International approaches to assessing the labor complexity for various specialists with higher medical education (physicians)

Objective. To analyze international approaches to assessing the labor complexity for different specialists with higher medical education (physicians). Material and methods. We performed a systematic searching and content analysis of foreign and national studies and documents devoted to labor complexity of different specialists with higher medical education (doctors). A group of experts among the authors of this study discussed and identified significant factors in assessing complexity. Results. There are 2 main systems to assess physician workload complexity in foreign countries. The first approach is based on analysis of «patient complexity» and includes number of comorbidities and prescribed medications, mental disorders, admission and redo admission rate, risk of mortality. The second approach involves assessing the overall workload, including work-related, mental, and emotional stress. After analysis of international and national approaches to assessing the labor complexity of medical stuff, specialists of the Center for Expertise and Quality Control of Medical Care developed a set of 8 factors for assessing the complexity of work of various doctors taking into account specifics of their professional activities. Conclusion. Analysis of international approaches to assessing the labor complexity of medical stuff underlies expert survey to rank various factors of work complexity relative to each other.