DOI: 10.21045/2071-5021-2018-62-4-2
Velichko EA, Istomin NP, Nekrasov AYu
Clinical Center of Advanced Medical Technologies of the Federal Medical and Biological Agency, Moscow, Russia
Contacts: Velichko Eugene A., e-mail:
This e-mail address is being protected from spam bots, you need JavaScript enabled to view it
Information about authors:
Velichko E.A., http://orcid.org/0000-0002-0297-8155
Acknowledgments. The study was supported by the Russian Federal Medical and Biological Agency.
Conflict of interests. The authors declare no conflict of interest.
Abstract
Significance. Heath protection is one of the urgent and
most important problems of both Healthcare and the State in general.
Negative changes in social and economic spheres, high morbidity and
mortality rates lead to public health worsening and numerous problems in
the Russian healthcare system resulting in higher demand for medical
services with surgical services taking a special place in the structure
of medical care. To ensure a more comprehensive evaluation of quality of
care delivery and satisfaction level, scientific researches pay a
special attention to sociological surveys.
Purpose: to study opinions of physicians and patients of
surgery departments of multi-specialty hospitals about quality of care
and factors that affect it.
Methods. The study used a survey method, expert appraisals
and statistical processing. The study generalized results of the survey
of 432 patients with different surgical pathologies treated in the
surgery departments of the town of Novogorsk in 2015-2017 and 156
surgeons of two multi-specialty hospitals (general surgeons, thoracal,
cardio, vascular, and neurosurgeons, urologists, proctologists,
traumatologists and gynecologists) with different length of service,
professional categories, scientific degrees and academic ranks.
Results. The study showed that in the majority of cases
(87.3%) the patients were satisfied with hospital services, 11.3% - were
not satisfied and 1.4% - not fully satisfied. Analysis of the reasons
of dissatisfaction with hospital services gave the following results:
78.5% - lack of medications; 6.4% careless attitude of nurses; 10.2%
lack of the relevant diagnostic method; and 4.9% - careless attitude of
doctors.
Length of service ensures a more comprehensive and deeper evaluation of
quality from different points. The study has identified a direct
correlation between the number of factors affecting quality of surgical
care and length of service – the longer the higher the number of
factors. Young doctors can identify 3-5 factors, while doctors with a 25
year service and longer can identify over 15 factors.
Keywords: quality; satisfaction; patients of surgery departments of multi-specialty hospitals.
References
-
Gabrielyan A.R. Zdravookhranenie v usloviyakh rynochnoy ekonomiki.
Spros, predlozhenie i rynochnye struktury v zdravookhranenii [Healthcare
in a market economy. Demand, supply, and market structures in health
care]. Sotsial'nye aspekty zdorov'ya naseleniya [serial online] 2013 [cited 2018 May 26]; 34 (6). Available from: http://vestnik.mednet.ru/content/view/522/30/lang,ru/ . (In Russian).
-
Gan'shin I.B., Sistema kontrolya kachestva spetsializirovannoy
meditsinskoy pomoshchi [The quality control system for specialized
health care]. Estestvennye i tekhnicheskie nauki 2013;(1):126-128. (In Russian).
-
Gan'shin I.B., Shelenberg L.V. Izuchenie dominirovaniya vo
vzaimootnosheniyakh vrach – patsient [The study of dominance in
doctor-patient relations]. Meditsinskie nauki 2013;(6):19-20. (In Russian).
-
Kalininskaya A.A., Kuznetsov S.I., Shlyafer S.I., Grechko A.V., Volkova
N.V. Obespechennost' naseleniya koykami dnevnykh statsionarov v
Samarskoy oblasti [Population provision with day hospital beds in Samara
region]. Glavvrach 2002; (10): 20-22. (In Russian).
-
Kalininskaya A.A., Shlyafer S.I., Dneprova E.V., Grechko A.V. Razvitie
statsionarozameshchayushchikh form organizatsii meditsinskoy pomoshchi
[Development of the hospital-replacing forms of health care
organization]. Glavvrach 2003; (2): 34-35. (In Russian).
-
Kasapov K.I. Mediko-sotsial'naya kharakteristika khirurgicheskoy
zabolevaemosti patsientov, gospitalizirovannykh v mnogoprofil'nuyu
gorodskuyu bol'nitsu [Health and and social features of surgical
diseases in patients of multi-profile city hospital]. Klinicheskiy opyt dvadtsatki 2013;(1):56-59. (In Russian).
-
Kasapov K.I. Faktory riska i kachestvo zhizni u lits trudosposobnogo
vozrasta s gastroduodenal'noy patologiey i mediko-sotsial'nye
meropriyatiya po ikh profilaktike [Risk factors and life quality in
working-age persons with gastroduodenal pathology, and health and
measures for its prevention]. Klinicheskiy opyt dvadtsatki 2013;(4):21-24. (In Russian).
-
Kasapov, K.I. Mediko-sotsial'noe obosnovanie razvitiya seti shkol dlya
obucheniya samokontrolyu patsientov s khronicheskimi neinfektsionnymi
zabolevaniyami [Health and social support for the development of the
school network to teach self-control in patients with chronic
non-communicable diseases]. Vestnik vserossiyskogo obshchestva spetsialistov po mediko-sotsial'noy ekspertize, reabilitatsii i reabilitatsionnoy industrii 2013; (1): 19-22. (In Russian).
-
Nemstsveridze E.Ya., Kasapov K.I., Bisekov S.Kh. Dnevnoy statsionar –
kak novyy podkhod v organizatsii khirurgicheskoy pomoshchi naseleniyu v
ambulatorno-poliklinicheskikh uchrezhdeniyakh krupnogo goroda [Day
hospital as a new approach to organization of surgical care to
population in outpatient facilities in a large city]. Sotsial'nye aspekty zdorov'ya naseleniya [serial online] 2013 [cited 2018 May 26]; 34 (6). Available from: http://vestnik.mednet.ru/content/view/522/30/lang,ru/ . (In Russian).
-
Starodubov V. I. Sokhranenie zdorov'ya rabotayushchego naseleniya —
odna iz vazhneyshikh zadach zdravookhraneniya [Maintenance of working
population health is one of the most important healthcare challenges]. Meditsina truda i promyshlennaya ekologiya 2005;(1):1–8. (In Russian).
-
Trifonova N.Yu., Gabrielyan A.R., Kasapov K.I. Otsenka kachestva
meditsinskoy pomoshchi v lechebno-profilakticheskikh uchrezhdeniyakh na
sovremennom etape [Assessment of medical care quality in health care
facilities in the present stage]. Sotsial'nye aspekty zdorov'ya naseleniya [serial online] 2013 [cited 2018 May 26]; 33 (5). Available from: http://vestnik.mednet.ru/content/view/522/30/lang,ru/. (In Russian).
-
Trifonova, N.Yu., Kasapov K.I., Enenkova E.A. Analiz kachestva
okazaniya mediko-sotsial'noy i reabilitatsionnoy pomoshchi v
lechebno-profilakticheskikh uchrezhdeniyakh na sovremennom etape [The
analysis of quality of health and social and rehabilitation care in
health care facilities at the present stage]. Vestnik vserossiyskogo obshchestva spetsialistov po mediko-sotsial'noy ekspertize, reabilitatsii i reabilitatsionnoy industrii 2012;(4):9-12. (In Russian).
-
Shlyafer S.I., Kuznetsov S.I., Zlobin A.N., Grechko A.V. Analiz
vnedreniya statsionarozameshchayushchikh form organizatsii meditsinskoy
pomoshchi v Rossiyskoy Federatsii [The analysis of implementation of
hospital-replacing forms of health care organization in the Russian
Federation]. Byulleten' Nauchno-issledovatel'skogo instituta
sotsial'noy gigieny, ekonomiki i upravleniya zdravookhraneniem im. N.A.
Semashko. 2002; (4): 63-65. (In Russian).
Views: 9418
|