To the content
3 . 2022

The role of a psychologist in the health care system: analysis of doctors’ opinions

Abstract

The article is devoted to the problem of determining the role of a psychologist in a complex and complex structure of a modern medical institution. The authors have considered the basic aspects and offered some developments in such important directions as: integration of the psychologist into the existing system of the healthcare, prevention of the burnout phenomenon among the doctors and medical workers as well as increasing of the communicative competence as a task of the additional psychological education in medicine. The data of the research of 600 doctors’ opinions about the work of a psychologist in a medical institution, conducted by means of online questionnaires, are also given. The results indicate that doctors more clearly formulate tasks for the psychologist in the work with medical workers themselves (overcoming stress, burnout, practicing communication skills) and less clearly define the role of the psychologist in psychological support of the patient (adaptation to the disease, coping with stress and emotions, conflict resolution). Also doctors in the majority indicate their readiness to participate in interdisciplinary and educational projects aimed at the integration of the psychological aspect in the work of the healthcare system.

Keywords:psychologist in medicine; clinical psychology; psychological support of doctor’s work; psychological help to a patient; coping with stress; burnout prevention; communicative competence

Funding. The study had no sponsor support.

Conflict of interest. The authors declare no conflict of interest.

For citation: Abrosimov I.N., Zaoeva Z.O., Vtyurina M.B., Surkova I.M. The role of a psychologist in the health care system: analysis of doctors’ opinions. ORGZDRAV: novosti, mneniya, obuchenie. Vestnik VSHOUZ [HEALTHCARE MANAGEMENT: News, Views, Education. Bulletin of VSHOUZ]. 2022; 8 (3): 22–33. DOI: https://doi.org/10.33029/2411-8621-2022-8-3-22-33 (in Russian)

References

1. Rasskazova E.I., Emelin V.A., Tkhostov A.Sh. Categorical beliefs about the causes, manifestations, and effects of coronavirus: psychological content and relationship to behavior / in «Psychological support for the COVID-19 pandemic». Moscow: ID «Moskovsky gosudarstvenniy universitet imeni M.V. Lomonosova», 2021: 117–32. DOI : https://doi.org/10.11621/rpo.2021.00 (in Russian)

2. Barabanshchikova V.V., Baulina M.E., Belousov V.V., et al. Methodological recommendations for psychological training for medical personnel working in COVID-19 conditions/ in «Psychological support for the COVID-19 pandemic». Moscow: ID «Moskovsky gosudarstvenniy universitet imeni M.V. Lomonosova», 2021: 562–84. DOI: https://doi.org/10.11621/rpo.2021.00 (in Russian)

3. Yaltonsky V.M., Sirota N.A., Yaltonskaya A.V., et al. Addictions during COVID-19. In:L Materialy mezhdunarodnoy nauchno-prakticheskoy konferentsii «Zeygarnikovskie chteniya. Diagnostika i psikhologicheskaya pomoshch’ v sovremennoy klinicheskoy psikhologii: problema nauchnykh i eticheskikh osnovaniy» [Proceedings of the International Scientific-Practical Conference «Zeigarnik’s Readings. Diagnostics and psychological help in modern clinical psychology: the problem of scientific and ethical foundations»]. Moscow, 2020: 168–70. (in Russian)

4. Zhuravleva M.V., Mudunov A.M., Ulumbekova G.E. Vector on personalized medicine: from implementation to expected results. ORGZDRAV: novosti, mneniya, obuchenie. Vestnik VShOUZ [ORGZDRAV: News, Opinions, Training. Bulletin of VShOUZ]. 2021; 4 (26): 51–63. DOI: https://doi.org/10.33029/2411-8621-2021-7-4-51-63 (in Russian)

5. Abrosimov I.N. Threat to life as a predictor of coping strategies, treatment adherence, and quality of life in adult patients with cystic fibrosis. Rossiyskiy psikhologicheskiy zhurnal [Russian Journal of Psychology]l. 2015; (1): 60–9. (in Russian)

6. Shchelkova O.Yu., Usmanova E.B., Gorbunov I.A., et al. Psychological adaptation to the disease and quality of life in patients with bone tumor lesions. Uchenye zapiski SPbGMU imeni akademika I.P. Pavlova. [The Scientific Notes of the I.P. Pavlov Saint Petersburg State Medical University]. 2018; 25 (3): 62–72. DOI: https://doi.org/10.24884/1607-4181-2018-25-3-62-72 (in Russian)

7. Sirota N.A., Yaltonsky V.M., Yaltonskaya A.V., et al. Emotional burnout of doctors. ORGZDRAV: novosti, mneniya, obucheniya. ORGZDRAV: novosti, mneniya, obuchenie. Vestnik VShOUZ [ORGZDRAV: News, Opinions, Training. Bulletin of VShOUZ]. 2017; 4 (10): 42–51. (in Russian)

8. Konson K., Frolova E.V., Kostyukovich O.M. Multidisciplinary Approach in Geriatrics // Vestnik Severo-Zapadnovgo gosudarstvennovo meditsinskogo universiteta imeni I.I. Mechnikova [Bulletin of the North-Western State Medical University Named after I.I. Mechnikov]. 2018; 10 (4): 49–54. DOI: https://doi.org/10.17816/mechnikov201810449-54 (in Russian)

9. Isaeva E.R. Psychological adaptive resources of personality in health and illness. Meditsinskaya psykhologiya v Rossii [Medical Psychology in Russia]. 2015; 1 (30): 8. (in Russian)

10. Kunel’skaya N.L., Baybakova E.V., Zaoeva Z.O. Psychogenic dizziness. Zhurnal nevrologii i psikhiatrii imeni S.S. Korsakova [Journal of Neurology and Psychiatry named after S.S. Korsakov]. 2019; 119 (10): 89–93. DOI: https://doi.org/10.17116/jnevro201911910189 (in Russian)

11. Yaltonsky V.M., Diyazheva L.V., Abrosimov I.N. Coping behavior of adolescents with cystic fibrosis. Meditsinskaya psykhologiya v Rossii [Medical Psychology in Russia]. 2011; 6 (11): 14. (in Russian)

12. Krivenko N.V., Kuklin A.A., Aver’yanov O.Yu. Interdisciplinarity in health care: a contribution to the social and demographic security of the region. Izvestiya Ural’skogo gosudarstvennogo ekonomicheskogo universiteta [Bulletin of the Ural State University of Economics]. 2017; 6 (74): 5–20. DOI: https://doi.org/10.29141/2073-1019-2017-74-6-1 (in Russian)

13. Malygin V.L., Iskandirova A.S., Pakhtusova E.E., et al. The problem of teaching effective communication skills to future dentists. Cathedra-Kafedra. Stomatologicheskoe obrazovanie [Cathedra-Department. Dental Education]. 2017; (59): 54–7. (in Russian)

14. Vodop’yanova N.E., Starchenkova E.S. Burnout Syndrome. Diagnosis and prevention: a practical guide. Moscow: Yurayt, 2021: 299 p. (in Russian)

15. ICD-11. Chapter 06. Mental, behavioural or neurodevelopmental disorders. Moscow: KDU, Universitetskaya kniga, 2021: 432 p. DOI: https://doi.org/10.31453/kdu.ru.91304.0143 (in Russian)

16. Khrushchev S.O., Vybornykh D.E., Rasskazova E.I., et al. Job passion and well-being in the clinic of severe somatic diseases: the role of personality traits in clinicians and laboratory staff. Eksperimental’naya psikhologiya [Experimental Psychology]. 2021; 14 (1): 187–203. DOI: https://doi.org/doi:10.17759/exppsy.2021140109 (in Russian)

17. Khudova I.Yu., Ulumbekova G.E. Burnout in Health Care Workers: Diagnosis, Treatment, and Features in the Age of COVID-19. ORGZDRAV: novosti, mneniya, obucheniya. ORGZDRAV: novosti, mneniya, obuchenie. Vestnik VShOUZ [ORGZDRAV: News, Opinions, Training. Bulletin of VShOUZ]. 2021; 1 (23): 42–62. DOI: https://doi.org/10.33029/2411-8621-2021-7-1-42-62 (in Russian)

18. Rzeszutek M., Schier K. Temperament traits, social support, and burnout symptoms in a sample of therapists. Psychotherapy (Chicago, Ill). 2004; 51 (4): 574–9. DOI: https://doi.org/10.1037/a0036020

19. Chen D.W., Gerolamo A.M., Harmon E., et al. Interprofessional collaborative practice in the medical intensive care unit: a survey of caregivers’ perspectives. J Gen Intern Med. 2018; 33 (10): 1708–13. DOI: https://doi.org/10.1007/s11606-018-4623-3

20. Penman D., Uil’yams M. Mindfulness. How to find harmony in our crazy world. Moscow: Mann, Ivanov i Ferber, 2020: 288 p. (in Russian)

21. Chadi N., Kaufman M., Weisbaum E., et al. In-person versus ehealth mindfulness-based intervention for adolescents with chronic illness: protocol for a randomized controlled trial. JMIR Res Protoc. 2017; 6 (11): 241. DOI: https://doi.org/10.2196/resprot.7700

22. Neff K., Germer K. How to survive the difficult moments of life. Healing empathy for yourself. Saint Petersburg : Piter, 2021: 256 p. (in Russian)

23. Tulebaev K.A., Turdalieva B.S., Kuzieva G.D. Foreign experience of multidisciplinary teams of specialists in primary care. Vestnik Kazakhkogo natsional’nogo meditsinskogo universiteta [Bulletin of the Kazakh National Medical University]. 2016; (4): 379–84. (in Russian)

24. Ledvanova T.Yu., Kolomeychuk A.V. Formation of doctor's communicative competence. Byulleten’ meditsinskikh Internet-konferentsiy [Bulletin of Medical Internet Conferences]. 2015; 5 (2): 115–21. (in Russian)

25. Sirota N.A., Viderman N.S., Yaltonsky V.M. Psychological aspects of grieving. Palliativnaya meditsina i reabilitatsiya [Palliative Medicine and Rehabilitation]. 2022; (1): 42–8. (in Russian)

26. Helgeson V.S., Zajdel M. Adjusting to chronic health conditions. Ann Rev Psychol. 2017; 68: 545–71. DOI: https://doi.org/10.1146/annurev-psych-010416-044014

27. Pouls B., Vriezekolk J.E., Bekker C.L., et al. Effect of interactive ehealth interventions on improving medication adherence in adults with long-term medication: systematic review. J Med Internet Res. 2021; 23 (1): e18901. DOI: https://doi.org/10.2196/18901

28. Barakat N.V. Interaction Patterns as a Factor in the Effectiveness of Medical Interaction. Al’manakh sovremennoy nauki i obrazovaniya [Almanac of Modern Science and Education]. 2013; 6 (73): 19–21 (in Russian)

29. Manulik V.A., Mikhaylyuk Yu.V. Content and structure of doctor's communicative competence in the context of professional and personal development. Meditsinskiy zhurnal [Medical Journal]. 2014; 2 (48): 153–7. (in Russian)

30. Ridd M., Shaw A., Lewis G., et al. The patient-doctor relationship: a synthesis of the qualitative literature on patients’ perspectives. Br J Gen Pract. 2009; 59 (561): 116–33. DOI: https://doi.org/10.3399/bjgp09X420248

31. Stevenson J.K., Campbell Z.C., Webster A.C., et al. eHealth interventions for people with chronic kidney disease. Cochrane Database Syst Rev. 2019; 8 (8): CD012379. DOI: https://doi.org/10.1002/14651858.CD012379.pub2

32. Wang Z., Zhu Y., Cui L., et al. Electronic health interventions to improve adherence to antiretroviral therapy in people living with HIV: systematic review and meta-analysis. JMIR mHealth uHealth. 2019; 7 (10): e14404. DOI: https://doi.org/10.2196/14404

33. Vasserman L.I., Ababkov V.A., Trifonova E.A. Coping with stress: theory and psychodiagnostics. Saint Petersburg: Rech’, 2010: 191 p. (in Russian)

All articles in our journal are distributed under the Creative Commons Attribution 4.0 International License (CC BY 4.0 license)

CHIEF EDITOR
CHIEF EDITOR
Guzel E. Ulumbekova
MD, MBA from Harvard University (Boston, USA), Head of the Graduate School of Healthcare Organization and Management (VSHOUZ)

Journals of «GEOTAR-Media»