Организация здравоохранения
PATIENT SATISFACTION WITH THE QUALITY AND AVAILABILITY OF MEDICAL CARE IN THE PROFILE
A.A. Endovitsky1, V.V. Liutsko1, T.A. Chodakova2
1. Russian Research Institute of Health, Moscow
2. Moscow State Medical and Dental University named after A.I. Evdokimov, Ministry of Health of Russia, Moscow
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Summary:
Introduction. In the Russian Federation, over the past twenty years, an increase in the incidence of diseases of the genitourinary system has been registered, which forces the search for means and ways to search for new relevant methods to increase the availability and quality of medical care in the profile of "Urology". The increase in the general morbidity and morbidity of diseases of the genitourinary system in particular falls primarily on the primary link of medical care. One of the indicators of quality medical care is patient satisfaction. Our study presents the results of a survey of respondents who received medical care in the "Urology" profile on an outpatient basis.
Goal. To study patients' satisfaction with the quality of medical care in the "urology" profile provided on an outpatient basis
Materials and methods. A cross-sectional one-stage medical and sociological study was conducted. The research was based on the GBUZ "City Polyclinic No. 195 DZM". The study included 394 questionnaires. The critical significance level is assumed to be 0.05. The calculation of 95% confidence intervals (CI) was carried out by the Fisher method. Statistical data processing was carried out using the SPSS application software package ver. 23.
Results. More than half of the urologist's appointments are men, most of the patients are 55 years old and older, and a third of patients are younger than 54 years old. A third of patients visit a urologist 1 time in 5 years, another third 1-2 times a year. The most frequent purpose of the visit is examination and treatment, only a small part applies for a certificate or discharge of a preferential drug. The average score on a 5-point scale when assessing the overall impression of visiting the city polyclinic was 3.92, when assessing the organization of the polyclinic's work was 3.91. The majority of respondents were able to make an appointment within 6-14 days, the waiting time for the start of the consultation did not exceed more than 5 minutes in most cases, most often the appointment took from 11 to 20 minutes. The competence of the urologist and the overall impression of his visit were evaluated by an average of 4.49 and 4.5 points. The vast majority of appointments were held without the participation of a nurse. In general, the majority of respondents are satisfied with the medical care provided to them.
Conclusions. Thus, a small proportion of patients expect the start time of admission to be more than 15 minutes after the time prescribed in the coupon (1.8%; 95% CI 0.7-3.3). More than 14 days of waiting for a urologist's appointment were observed in a small number of respondents (4%; 95% CI 2.3-6.2), which, nevertheless, violates the timing of the consultation of specialist doctors and does not exceed 2 weeks. The urologist conducted most of the appointments without the help of an average staff (86.2%; 95% CI 82.6-89.4), only in a small number of cases the nurse fully assisted in examining the patient (1.7%; 95% CI 0.7-3.2). Also noteworthy is the satisfaction with visiting the polyclinic in general – slightly more than a quarter of respondents rated "3" or lower on a 5-point scale (27%; 95% CI 22.7-31.5), and half of the respondents had complaints about the organization of the polyclinic and/or the work of medical personnel (50%; 95% CI 45.1-54.9), which requires organizational decisions to improve the quality of medical care.
Keywords satisfaction, medical care, urologist, outpatient conditions
Bibliographic reference:
A.A. Endovitsky, V.V. Liutsko, T.A. Chodakova, PATIENT SATISFACTION WITH THE QUALITY AND AVAILABILITY OF MEDICAL CARE IN THE PROFILE // Scientific journal «Current problems of health care and medical statistics». - 2022. - №5;
URL: http://healthproblem.ru/magazines?textEn=940 (date of access: 23.11.2024).
URL: http://healthproblem.ru/magazines?textEn=940 (date of access: 23.11.2024).
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