|
Tsyganova O. A., Shulgina S. V.
Northern State Medical University, Arkhangelsk
Contacts: Svetlana V. Shulgina, e-mail:
This e-mail address is being protected from spam bots, you need JavaScript enabled to view it
Abstract. Public opinion survey in healthcare helps to
comprehensively explore problems related to public interaction with
elements of the system. The purpose of the work was to analyze public opinion regarding performance of the regional healthcare system.
The opinion poll was conducted in the Arkhangelsk region. 1416 people
agreed to participate in the survey. The questionnaire was based on the
WHO World Health Survey questionnaire. The work included general
evaluation of the healthcare system and non-medical needs of the public
in terms of outpatient care.
To evaluate the general state of the system the authors used the
following measures: «professional skills of the doctor as a specialist»;
«level of medical equipment of the polyclinic»; «range of services
delivered by the polyclinic», «level of satisfaction by medical
services». To evaluate non-medical needs of the public the authors
reviewed the following criteria: «dignity», «confidentiality», «choice
of supplier», «interpersonal skills of the doctor», «proper conditions»,
«patient’s engagement into treatment» and «transport availability».
The results showed that people did not think much of the
general state of the healthcare system. Critical attitude towards
medical services was most prevalent in the middle age groups. The share
of negative appraisals of the system increases along with the level of
patients’ education, their employment, frequency of encounters with the
healthcare system. Analysis of the non-medical needs of the population
showed that such criteria as «patient’s engagement into treatment»,
«interpersonal skills of the doctor», and «confidentiality» received the
minimum number of positive appraisals.
To increase social efficiency the healthcare system in the
Arkhangelsk region should become more client (patient) oriented. Public
opinion survey will help to define priorities for improving performance
of the healthcare system.
Key words: healthcare system performance; public opinion;
non-medical needs of population; healthcare system’s response;
healthcare system general state
References
- Bogdan I. V. Nekotorye aspekty reformy zdravookhraneniya v Rossii.
[Some aspects of healthcare reforms in Russia] Trudy Tsentra problemnogo
analiza i gosudarstvenno-upravlencheskogo proektirovaniya. (29).
Moscow:«Nauchnyy ekspert»; 2013. 40 ð. (In Russian).
- Kunitskaya S.V. K probleme udovletvorennosti naseleniya
meditsinskoy pomoshch'yu [To the problem of population satisfaction with
medical care] Voprosy organizacii i informatizacii zdravoohranenija 2006; (3): 33-36. (In Russian).
- Lisitsyn Yu.P. Sotsial'naya gigiena (meditsina) i organizatsiya
zdravookhraneniya [Social hygiene (medicine) and organization of
healthcare]. Kazan'. 1998. 697 ð. (In Russian).
- Maksimova T.M., Lushkina N.P. Osobennosti vospriyatiya patsientami
raznykh stran usloviy okazaniya meditsinskoy pomoshchi. [Peculiarities
in perception of the terms of medical care provision in patients of
various countries]. Problemy sotsial'noi gigieny, zdravookhraneniya i istorii meditsiny 2011; (3): 8-10. (in Russian).
- Medik V.A., Osipov A.M. Obshchestvennoe zdorov'e i
zdravookhranenie: mediko-sotsiologicheskiy analiz [Public health and
healthcare: health and sociological analysis]. Moscow; 2012. 358ð. (in
Russian).
- Svetlichnaya T. G., Tsyganova O.A., Borchaninova E.L. Determinanty
interiorizatsii sotsial'nykh predstavleniy patsientov o kachestve
ambulatornogo obsluzhivaniya [Determinants of internalization of social
perception of patients about the quality of outpatient care]. Problemy standartizatsii v zdravookhranenii 2010; (9-10): 16-18. (in Russian).
- Siburina T.A., Barskova G.N., Laktionova L.V. Metodicheskie
podkhody k issledovaniyu udovletvorennosti patsientov
vysokotekhnologichnoy meditsinskoy pomoshch'yu [Methodical approaches to
research of patients’ satisfaction with hi-tech medical care]. Sotsial'nye aspekty zdorov'ya naseleniya [serial
online] 2013 [cited 2014 Jan 28];1(29). Available from: http://
vestnik.mednet.ru/content/view/454/30/lang,ru/ (in Russian).
- Khabriev R.U., Seregina I.F. O rezul'tatakh sotsiologicheskogo
issledovaniya po otsenke dostupnosti i kachestva meditsinskoy pomoshchi
naseleniyu [About the results of sociological research on assessment of
accessibility and quality of medical care to the population]. Zdravookhranenie 2007; (6): 31−43. (in Russian).
- Tsarik G.N. Nauchnoe obosnovanie i sotsial'no-meditsinskaya
effektivnost' vnedreniya novykh tekhnologiy organizatsii meditsinskoy
pomoshchi naseleniyu i upravleniya obespecheniem ee kachestva
[Scientific grounds and social and health efficiency of implementation
of new technologies for organization of health care to population and
care quality management]. In: Nauchnye osnovy upravleniya
zdravookhraneniem v sovremennykh usloviyakh. Materialy nauchnykh
chteniy. Novosibirsk: 2005. 172-183. (in Russian).
- Tsyganova O.A., Svetlichnaya T.G. Prediktory udovletvorennosti
patsientov kachestvom statsionarnoy meditsinskoy pomoshchi [Predictors
of patients’ satisfaction with inpatient care quality]. Vestnik Rossiyskoy AMN 2011; (3): 19-23. (in Russian).
- Shil'nikova N.F., Khodakova O.V., Bogatova I.V. Analiz
udovletvorennosti naseleniya ambulatorno-poliklinicheskoy pomoshch'yu
[Analysis of population satisfaction with outpatient care]. Problemy sotsial'noy gigieny, zdravookhraneniya i istorii meditsiny 2012; (1): 40-42. (in Russian).
- Chih-Cheng Hsu, Likwang Chen, Yu-Whuei Hu, Winnie Yip, Chen-Chun
Shu. The dimensions of responsiveness of a health system: a Taiwanese
perspective. BMC Public Health. 2006; (6): 72.
- Peltzer Karl, Nancy Phaswana-Mafuya. Patient experiences and health
system responsiveness among older adults in South Africa [serial
online] 2012. Available from: http: PubMed PMID:23195515.
- Rashidian A., Kavosi Z., Majdzadeh R., Pourreza A., Pourmalek F.,
Arab M., Mohammad K. Assessing health system responsiveness: a household
survey in 17th district of Tehran. Iran Red. Crescent. Med. J. 2011; 13
(5): 302–308.
- World Health Survey [Online] 2002 [cited 2002]. Available from:
http://www.who. int/entity/healthinfo/survey/whslongversionguide.pdf
Views: 13423
|
