DOI: 10.21045/2071-5021-2017-54-2-5

S.A. Bogachevskaia
Federal Centre for Cardiovascular Surgery, Khabarovsk

Contacts: Svetlana Bogachevskaia, e-mail: This e-mail address is being protected from spam bots, you need JavaScript enabled to view it
Information about author:
Bogachevskaia S.A., http://orcid.org/0000-0001-7150-2620
Acknowledgments.The study had no sponsorship.
Conflct of interests. The authors declare no conflict of interest.

Abstract

This article presented study of the opinion of patients and physicians and health care managers about the availability and quality of medical care for the circulatory system diseases in the Far Eastern Federal District.

The aim of this research was to conduct a comparative analysis of the assessment of patients, physicians and health care managers about the availability and quality of medical care for the circulatory system diseases in the Far Eastern region and the prospects for its change in the conditions of a new system of continuous medical education.

Material and methods. This analysis is based on materials of sociological research of the years 2013-2016 (558 patients, 262 doctors, and 222 health organizers), total 1042 respondents.

Results. Overall, among all respondents the assessment of medical care for the circulatory system diseases received 6.7 times more satisfactory evaluations. The registered growth of population’ satisfaction was mainly due to the functioning of the Federal Center for Cardiovascular Surgery (Khabarovsk). On the background of overall satisfaction with the medical services results (82.5% of patients, and more than 66% of health care organizers and more than 77% of doctors), the largest group of satisfied was significantly the group of health care organizers (p <0.05). The greatest number of respondents, who found it difficult to assess the level of health care, was also the group of health organizers (24.4 ± 2.9%). There were no significant differences of such assessment between doctors and patients. It was also revealed that at the end of the initial phase of the reform of medical education, most health professionals showed rejection of the new education system.

Discussion. Analysis of the sociological survey of health professionals indicates the presence of institutional flaws and defects in the interaction of the various medical services for patients with the circulatory system diseases. Low continuity is detected, first of all, at the level of management staff in the greater commitment of doctors to interact. A low level of confidence to the experts of Ministry of Health of Russia's actions and low motivation to change the education system are continued.

Conclusion. Using of abilities of the high-effective models of the federal centers of cardiovascular surgery could be one of the key points of the growth of economic and social importance of the Far East region. The problem of continuity and management decisions is based on dissatisfaction of the health care organizers with the medical care level as well as their passivity in the assessment of the current situation that have a negative impact on the overall process and the provision of medical care to the population of the region. In general, health professionals are still potentially not ready for self-learning and development within continuing medical education, that at the moment, probably due to lack of a clear and effective functioning of the system itself.

Key words: availability and quality of medical care; sociological questionnaires; the problems of medical care for cardiovascular diseases.

References

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