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Monday, 06 March 2017

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.,
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. Doctorsĺ 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 doctorsĺ 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.


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