The strategic choice of organizational technologies preventing burning out of general practitioners in the system of patient-oriented medicine

The general medical practice in modernized primary health care units of Moscow medical organizations by its generalized statistical indicators takes the leading place in rating of health care organizations of the Subjects of the Russian Federation. The research study revealed problems in achieving target indicator - level of patient satisfaction with quality of medical care provided by general practitioners/family doctors made up to 54.3%. One of the causes was higher degree of physician burnout (34.1%). To elaborate efficient prevention program,a set of organizational technologies to prevent burnout was developed and tested. The purpose of the study was approbation of developed organizational technologies preventing burnout of general practitioners in the pilot project. The methodology of pairwise survey permitting to simultaneously obtain answers of respondents - patients and general practitioners - to objectify results of the study, characterizing factors under study at fixed period of time - the last 12 months. The sociological survey was applied on the basis of two international questionnaires - EUROPEP (to study patient satisfaction) and COSPOQ III to evaluate psycho-social state of general practitioners). The developed organizational technologies of burnout prevention permitted to increase index of patients' satisfaction with medical care up to 30.33%, and cumulative efficiency on blocks of questionnaire up to 26.97%. Conclusion. The efficiency of preventive measures reached 27.28%.