About this Journal Publication ethics Editorial Board Editorial Council Editorial Office For the Authors Contacts

News feeds

Journal in Databases


Google Scholar

Google Scholar

Main arrow Archive of previous Issues arrow 5 2013 (33) arrow Patient satisfaction with primary health care in the Arkhangelsk region
Patient satisfaction with primary health care in the Arkhangelsk region Print
Monday, 11 November 2013

L.I. Menshikova1,2, M.G. Dyachkova1, A.M. Vyazmin1, T.G. Svetlichnaya1, E.A. Mordovsky1
1 Northern State Medical University, Arkhangelsk
2 Ministry of Health of the Arkhangelsk Region.

Summary. Background. During modernization of the Russian health care system, evaluation of patient satisfaction with medical care was an important public and research issue.

The aim of the study was to evaluate patient satisfaction with quality of outpatient care provided by health care facilities in the Arkhangelsk region; to identify and prioritize confounding factors.

Materials and methods. A survey of 1960 patients of health care facilities in the Arkhangelsk region was conducted. A series of procedures of logistic regression analysis was implemented to assess cross-influence of factors on respondents' satisfaction with quality of outpatient care.

Results. Every third respondent was not satisfied with quality of outpatient care in the region. On average, a social status of "retired" increases satisfaction more than twice compared to other respondents with different social status. A 10000 rub increase in family monthly income per capita increases satisfaction with quality of care by 16-25%; dwelling in rural areas - by 23 - 27 % on average. On average, every 10 years of age increases satisfaction by 16-24%; higher education, on the contrary, decreases satisfaction almost 1.9 times. On average, extra spending on medical services and inconvenient work schedules of polyclinics increase dissatisfaction with quality of outpatient care 6.5 times and 7.4 times respectively. Unkind attitude of doctors increases dissatisfaction with quality of medical care 5.0 times; unkind staff of the registration desk - 2.7 times.

Scope of application. Identification and prioritization of modifiable and non-modifiable factors that affect patient satisfaction with quality of outpatient care determine the choice of possible interventions to be taken by polyclinic management and health system administrators to improve the situation.

Keywords: outpatient care; quality of care; patient satisfaction with medical care; factors of patient satisfaction with quality of care.


  1. Zubarevich NV. Social development and social policy in Russian regions: Review of social policy in Russia. Beginning of the 2000s. Maleva TM, editor. Moscow: Independent Institute for Social Policy; 2007. P. 388424. (In Russian).
  2. Rusinova NL, Panova LV. Access to healthcare service: methodological approaches and measurement methods. Zhurnal sotsiologii i sotsial'noy antropologii 2002;(4): 147-163. (In Russian).
  3. Svetlichnaya TG, Tsyganova OA. Health and sociological approach to an analysis of population satisfaction with quality of medical care. Sotsial'nye aspekty zdorov'ya naseleniya [Online Scientific Internet Journal]. 2011 [cited 2013 Aug 05]; 19(3). Available from: http://vestnik.mednet.ru/content/view/304/30/ (In Russian).
  4. Selezneva EV.Dynamics of participation of various population groups of Russia in payment for medical care. Menedzher zdravookhraneniya 2012;(11): p. 26-35. (In Russian).
  5. Flek VO, Zinland DA. Modernization of Russian health care is the basis for providing accessibility and quality of medical care to population. St. Petersburg: Polytechnic University Publisher; 2011. 440 p. (In Russian).
  6. Shishkin SV, editor. Russian healthcare: motivation of physicians and public accessibility. Moscow: Independent Institute for Social Policy; 2008. 288 p. (In Russian).
  7. Shishkin SV, Selezneva EV, Burdyak AYa. Differences in access to medical care for Russian population. SPERO. Sotsial'naya politika: ekspertiza, rekomendatsii 2008;(8): 135-158. (In Russian).
  8. Blam I, Kovalev S. Commercialization of medical care and household behavior in transitional Russia. RUIG/UNRISD project on Globalization, Inequality and Health, a collaborative international project forming part of the RUIG research programme on The Social Challenge of Development. [Internet] [cited 2013 Aug 05]. Available from: http://www.ruig-gian.org/ressources/comeliau-health_Russia-Blam-Kovalev.pdf (in Russian).

Views: 15359

Be first to comment this article

Write Comment
  • Please keep the topic of messages relevant to the subject of the article.
  • Personal verbal attacks will be deleted.
  • Please don't use comments to plug your web site. Such material will be removed.
  • Just ensure to *Refresh* your browser for a new security code to be displayed prior to clicking on the 'Send' button.
  • Keep in mind that the above process only applies if you simply entered the wrong security code.

Code:* Code

Last Updated ( Monday, 18 November 2013 )
< Prev   Next >
home contact search contact search