title: [The means to enhance the quality and effectiveness of work of local physicians and general practitioners].
abstract: The content and labor of organization of 27 local physicians and 19 general practioners was studied within the time period of 355 days (2307 hours) using the photo time-sheet technique. The study was held from 2005 to 2006 in three cities and five rural districts of the Republic of Dagestan. It is revealed that the shortcomings leading to the shortage in finding time for implementation of basic professional functions are common in labor organization of local physicians and general practitioners. To the curative diagnostic and preventive activities the general practioners allocate only 40.5% of working hours and general practitioners even less - 35.5%. With that the time cost of formalization of medical documentation is too overwhelming (31.1-38.2%) and other time spending is considerable as well. In the structure of population visiting the general practioners and local physicians according the classes of diseases first place is for the diseases of respiratory system (29 and 35.6% respectively), second place is for the diseases of circulatory system (18 and 20.6%) and third place is for the diseases of musculoskeletal system (7.7 and 9.8%). On basis of research data the guidelines and proposals are developed concerning the enhancement of quality and effectiveness of professional activities of local physicians and general practitioners.
authors: L S
authors: LS
authors: Agalarova
mesh_terms: D003610:Dagestan; D003695:Delivery of Health Care / Q000592:standards*; D005194:Family Practice / Q000592:standards*; D017408:Guidelines as Topic; D006801:Humans; D010821:Physicians, Family / Q000458:organization & administration*; D011320:Primary Health Care / Q000592:standards*; D014938:Work Capacity Evaluation