institute of professional liability insurance; practical recommendations were developed to improve the mechanisms for ensuring the professional interests of doctors and their legal protection. The empirical basis of this research is the data obtained from the analysis of the current legal framework of the Russian Federation, a summary analysis of scientific publications of the Internet resource "PubMed", analysis of the Internet sites of authorized bodies and public organizations, as well as data obtained from a sociological survey of questionnaire type among 100 doctors of various specialties and work experience. The main results of the study are: proposed "triad of development of conflicts" (causes, triggers, factors of development of conflicts between physician and patient); the identified mechanisms to ensure and protect the professional activities of medical personnel; obtained practically significant measurement of the level of competence of doctors in the field of protection of their labor and professional rights; the directions of prevention and settlement of conflicts between doctor and patient