HUMAN FACTOR AS THE BASIS FOR THE MEDICAL PRACTICE DEVELOPMENT

Abstract



The medical profession is one of the oldest professions in the world [3, 8]. From a wizard, shaman, healer and sorcerer -to a cardiac surgeon (heart surgeon), transplantologist, foniatrist. From the Scythian healer Aaharsisa and Avicenna from Khorezm to L.M. Roshal, R.S. Anchurin. In the time of A.P. Chekhov doctor continued to be regarded a demigod, though he used to go to the patients on a horse-drawn carriage and his bag contained primitive, in the modern context, armamentarium (tools and medicines).People have always treated the physicians in a peculiar way, they have always been valued and respected [6]. Medicine in the USSR largely inherited the importance of the human factor from the pre- Revolutionary times [3, 4]. Doctor’s qualification grew, equipment changed, pharmaceuticals improved. And the discovery of the penicillin has revolutionized the medical practice. I learned about the medicine of the fifties sixties in my native town from my great- grandmother, who had worked in the Central District Hospital for more than 40 years. The Chief physician of those years - T.I. Protasov was a war veteran, a holder of orders. The former military surgeon turned our hospital into the oasis of health and prosperity and comforts. He managed to arrange its own stable, a pig farm and a large vegetable garden. The patients always had fresh vegetables, milk and meat for dinner. They used to walk in a beautiful orchard in the shade of the trees. Timofey Ivanovich Protasov considered the idea of creating a special microclimate, among both the staff and the patients as the main thing of his work. The hospital personnel (the former war veterans) had an indisputable authority for all the citizens. At any time the common people could turn to the doctors and they always received not only the professional medical care, but participation, empathy and understanding. Since the end of the 70s, the level of the medicalethicsslightlydecreasedandtheinstitution became an ordinary infirmary (hospital). The progress changed everything. At the beginning of the 21st century, new hospitals were built, new equipment was purchased and fitted out. The ambulance garages were replenished with the new cars. But, unfortunately, progress has not affected the human factor. In his days, Avicenna said: "The doctor has three types of the weapons against the disease - the word, the root, and the knife." It is notable that the “word” comes first. Indeed, lots depend on how a doctor treats a patient [9]. In the contemporary society, we are turning into the customers and those who provide their services. With the opening of the private clinics, the majority of the population (especially in the rural areas) do not have sufficient opportunity for a full examination and treatment. The list of the basic free services has proved imperfect. As a result, people choose self-medication. Access to the medical sites on the Internet is unrestricted. The advertisements of the drugs and the methods of alternative treatment on TV is uncontrolled and intrusive. And this is a direct threat to the human health [7]. The solution of the problem lies in a powerful state policy in the sphere of public health. First of all, it is the systematic work in the medical career guidance. It is the cultivation of the realization that there is nothing more honorable than the saving of the human life. It is the understanding that it is impossible to really master the profession without the necessary education and upbringing. To become a good doctor is a vocation. A mercantile and a petty person can never show the dedication that is necessary to achieve the goals. A good doctor always knows what to say to the patient and his relatives. It is apparent, firmness is needed, but firmness and rudeness are not the same thing. If the doctor does not know how to listen and communicate, he cannot be called a good specialist [6]. The doctor must not only listen carefully, but also act. There is nothing worse than an inattentive doctor. The question is not only about the way how the doctor pays attention to the patient's complaints and his symptoms. If the doctor has a stupid habit to study the medical analysis as well as the changes in the body of his patient inattentively, it is likely that he will not be a doctor for a long time. And even if he will, it he will not be the best specialist [1]. What the personal qualities of a doctor is concerned, he should not be a pessimist. In any, even the most desperate situation, a real doctor will be able to support the patient. It has long been established that the positive attitude of the patient speeds up his recovery. Will you agree, it is difficult to be cheerful, when you are treated by a dull and depressed doctor. The real professionalism of a doctor should not be determined by the number of diplomas and certificates of the courses attended. This is the ability to apply knowledge and skills in practice and in the extreme conditions [2]. We need doctors who will empathize and understand the common human needs. I want to believe that every doctor has unsurpassed knowledge in his field of activity. If the doctor does not cease to improve in his field of activity - he is a professional in his field. Medicine is rapidly developing and transforming. Keeping up with it as well as following the nine Hippocratic commandments is also a duty of a doctor. Thanks to the decoding of the genetic code, medicine in the nearest future will be personalized. All the following achievements, that is biomaterial joints, brain implants, bio-glass cartilage, spare cells for treatment, biohacking, etc., should not coexist with the mediocre organization of labor of a medical worker in medical institutions. Medicine, as a branch of the human activity, occupies a very special place because it is interconnected with the universal human values. Compassion and the human approach are at the heart of the medical approach. The doctor is one of the noblest professions. The profession of a doctor, as A.P. Chekhov said, is an act of bravery: “It requires the purity of the soul and thoughts. You have to be clear mentally, pure morally and tidy physically". A physician must always be kind and merciful, because this work alleviates the suffering of the patient and saves him from death. He can argue and convince [5]. He appreciates himself and his work. When you leave him, you are sure that everything will be fine. To be such a doctor is difficult and responsible. Such "real" doctors constantly do their best and give their souls to their patients. Therefore, the human factor acts as the decisive tool in the development of yesterday, today and tomorrow medicine.

E I Averina

Voronezh N.N. Burdenko State Medical University

I V Belokoneva

Voronezh N.N. Burdenko State Medical University

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