from 01.09.2008 until now
Ural State Medical University (Department of Therapeutic Dentistry and Propaedeutics of Dental Diseases, Associate Professor of the Department)
Ekaterinburg, Ekaterinburg, Russian Federation
Dental Clinic No. 12 (treatment-and-prophylactic department No. 2, dentist)
Yekaterinburg, Ekaterinburg, Russian Federation
Yekaterinburg, Ekaterinburg, Russian Federation
UDK 616 Патология. Клиническая медицина
The reason for psychosocial discomfort in medical organizations were the processes taking place in the social environment, the legislative framework, the transfer of medical institutions to new operating conditions, increasing requirements for the safety and quality of medical services, digitalization of the healthcare sector, the introduction of "smart technologies" aimed at improving the quality of life of the population. Healthcare organizers and medical workers are not always ready to carry out organizational and psychological changes, and in order to optimize the processes of digitalization, it is necessary to identify the psychological causes of organizational resistance and cross-counseling workers to overcome difficulties in interpersonal relationships. The subject of the study is the interaction of actors (initiator, creator, agent and addressee) in the process of organizational and psychological changes during the reorganization of the dental service. The relevance of this study is due to the need to study the process of development of psychological changes during the reorganization of dental institutions during the period of digitalization of medical organization employees. The purpose of the study is to develop the concept of organizational and psychological determinants integrating organizational, group (subdivision) and individual psychological levels during the period of organizational changes during the introduction of digitalization of a medical institution. Methodology. The general scientific methodology of the study was determined by the following principles of consideration of complex social objects: consistency, determinism, unity of consciousness and activity, development. We relied on the general psychological theory of activity the concept of the development of professionalism and the image of the professional world. The study used methodological and theoretical foundations for the analysis of labor activity, the concept of group training, the theory of planned and phased formation of actions. Conclusions. An effective cross-consulting system for digitalization in a dental organization should include the following subsystems: 1) Psychological counseling and support of actors (initiators and social groups (groups of medical workers) involved in the process of digitalization of dental care and interacting with each other; 2) A set of factors affecting the digitalization of the dental service, affecting the activity of medical workers at the organizational, group (subdivision) and individual psychological levels; 3) Formation of professionalism of employees using regulatory, cognitive, communicative and performing components.
clinical psychology, cross-counseling, digitalization in healthcare, psychosocial process, stress management
1. Rubinstein S.L. Fundamentals of general psychology. In 2 volumes. Moscow : Pedagogy. 1989:488. http://elib.gnpbu.ru/text/rubinshteyn_osnovy-obschey-psihologii_t2_1989/
2. Klimov E.A. Psychology of a professional. Moscow : Publishing house "Institute of Practical Psychology" ; Voronezh : NGO "MO-DEK". 1996:400. https://studfile.net/preview/7110973/
3. Ivanova E.M. Fundamentals of psychological study of professional activity. Moscow : Publishing House of Moscow State University. 1987:207. https://klex.ru/12yz
4. Karabanova O.R. Methodological and theoretical foundations of the study of the general psychological theory of activity. Young scientist. 2018;50(236):338-342. https://moluch.ru/archive/236/54819 /
5. Bolotova A.K., Zhukov Yu.M. Psychology of communications. Moscow : Publishing House of the Higher School of Economics. 2015:495. https://id.hse.ru/data/2015/12/04/1081716143/%D0%91%D0%BE%D0%BB%D0%BE%D1%82%D0%BE%D0%B2%D0%B0-%D0%96%D1%83%D0%BA%D0%BE%D0%B2-%D1%81%D0%B0%D0%B9%D1%82.pdf.
6. Galperin P.Ya. The main results of research on the problem of "Formation of mental actions and concepts". Moscow : Publishing House of Moscow State University. 1965:49. https://psychlib.ru/inc/absid.php?absid=163317.
7. Mescon A., Albert M., Khedouri F. Fundamentals of Management: translated from English. Moscow : Delo. 2016:493. https://studylib.ru/doc/6235097/meskon--osnovy-menedzhmenta.
8. Chernavsky A.F., Rusakova I.V., Bichun A.B. Guidelines for risk reduction and quality improvement in the provision of dental care in medical organizations in the conditions of municipal education (ELECTRONIC VERSION). Yekaterinburg. 2019:115. https://search.rsl.ru/ru/record/01009941902.
9. Fry E., Schulte F. Death by a Thousand Clicks: Where Electronic Health Records Went Wrong // Fortune. - 2019. http://fortune.com/longform/medical-records/
10. Super D.E. Vocational adjustment: Implementing a self-concept // Occupations. - 1951;30:88-92. https://psycnet.apa.org/record/1952-02800-001
11. Elovikova T.M., Fomin A.Yu., Chernavsky M.A., Chernavsky A.F. Digitalization as a resource for improving the availability and quality of medical care on the example of UIA "SP No. 12" // Problems of dentistry. - 2020;3:159-166. https://doi.org/10.18481/2077-7566-2020-16-3-159-166.
12. Chernavsky A.F., Petrov I.A., Gavrilova A.S., Chernavsky M.A. Empirical study of stress resistance in medical workers in the conditions of a municipal dental institution // Problems of dentistry. - 2016;12(3):107-112. https://www.elibrary.ru/item.asp?id=26717422
13. Digitalization of healthcare: from investments to saved lives. https://roscongress.org/news/tsifrovizatsija-zdravoohranenija-ot-vlozhenij-k-spasennym-zhiznjam
14. Josephine McKenna B.A. The e-health revolution // European Heart Journal. - 2017;38(7):468-469. https://doi.org/10.1093/eurheartj/ehx019.
15. Fetiskin N.P., Kozlov V.V., Manuilov G.M. Socio-psychological diagnostics of personality development and small groups. Moscow : Publishing House of the Institute of Psychotherapy. 2002:490. https://doi.org/10.1051/e3sconf/202021018076
16. Shane E.G. organizational culture and leadership. Textbook. 3rd ed. St. petersburg : Peter. 2008:336. http://www.untag-smd.ac.id/files/Perpustakaan_Digital_2/ORGANIZATIONAL%20CULTURE%20Organizational%20Culture%20and%20Leadership,%203rd%20Edition.pdf
17. PCRS (Personal change readiness survey), translated and adapted by N. A. Bazhanov and G. L. Bardier. https://ambiguity.ucoz.ru/index/0-8
18. Levin K. Feldtheorie in den Sozialwissenschaften. Ausgewählte theoretische Schriften (hrsg. Von Dorwin Cartwright). Bern und Stuttgart : Verlag Hans Huber. 1963:395. https://www.booklooker.de/B%C3%BCcher/Neuware/isbn=9783456850764?zid=9dvh15r6pu11nr9pb7q4pfdh4k
19. Terekhova T.A. Professional psychodiagnostics. Textbook. Ministry of Education and Science of the Russian Federation, Baikal State University of Economics and Law. Irkutsk : Publishing house of BSUEP. 2012:347. https://search.rsl.ru/ru/record/01005511851
