Kontakt 2008, 10(2):427-434 | DOI: 10.32725/kont.2008.063

Measures aimed at personnel stabilization in the field of advisory medicineHealth and Social Sciences

Libuše Čeledová^*, Rostislav Čevela

Ministerstvo práce a sociálních věcí ČR, odbor posudkové služby

The intention of the authors was to propose measures aimed at providing the personnel stabilization in the field of advisory medicine, where the personnel is permanently undersized and it is necessary to consider that the impact of the activity of medical advisors on the national budget is of the order of magnitude of several tens of milliard CZK annually. The work was based on an examination carried out by the company Factum Invenio for the Ministry of Labour and Social Affairs, which provided information on opinions of medical advisors and expert medical public concerning the activity of the medical advisory service. The examination named "Opinions of medical advisors concerning the topic of their work" was carried out by the technique of standardized controlled telephonic interviews in a sample of 348 respondents - medical advisors. The second examination named "Opinions of physicians concerning the activity of the medical advisory service" was carried out by the technique of standardized controlled telephonic interviews in a sample of 500 respondents - physicians. The respondents were chosen by a method of quota-based selection according to the physician specialty (practitioner, paediatrician, specialist at an outpatient department and physician in a hospital), and region. The data from both examinations were processed and evaluated with the use of the SPSS statistical software. The third examination named "Opinions of lay public concerning the activity of the medical advisory service" was implemented by the technique of standardized controlled personal interviews in a group of 500 respondents having personal experience with approaches of medical advisors, which means that they contacted them in association with their health situation or in association with the health situation of a closely related person. Of the total number of 500 interviews, 101 ones were arranged in rehabilitation facilities Kladruby and Hrabyně. The SPSS statistical software was employed for processing of data accumulated in completed, controlled and encoded questionnaires. All the three studies comprise the main facts reflecting the most important trends associated with the problem investigated. The most important ones include addressing of younger age categories when searching for those, who are interested in the field of advisory medicine and furthermore making the branch more attractive by a reduction in the administrative work and enhancement of the financial appraisal and also interconnection of the activity of medical advisors with clinical medicine.

Keywords: medical advisory service; personnel stabilization; examination based on questionnaires; Ministry of Labour and Social Affairs of the Czech Republic

Received: October 17, 2008; Accepted: November 14, 2008; Prepublished online: December 17, 2008; Published: December 17, 2009  Show citation