|
DOI: 10.21045/2071-5021-2017-53-1-2
Kosolapov A.A., Artemyeva G.B.
Ryazan State Medical University named after Academician I.P. Pavlov Ministry of health of the Russian Federation, Ryazan
Contacts: Galina Artemyeva, e-mail:
This e-mail address is being protected from spam bots, you need JavaScript enabled to view it
Information about authors:
Kosolapov A.A., http://orcid.org/0000-0001-7593-2353
Artemyeva G.B., http://orcid.org/0000-0002-8946-7912
Acknowledgments.The study had no sponsorship.
Conflct of interests. The authors declare no conflict of interest.
Abstract. Significance. Improvement of health
care organization and quality assurance with due regard to satisfaction
of care providers is a crucial component to improve effectiveness of
medical interventions aimed at maintaining health and increasing life
expectancy.
The purpose of the study is to work out guidelines for
improving specialized neurosurgical care delivery in the Ryazan region
based on satisfaction evaluation of neurosurgeons.
Methods. An anonymous survey of all neurosurgeons of
the neurosurgery department of the Ryazan regional clinical hospital was
conducted. Doctors’ opinion about organization of neurosurgical care
delivery to patients in the Ryazan region, problems related to personnel
and resource supply of the service were analyzed.
Results. The survey results revealed low satisfaction
with organization of neurosurgical care delivery, resource supply, and
level of professional training of specialists involved in care delivery
to neurosurgical patients at pre-hospital stage. The respondents
considered the following factors as main causes of ineffectiveness:
insufficient staffing level, low number of specialized neurosurgical
beds, and low availability of modern medical equipment. To improve
effectiveness specialists suggest rising wages and aligning them with
quality of care, developing quality indicators and attracting
investments into healthcare.
Conclusions. Projects aimed at organizational
changes in healthcare should be developed with due regard to doctors’
opinion, their understanding of current problems and readiness to
implement the planned reforms.
Scope of application. Measures to modernize
neurosurgical care delivery in the Ryazan region were worked out with
due regard to opinion of neurosurgeons.
Keywords: survey; organization of neurosurgical care delivery; satisfaction with care organization.
References
- Zhelezin O.V., Konovalov O.E. Potrebnost' patsientov s sochetannymi
travmami v konsul'tatsiyakh vrachey-spetsialistov i
kliniko-diagnosticheskikh issledovaniyakh [The need of multiple-inquired
patients in professional medical consultations and clinical diagnostic
examination]. Rossiyskiy mediko-biologicheskiy vestnik im. akad. I.P. Pavlova 2012; (2): 43-46. (In Russian).
- Kindarov Z.B. Nauchnoe obosnovanie sovershenstvovaniya organizatsii
neyrokhirurgicheskoy pomoshchi v sub"ekte [Scientific basis for
improving organization of neurosurgical care in the subject]. Dr.Med.
Sci.[thesis]. Moscow. 2014. 48 p. (In Russian).
- Kindarov Z.B., Idalov M.M., Yusupova M.M. Organizatsiya i puti
optimizatsii meditsinskoy pomoshchi v neyrokhirurgicheskom otdelenii
[Organization and ways to optimization of medical care in the
neurosurgical department]. Trudy Kompleksnogo nauchno-issledovatel'skogo instituta im. Kh.I. Ibragimova ÐÀÍ 2013; (6): 115-157. (In Russian).
- Ob utverzhdenii poryadka okazaniya meditsinskoy pomoshchi vzroslomu
naseleniyu po profilyu «neyrokhirurgiya [On approval of the procedure
for providing medical care in neurosurgery profile to adult population].
Prikaz Minzdrava Rossii ot 15 noyabrya 2012 goda ¹ 931n. [Online]
[cited 2016 Aug 24]. Available from: http://www.rosminzdrav.ru/documents/9120. (In Russian).
- Orlov A.S., Kostarev S.I., Sannikov A.G., Sval'kovskiy A.V. Analiz
raboty neyrokhirurgicheskogo otdeleniya mnogoprofil'nogo LPU sredstvami
avtomatizirovannoy informatsionnoy sistemy [Analysis of operation of
neurosurgical department in multidisciplinary health facility with using
computer-based information system]. Meditsinskaya nauka i obrazovanie Urala 2011; (2): 196-199. (In Russian).
- Subbotin E.E. Akkreditatsiya i obosnovanie putey
sovershenstvovaniya organizatsii neyrokhirurgicheskoy sluzhby krupnogo
goroda (na modeli Sankt-Peterburga) [Accreditation and basis for ways
for improving the organization of neurosurgical service in a large city
(by a model of St. Petersburg)]. Cand. Med. Sci [thesis].St. Petersburg:
2004. 23 p. (In Russian).
- Khodarev S.V. Sovremennye podkhody i printsipy organizatsii tsentra
vosstanovitel'noy meditsiny i reabilitatsii na regional'nom urovne
[Current approaches and principles of organization of the Center for
restorative medicine and rehabilitation at a regional level]. Dr. Med.
Sci. [thesis]. Moscow: 2005. 47 p. (In Russian).
- Shilova V.M., Kindarov Z.B. Opredelenie chislennosti dolzhnostey
dlya obespecheniya raznykh rezhimov raboty v meditsinskikh
organizatsiyakh [Determination of the number of positions to provide
various operation regimes in health facilities]. Zdravookhranenie 2013; (12): 92-96. (In Russian).
- Shchedrenok V.V., Anikeev N.V., Simonova I.A., Moguchaya O.V.
Organizatsiya konsul'tativnoy pomoshchi pri neyrotravme v regionakh s
razlichnoy plotnost'yu naseleniya [Organization of consultation service
for patients with neurotrauma in regions with various population
density]. Rossiyskiy neyrokhirurgicheskiy zhurnal im. prof. A.L. Polenova 2012; 4 (2): 33-36. (In Russian).
- Yusupova M.M., Kindarov Z.B., Umarov R.M., Idalov M.M., Muntaev
Ya.R., Muzyshev A.E. Organizatsiya meditsinskoy pomoshchi bol'nym s
cherepno-mozgovoy travmoy v Chechenskoy Respublike (po materialam RKB
SMP). [Organization of medical care to patients with craniocerebral
trauma in the Chechen Republic (based on the materials of the Republic
clinical hospital for emergency care)]. Vestnik Chechenskogo gosudarstvennogo universiteta 2013. P.21-24. (In Russian).
Views: 10682
|
