About this Journal Publication ethics Editorial Board Editorial Council Editorial Office For the Authors Contacts
English

News feeds

Journal in Databases

eLIBRARY.RU -

Google Scholar

Google Scholar

For authors' attention

Publication is free of charge

In aims to provide interconnection of publications in international scientific journals using Digital Object Identification - DOI, our editorial office incorporated the journal "Social aspects of population health" into international reference system CrossRef.

Since 2016 DOI will be assigned to all scientific articles published in our journal free of charge.

Also DOI will be assigned to all articles published in 2014 and 2015 free of charge as well
Main arrow Archive of previous Issues arrow 2 2017 (54) arrow THE QUALITY AND AVAILABILITY OF HEALTH CARE FOR CARDIOVASCULAR DISEASES IN THE FAR EAST. PERSPECTIVES OF INFLUENCE ON HIM REFORM OF MEDICAL EDUCATION (ACCORDING TO OPINION POLLS)
THE QUALITY AND AVAILABILITY OF HEALTH CARE FOR CARDIOVASCULAR DISEASES IN THE FAR EAST. PERSPECTIVES OF INFLUENCE ON HIM REFORM OF MEDICAL EDUCATION (ACCORDING TO OPINION POLLS) Print
Friday, 19 May 2017

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

  1. Bogachevskaya S.A., Bogachevskiy A.N., Bondar' V.Yu. Trekhletniy vklad funktsionirovaniya federal'nykh tsentrov serdechno-sosudistoy khirurgii v razvitie vysokotekhnologichnoy pomoshchi patsientam s serdechno-sosudistymi zabolevaniyami v Rossii [The three-year contribution of the federal centers for cardiovascular surgery in developing high-tech care for patients with cardiovascular diseases in Russia]. Sotsial'nye aspekty zdorov'ya naseleniya [serial online] 2016 [cited 2014 Oct 16]; 1 (47). Available from: http://vestnik.mednet.ru/content/category/5/84/30/lang,ru/\. (In Russian).
  2. Bogachevskaya S.A., Skopetskaya S.A., Bondar' V.Yu., Bogachevskiy A.N., Pchelina I.V. Problemy vzaimodeystviya ambulatornoy i statsionarnoy sluzhb pri podgotovke patsientov na operativnoe lechenie po profilyu serdechno-sosudistaya khirurgiya [Problems of inpatient and outpatient services interactions in preparing the patients for cardiovascular surgery] Dal'nevostochnyy meditsinskiy zhurnal 2016; 1: 101-105. (In Russian).
  3. Bokeriya L.A., Gudkova R.G. Bolezni sistemy krovoobrashcheniya i serdechno-sosudistaya khirurgiya v Rossiyskoy Federatsii. Sostoyanie i problemy [Diseases of the circulatory system and cardiovascular surgery in the Russian Federation. State and Problems]. Analiticheskiy vestnik. Ob aktual'nykh problemakh bor'by s serdechno-sosudistymi zabolevaniyami 2015, 44 (597): 9-18. (In Russian).
  4. Vishnevskiy A.G., Andreev E.M., Timonin S. A. Vliyanie bolezney sistemy krovoobrashcheniya na demograficheskoe razvitie Rossiyskoy Federatsii [The impact of circulatory system diseases on demographic development of the Russian Federation]. Analiticheskiy vestnik. Ob aktual'nykh problemakh bor'by s serdechno-sosudistymi zabolevaniyami 2015; 44 (597): 61-78. (In Russian).
  5. Informatsiya o tekushchikh i planiruemykh meropriyatiyakh po razvitiyu sub"ektami Rossiyskoy Federatsii gosudarstvenno-chastnogo vzaimodeystviya (gosudarstvenno-chastnogo partnerstva) v zdravookhranenii (na osnovanii dannykh programmnykh i kontseptual'nykh dokumentov, utverzhdennykh organami gosudarstvennoy vlasti sub"ektov Rossiyskoy Federatsii po sostoyaniyu na fevral' 2015 goda [Information on current and planned activities of subjects of the Russian Federation for the development of public-private partnership in health care (based on the program and conceptual documents approved by the public authorities of subjects of the Russian Federation as of February 2015]. [Online]. Minzdrav Rossii; 2015 [cited 2014 Oct 16]; 182 p. Available from: http://static-1.rosminzdrav.ru/system/attachments/attaches/000/024/128/original/__-______.pdf?1426262088. (In Russian).
  6. Kochkina N. N., Krasil'nikova M. D., Shishkin S. V. Dostupnost' i kachestvo meditsinskoy pomoshchi v otsenkakh naseleniya [The accessibility and quality of medical care according to the population assessment]. Moscow: Izd. dom Vysshey shkoly ekonomiki; 2015. 56 p. (In Russian).
  7. Lopanova E. V. Nepreryvnoe obrazovanie prepodavateley meditsinskogo VUZa na osnove kompetentnostnogo podkhoda [Continuous education of teachers of medical universities on the base of competence approach]. In: Materialy XI Mezhdunarodnoy nauchno-prakticheskoy konferentsii "Modernizatsiya sistemy professional'nogo obrazovaniya na osnove reguliruemogo evolyutsionirovaniya" v 5 chastyakh. Chast' 5, razdel 2. 2012. p. 20-28. Moscow; Chelyabinsk: Chelyabinskiy institut perepodgotovki i povysheniya kvalifikatsii rabotnikov obrazovaniya. (In Russian).
  8. Oganov R.G., Kontsevaya A.V., Kalinina A.M. Ekonomicheskiy ushcherb ot serdechno-sosudistykh zabolevaniy v Rossiyskoy Federatsii [The economic losses caused by cardiovascular diseases in the Russian Federation]. Kardiovaskulyarnaya terapiya i profilaktika 2011;10(4): 49. (In Russian).
  9. Semenova T.V., Kuplena I. A., Son I. M., Nesvetaylo N. Ya., Danilova N. V., Gazheva A. V., et al. Kadrovye resursy uchrezhdeniy zdravookhraneniya [Human resources of health care facilities]. Moscow; 2014. 80 p. (In Russian).
  10. Siburina T.A., Barskova G.N., Laktionova L.V. Metodicheskie podkhody k issledovaniyu udovletvorennosti patsientov vysokotekhnologichnoy meditsinskoy pomoshch'yu [Methodological approaches to the study of patient satisfaction with high-tech medical care]. Sotsial'nye aspekty zdorov'ya naseleniya [serial online] 2013 [cited 2016 Oct 16]; 1(29). Available from: http://vestnik.mednet.ru/content/view/454/lang,ru/. (In Russian).
  11. Starodubov V.I., Rudnev S.G., Nikolaev D.V., Korostylev K.A. O kachestve dannykh profilakticheskogo skrininga v tsentrakh zdorov'ya i sposobe povysheniya effektivnosti byudzhetnykh raskhodov [About the data quality of preventive screening in health centers and the method for increasing the efficiency of budget spending]. Analiticheskiy vestnik. Ob aktual'nykh problemakh bor'by s serdechno-sosudistymi zabolevaniyami 2015; 44 (597): 43-49. (In Russian).
  12. Tokareva Yu.M. Primenenie SWOT-analiza dlya otsenki kachestva meditsinskoy pomoshchi [Application of SWOT-analysis to assess the quality of care]. Cand.Soc.Sci [dissertation].Volgograd; 2010. 122 p. (In Russian).
  13. Chazova I.E., Oshchepkova E.V. Opyt bor'by s serdechno-sosudistymi zabolevaniyami v Rossii. [Experience in the fight against cardiovascular diseases in Russia]. Analiticheskiy vestnik. Ob aktual'nykh problemakh bor'by s serdechno-sosudistymi zabolevaniyami 2015; 44 (597): 108. (In Russian).
  14. Shal'nova S.A., Deev A.D. Tendentsii smertnosti v Rossii v nachale XXI veka (po dannym ofitsial'noy statistiki). [Mortality tendency in Russia at the beginning of the XXI century (according to official statistics)]. Kardiovaskulyarnaya terapiya i profilaktika 2011; 10 (6): 510. (In Russian).

Views: 3176

Be first to comment this article

Write Comment
  • Please keep the topic of messages relevant to the subject of the article.
  • Personal verbal attacks will be deleted.
  • Please don't use comments to plug your web site. Such material will be removed.
  • Just ensure to *Refresh* your browser for a new security code to be displayed prior to clicking on the 'Send' button.
  • Keep in mind that the above process only applies if you simply entered the wrong security code.
Name:
E-mail
Comment:

Code:* Code

Last Updated ( Friday, 09 June 2017 )
< Prev   Next >
home contact search contact search