DOI: 10.21045/2071-5021-2016-50-4-2

Bogachevskiy A.N.¹, Bogachevskaia S.A.¹, Bondar V.Yu.^1,2
1Federal Centre for Cardiovascular Surgery, Khabarovsk;
²Far Eastern State Medical University, Khabarovsk

Contacts: Alexander N. Bogachevskiy, e-mail: This e-mail address is being protected from spam bots, you need JavaScript enabled to view it

Abstract

This article presents monitoring of medical care delivery for cardiovascular diseases through evaluation of patient’s satisfaction with care at health care facilities of the Far Eastern Federal district.

We used materials of sociological research (536 respondents) on quality and availability of medical care at the local, regional and federal levels, conducted at the Federal Centre for Cardiovascular Surgery in Khabarovsk in 2013-2015.

Results and discussion. In general, 55.9% respondents evaluated medical care as satisfactory and above satisfactory at the local, 51.6% - at the regional and 82.4% - at the federal level. Difficulties in obtaining quality care, as well as insufficient volumes of cardiovascular system examination were reported over 20 times more often at the local level compared to the federal level and 10.4 times more often compared to the regional level. Satisfaction with professional skills at federal-level institutions was 4.1 times higher compared to local level facilities, and 2.2 times higher compared to regional-level institutions while considerate staff attitude towards patients was 2.3 and 2.2 times higher respectively. More than two-thirds of the patients evaluated treatment effectiveness as satisfactory and above satisfactory despite the level of care delivery. Most often high cost of treatment at the local level of care delivery was mentioned in the Khabarovsk territory (11.9%), and at the regional level - in the Primorsky territory (16.4%).

Conclusions. Satisfaction with medical care for diseases of the circulatory system (67.7%) was higher than the general level in the Far East (24.6%), but lower than the country general level (80%). This may be due to successful performance of the Federal Center for Cardiovascular Surgery and regional vascular centers in the Far Eastern Region. Public credibility gap related to healthcare is most evident at the local and regional levels.

Keywords: medical service, satisfaction with medical care, accessibility and quality of medical care.

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