Научно-практический рецензируемый журнал
"Современные проблемы здравоохранения
и медицинской статистики"
Scientific journal «Current problems of health care and medical statistics»
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Диагностика и профилактика преждевременного старения

Организация здравоохранения

EFFECTIVENESS OF THE ORGANIZATIONAL MODEL OF INCREASING PATIENT SATISFACTION WITH MEDICAL CARE

Suslin S.A.1, Timyashev P.V.1, Kiryakova O.V.1, Izmalkov N.S.1, Vavilov A.V.1, Sadreeva S.H.1
1. Samara State Medical University of the Ministry of Health of the Russian Federation, Samara
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Summary:
Introduction. The study of patient satisfaction with the provision of medical care is an important task both within the healthcare system as a whole and in specific medical organizations. Taking into account patient satisfaction and the opinions of medical personnel on this issue largely affects and should further influence the quality management of medical care both in outpatient and inpatient settings. At the same time, the decisive factor should be the development of organizational solutions to increase patient satisfaction in the process of providing medical care. Purpose: to evaluate the effectiveness of the organizational model of increasing patient satisfaction with medical care implemented in the activities of the united city hospital on the basis of the developed indicators. Materials and methods. The basis of the study was the state budgetary healthcare institution of the Samara region "Novokuibyshevskaya Central City Hospital" (GBUZ SO NCGB) – a joint multidisciplinary hospital serving the population of Novokuibyshevsk with a population of 100 thousand inhabitants. The NCGB has a polyclinic department for 1,150 visits per shift and a hospital for 435 beds. Medical care is provided by 153 doctors on an outpatient basis, 72 doctors in inpatient conditions. Indicators of the effectiveness of the organizational model for increasing patient satisfaction with medical care have been developed, which have been studied in dynamics for 2018 (before the implementation of the organizational model) and in 2021 (after its implementation). Results and discussion. In outpatient settings, such indicators as: waiting time for a doctor's appointment from the moment of contacting the polyclinic decreased from 4.7 to 2.8 days; the proportion of people who experienced difficulties when making an appointment with a doctor from 42.1% to 17.8%; waiting time for a doctor's appointment in the queue from 29.8 minutes to 19.1 minutes. Satisfaction with the provision of medical care in outpatient settings has increased in general: the proportion of people who are fully and rather satisfied has increased from 59.3% to 88.9%; the level of satisfaction – from 3.81 points to 4.34 points. The average waiting time for planned hospitalization was reduced from 9.5 days in 2018 to 6.5 days in 2021. The proportion of people who are fully and rather satisfied with the provision of medical care in inpatient conditions increased from 67.3% to 90.8%, and the level of satisfaction – from 4.06 points to 4.55. From 2018 to 2021, doctors' satisfaction with the organization of medical care in outpatient settings increased (from 57.4% to 79.0%), in inpatient settings (from 73.8% to 92.1%), as well as doctors' assessment of patient satisfaction with the provision of medical care in outpatient settings (from 49.8% to 76.5%) and inpatient settings (with 81.3% to 93.4%). Conclusions. The organizational model assumes the presence of a complex of interrelated elements implemented in a medical organization, taking into account the study of patient satisfaction and the opinions of doctors on the problems of patient satisfaction with medical care in a hospital (in outpatient and inpatient settings); the creation of a computer program for monitoring patient satisfaction; the development and implementation of measures to increase patient satisfaction with medical care; the development of indicators to assess the effectiveness of the implemented organizational model. The assessment of the dynamics of indicators in 2018 and 2021 allows us to state the effectiveness of the implemented organizational model.
Keywords satisfaction with medical care, organizational model, patients, effectiveness, organization of medical care

Bibliographic reference:
Suslin S.A., Timyashev P.V., Kiryakova O.V., Izmalkov N.S., Vavilov A.V., Sadreeva S.H., EFFECTIVENESS OF THE ORGANIZATIONAL MODEL OF INCREASING PATIENT SATISFACTION WITH MEDICAL CARE // Scientific journal «Current problems of health care and medical statistics». - 2023. - №1;
URL: http://healthproblem.ru/magazines?textEn=1006 (date of access: 21.11.2024).

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