FACTORS DETERMINING THE COMMITMENT OF MEDICAL STAFF
TO NON-STATE OUTPATIENT’S CLINICS 

Volnukhin Artem Vital'evich, Candidate of medical sciences, assistant, sub-department of family medicine, Institute of Vocational Education, I. M. Sechenov First Moscow State Medical University (8 Trubetskaya street, Moscow, Russia), Volnuhin81@gmail.com

 614.2

 0.21685/2072-3032-2017-1-12

Background. Staff turnover is an actual problem of non-state outpatient’s clinics. The aim of the study is to evaluate the factors affecting the risk of dismissal of medical personnel of non-state networks of clinics.
Materials and methods. The survey of medical personnel (n = 241) and managers (n = 46) working for a network of non-state clinics.
Results. A high turnover of staff has been established in the network of non-state clinics (the average length of service – 1,5 ± 2,1 years; 47.7 % working less than 1 year), and it has also been revealed that a significant percentage of respondents – 15.7 % are at risk of dismissal. The analysis has showed that the main factors that threaten dismissal of medical personnel, relate to such human resource management functions as activation of human resources, training and development. It has been found that managers pay insufficient attention to human resources management and underestimate its importance. Based on the analysis, the author has developed a complex organizational decisions: involvement of medical staff medical care quality control; an intraorganizational system of continuous professional development; a tangible and intangible incentives system; an intraorganizational system of career advancement.
Conclusions. To reduce the turnover of medical personnel in private clinics and to increase their commitment to the organizations and the efficiency of management top managers should pay more attention to working with human resources.

continuous professional development, motivation, career development, human resource management.

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