A.A. Kalininskaya¹, A.K. Dzugayev², M.V. Vorobyov3
¹Federal Research Institute for Health Organization and Informatics of Ministry of Health and Social Development of the Russian Federation, Moscow
²Moscow State University of Medicine and Dentistry, Moscow
³2^nd City Clinical Hospital, Ivanovo

Summary. Demographic developments in the Republic of Bashkortostan were considered as rather peculiar and this was partly associated with grade of provided medical care. Aim: to perform a sociological survey of rural population here for the evaluation of quality grade and accessibility of provided medical care inclusive of outpatient, emergency and inpatient medical care – with the purpose of its improvement. Physician attitudes and accessibility of provided medical services with special focus on emergency care were assessed. Life style of local rural population was studied into. Health assessment of the population and evaluation of its determining factors were fulfilled. Commitment of attending physician to their state of health was noted by 78.3% of the medically registered dwellers of medical districts covered by rural physicians’ outpatient clinics and by general practiotioner’s services, by 59.4% dwellers of medical districts covered by rural physician stations. Commitment of attending medical assistant to their state of health was noted by 65.1% of the medically registered dwellers of medical districts covered by medical assistant and obstetrician stations.

Emergency health care was that kind of medical services which was rather less accessible to rural dwellers. Emergency care calls were made by 25 % of dwellers covered by central clinical hospital, by 21% dwellers covered by rural physician stations and physicians’ outpatient clinics, and by 12.9% dwellers covered by medical assistant and obstetrician stations.

Only 5.1% of dwellers covered by central district clinical hospital, physician stations and physicians’ outpatient clinics and 4.7% of dwellers covered by medical assistant and obstetrician stations had expressed satisfaction with the grade of provided emergency care. The lack of satisfaction was caused by protracted endurance before the care had been provided (61.3%), pharmaceuticals-in-need deficiency (25.8%), and low quality grade of provided care (12.9%). For the last three years, 46.9% of rural dwellers have received inpatient medical services.

Significant relationship between state of health of rural dwellers and accessibility of medical care was established in this trial and a mean value was derived. A need for improvements in behavioral and valeological literacy of rural dwellers was founded. Enhancement in provision of physicians specialized as rural general practitioners and family doctors was substantiated. Further development of hardware in medical facilities in rural municipal areas with special emphasis on transportation resources of medical assistant and obstetrician stations was founded in this trial. Creation of standing mobile medical crews attached to central clinical hospitals and equipped with modern hardware and medical devices and having at their disposal all the necessary supply of medication was found quite expedient in this trial. Organization of operation of mobile pharmacies was found advisable from the analysis of the materials of this trial.

Key words. Demographic situation; health; health care; rural population; rural municipal district.

References

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