Typology of predictors of limitations to professionalization of physicians over working age in national health systems

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Abstract

For modern national healthcare systems, the problem of personnel crisis and shortage of medical personnel is relevant. In recent decades, the professional activities of physicians in healthcare systems have become more complex. Social requirements for physicians are increasing, regulation of professional activities of physicians is becoming more and more rigid, and responsibility is increasing. However, the topic of professionalization of physicians of older working age in modern health care systems has so far remained on the periphery of research interests.

The study aims to typologize the limitations of the professionalization of doctors over working age in modern healthcare systems.

Due to the trend of demographic shift common to developed countries and the increase in the age range of professional life of the population in national health care systems, there is an increase in the number of working doctors of pre-retirement and retirement age. Physicians over working age of various medical specialties often face age-related problems of professional life, deteriorating health, and cognitive problems.

The typology developed by the authors examines 2 groups of predictors of restrictions on the professionalization of doctors over working age: institutional (legislative decisions defining age restrictions on professional activity, conditions of professional activity, relationships in the team and with patients) and individual-personal (gender and age characteristics of doctors, somatic, cognitive and professional deprivation, psycho-emotional stress, financial ability to complete work, desire to change lifestyle and family circumstances).

In the conditions of deficit and suboptimal structure of medical personnel in the Russian health care system, prolongation of effective professionalization of doctors is discussed as one of the directions of overcoming the personnel crisis. The development and adoption of managerial decisions aimed at overcoming the limitations of professionalization of doctors older than working age seems relevant. In this regard, the typology of predictors of the limitations of professionalization of physicians over working age is an important theoretical and applied task.

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About the authors

Irina L. Krom

Saratov State Medical University named after V.I. Razumovsky

Author for correspondence.
Email: irina.crom@yandex.ru
ORCID iD: 0000-0003-1355-5163
SPIN-code: 4854-1094

MD, Dr. Sci. (Medicine), Professor

Russian Federation, Saratov

Maria D. Sapogova

Saratov State Medical University named after V.I. Razumovsky

Email: maria.sapogova@mail.ru
ORCID iD: 0000-0001-6495-9884
SPIN-code: 2289-3152
Russian Federation, Saratov

Anastasia A. Rebrova

Saratov State Medical University named after V.I. Razumovsky

Email: rebrova_a@list.ru
ORCID iD: 0009-0004-7250-9567
SPIN-code: 9844-4578
Russian Federation, Saratov

Maria М. Orlova

Saratov State University

Email: orlova-maria2010@mail.ru
ORCID iD: 0000-0003-2340-8343
SPIN-code: 1399-9666

Cand. Sci. (Psychology), Assoc. Professor

Russian Federation, Saratov

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