[PERSONAL GROWTH AND PERCEIVED ABILITY TO WORK OF HEADS OF DEPARTMENTS OF MEDICAL ORGANIZATIONS].

INTRODUCTION: Despite the need for the heads of departments to implement the labor functions of a clinician and manager, the study of personal growth and perceived ability to work in this category of medical workers was not carried out. THE PURPOSE OF THE STUDY: determining the relationship of personal growth and perceived ability to work of heads of departments of medical organizations, as well as the impact on self-esteem of various characteristics of this category of respondents. METHODS: A correspondence survey was conducted of 216 heads of clinical departments in the section «personal growth¼ of the questionnaire «psychological well-being of Riff¼ and the questionnaire «perceived ability to work¼ of the Institute of Social Research of the University of Michigan. The personal growth index is the average score according to the statements of the 1st questionnaire. The index of ability to work is the sum of points for each of the statements of the 2nd questionnaire. The average length of service is 23.1 ± 8.60 years, the average age is 47.9 ± 8.08 years. 123 (56.9%) men, 117 (54.2%) worked in a hospital, 114 (52.8%) worked in the «red zone¼, 111 (51.4%) have a second higher education, 138 (63.89%) have a qualification category, 63 (29.1%) have an academic degree. The Spearman correlation coefficients and the Student's criterion are calculated to assess the relationship and significance of differences between indices and characteristics. RESULTS: The personal growth index is 4.89 ± 0.818, the work ability index is 33.60 ± 4.564 points. Respondents aged 41-50 have significantly (p < 0.001) lower indices. There was no significant difference between the index of personal growth and the index of ability to work in respondents of different sexes (р = 0.864 and р = 0.951), those who worked in inpatient and outpatient settings (р = 0.834 and р = 0.848); those who worked in the «red zone¼ (р = 0.727 and р = 0.775), respondents with a qualification category (р = 0.543 and р = 0.404), with an academic degree (р = 0.871 and р = 0.898), with the second highest education (р = 0.443 and р = 0.588). There is an average direct correlation of personal growth indices and perceived ability to work (r = 0.6; p < 0.001). CONCLUSION: The relationship between personal growth indices and perceived ability to work, significantly lower indices in the group of 41-50 years and over 60 years must be taken into account to ensure the professional development of department heads.

[The evaluation of polyclinic rehabilitation after prosthetic arthroplasty].

The study considers quality of assessing functioning, limitation of vital activity and patient participation in outpatient stage of rehabilitation according traumatology and orthopedics profile. The sampling included 712 out-patient records of patients with complete endoprosthesis replacement of hip (299 or 42%) and knee (413 or 58%) joints. The study analyzed application of the Haris, Leken and Rankin scales, hospital anxiety and depression scale (HADS), quality of life questionnaire (EQ-5D), recommended as mandatory examination tools in case of rehabilitation after endoprosthesis replacement. The statistical data processing was performed using software IBM SPSS Statistics version 23. It is established that Harris and Leken scales, hospital anxiety and depression scale (HADS) were not applied to any patient. The functional structural deformation of joint and/or limb with detailed elaboration of degrees and centimeters is described in 10% of medical records, but it completely matches data from hospital case records. At completion of rehabilitation cycle, 55.9% of all primary complaints are repeated in final diaries. What is regarded 39.3% of primary complaints, there is no information about their elimination. In 25.9% of patients in their final diaries the complaints are present that were not indicated after primary and subsequent examinations. The evaluation according both modified Rankin scale (13.1% of patients) and the quality of life questionnaire (EQ-5D) (6.9% of patients) was implemented only in case of referral to medical social expertise examination. The out-patient rehabilitation cycle was uncompleted in 26% of patients.