Main causes of parents dissatisfaction by the accessibility and quality of ambulatory-polyclinic care for children

2017 ◽  
Vol 8 (6) ◽  
pp. 24-29 ◽  
Author(s):  
Vadim K. Yuryev ◽  
Vera V. Sokolova
Keyword(s):  
Patient Satisfaction ◽  
Medical Care ◽  
Home Visiting ◽  
Medical Personnel ◽  
Study Patient ◽  
Sociological Research ◽  
The Social ◽  
Legitimate Interests ◽  
Quality Of Medical Care

One of the main tasks of the national healthcare is to increase the accessibility and quality of medical care to the population. One way of assessing the quality of care is to study patient satisfaction with medical care through sociological research. The degree of patient satisfaction reflects not only the social effectiveness of medical organizations, but also the work of all health systems. The bulk of medical care a child receives in the conditions of the polyclinic. Parents, being legal representatives of the child, can objectively assess the quality of medical care provided to them in the children's polyclinic, and, if necessary, protect his legitimate interests. With a view to identifying the main causes of the dissatisfaction of the child population of Saint Petersburg by the accessibility and quality of ambulatory-polyclinic care, the anonymous questionnaire of 1488 parents of children receiving the medical care in outpatient polyclinics was conducted. It found that in children's polyclinics parents often face difficulties when calling the doctor home, visiting a pediatrician and subspecialties doctor, passing medical examinations and procedures. Parents were not always satisfied with the preventive activities and sanitary and hygienic condition of the polyclinic. There are cases of inattentive and mistreatment by medical personnel. In General, over half (53.2%) parents have remained completely unsatisfied or not fully satisfied by the quality of provided ambulatory-polyclinic care.

scholarly journals Accessibility and quality of medical care in public out-patient clinics and private medical centers of the Amur oblast as reported by patients with back pain

2014 ◽  
Vol 95 (2) ◽  
pp. 257-261
Author(s):  
K Yu Dobrovinskaya ◽  
L N Voyt
Keyword(s):  
Back Pain ◽  
Medical Care ◽  
Working Hours ◽  
Medical Personnel ◽  
Medical Aid ◽  
Medical Centers ◽  
Private And Public ◽  
Quality Of Medical Care ◽  
Pain Patients

Aim. To study the opinion of patients with low back pain of judgement of assessibility and quality of medical care in public and private medical centers. Methods. Back pain patients to assess the quality of medical care filled in specially designed questionnaires for each type of medical facilities (two types of questionnaires for each patient who underwent treatment in both outpatient public clinics and private medical centers, total of 600 questionnaires). The poll was anonymous and was performed at one of the private medical centers in august 2013. Patients were randomly picked out from all patients who seek for medical aid in private center being unsatisfied with the quality of medical aid offered at public medical centers or who were on the waiting list for a doctor visit, or with disease worsening not within the working hours of public medical centers (600 questionnaires). The poll included patients of active working age: men aged 20 to 60 years (118 patients, 39.3%) and females aged 20 to 55 years (182 patients, 60.7%). Results. The majority of patients were more satisfied with the quality of the treatment, examination and attitude of medical personnel in private medical centers compared to public institutions. The following issues of providing medical aid to back pain patients were discovered both in private and public settings: untimely referral to specialist, or consultation only by general practitioner without subsequent consultation of neurologist, long waiting lists, incomplete neurologic examination, and low qualification of doctors in choosing appropriate examinations, treatment approach and further prophylaxis. Abovementioned issues were more significant in public settings. Conclusion. The research showed that there is a need in developing uniform standards of medical care in case of a back pain in outpatients that do not yet exist.

POTENTIAL FOR IMPROVING THE QUALITY OF CANCER CARE

2021 ◽  
pp. 91-97
Author(s):  
Mushnikov D.L. ◽  
Kozlov V.A ◽  
Polacov B.A.
Keyword(s):  
Medical Care ◽  
Healthy Lifestyle ◽  
Medical Personnel ◽  
Original Method ◽  
Expert Assessment ◽  
Oncological Care ◽  
Care Outcomes ◽  
Quality Of Medical Care ◽  
Integral Assessment

The quality of medical care is one of the leading problems of both foreign and domestic healthcare. The purpose of the study: to assess the potential of the quality of medical care of the oncological profile and to give recommendations for its improvement. Materials and methods. A study was conducted on the basis of the oncological service of the Ivanovo region. The research program included the use of expert, sociological and statistical methods. A survey of 120 doctors and an expert assessment of 410 cases of oncological care were conducted. A feature of the study was the use of an original method of integral assessment of the quality potential of oncological care. The potential for improving the quality of medical care was assessed in three components: infrastructure (personnel, logistics and drug support), procedural (compliance of the technology of assistance with standards and clinical recommendations), expert (quality of examination of the quality of medical care). Outcomes. It is established that the infrastructure component of the quality of medical care is of priority importance from the point of position of improvement (reserve 11,0%), in second place – the procedural component (9,0%), on the third – expert (5,0%). The survey showed that among medical personnel there is a high prevalence of adverse socio-hygienic factors: unsatisfactory housing conditions; a high percentage of unmarried personnel; a significant number of people suffering from chronic diseases; not observing the principles of a healthy lifestyle. Findings. The developed approach to improving the quality of medical care of the oncological profile, tested in the conditions of medical organizations of the Ivanovo region, will ensure targeted correction of factors associated with quality and a steady trend towards improving the quality of medical care. The set of proposals developed during the study was tested in an organizational experiment conducted on the basis of medical organizations that provide assistance to patients of the oncological profile of the Ivanovo region in 2019. According to the results of the implementation, a positive dynamic of the potential for the quality of medical care was obtained - from 91,7% to 98,5%.

scholarly journals Patient Satisfaction Ratings of Male and Female Residents Across Subspecialties

Neurosurgery ◽  
2019 ◽  
Vol 86 (5) ◽  
pp. 697-704 ◽  
Author(s):  
Methma Udawatta ◽  
Yasmine Alkhalid ◽  
Thien Nguyen ◽  
Vera Ong ◽  
Jos’lyn Woodard ◽  
...  
Keyword(s):  
Patient Satisfaction ◽  
Quality Of Care ◽  
Medical Care ◽  
Communication Skills ◽  
Gender Inequalities ◽  
Male And Female ◽  
Medical Expertise ◽  
Significant Difference ◽  
Quality Of Medical Care

Abstract BACKGROUND Females currently comprise approximately 50% of incoming medical students yet continue to be underrepresented in certain medical subspecialties. OBJECTIVE To assess whether gender plays a role in patients’ perception of physician competency among different specialties. METHODS We administered surveys at 2 academic medical centers to patients who were stable, cognitively aware, and indicated English as their primary language. Survey questions evaluated communication, medical expertise, and quality of care. RESULTS A total of 4222 surveys were collected. Females comprised around half (n = 2133, 50.7%) of evaluated residents. First-year (n = 1647, 39%) and second-year (n = 1416, 33.5%) residents were assessed most frequently. Internal medicine conducted the most surveys (n = 1111, 23.6%), whereas head and neck surgery conducted the least (n = 137, 3.24%). There was no statistically significant difference between patients’ perception of male and female residents of the same year in overall communication skills, medical expertise, and quality of medical care. Female residents outperformed their male counterparts on specific questions evaluating the communication of treatment plans, patient education, and patient satisfaction (P < .001, P = .03, P = .04, respectively). Unsurprisingly, patients’ perceptions of residents’ overall communication skills, medical expertise, and quality of medical care significantly improved when comparing more experienced residents to newer residents. CONCLUSION There is no difference between overall communication, medical expertise, and quality of care between sexes, and across subspecialties. Though gender inequalities currently exist most starkly in practitioners in surgical subspecialties, women in surgical residencies were much better communicators than their male counterparts, but still perceived to have similar levels of medical expertise and quality of care.

scholarly journals THE RATIONALE FOR THE NEED TO IMPROVE INSTITUTIONAL ARRANGEMENTS FOR HAND HYGIENE IN THE SYSTEM OF PROVIDING QUALITY OF HEALTH CARE

2018 ◽  
Vol 97 (6) ◽  
pp. 537-541
Author(s):  
Tatiana N. Shestopalova ◽  
T. V. Gololobova
Keyword(s):  
Health Care ◽  
Hand Hygiene ◽  
Medical Care ◽  
Medical Personnel ◽  
Point Of View ◽  
High Tech ◽  
Economic Damage ◽  
Sociological Research ◽  
Systematic Training

Introduction. The article substantiates the necessity of the improvement of organizational measures on hand hygiene in the system of providing high-quality medical care. The safety of medical activities is noted to take one of the leading positions among the main criteria for assessing the quality of medical care. In this regard, the most important task of health care is to develop and improve the safety of medical care. Material and methods. The article presents up-to-date statistical data on the amount of social and economic damage associated with the insufficient safety of medical care in foreign countries and in the Russian Federation. The active development and introduction of new high-tech methods of diagnosis and treatment in medical organizations were noted to give rise the emergence of new risks, determines the need for continuous improvement of technologies, methods, and means of ensuring the safety of medical care. There was made a draw that the prevention of risks of the emergence of adverse consequences for the health and life of patients is determined by the effectiveness of technologies providing the safety of medical care. Results. There are presented results of sociological research conducted by the authors on issues of the compliance with mandatory requirements for the safety of medical care, in particular, on compliance with the requirements for hygienic treatment hands and the use of gloves by medical personnel in medical organizations of Moscow. Conclusion. There is made a conclusion on the basis of the obtained data on the need to develop and implement additional measures aimed at ensuring the safety of medical care. These measures include: - the development and implementation of standards of performance of procedures significant from the point of view of the safety in divisions of the medical facilities; - systematic training of personnel; - control for the compliance with mandatory requirements at each critically important stage; - providing materials of the required quality and in the required quantity for the provision of safe assistance; - development and implementation of measures of the administrative response in cases of violations of mandatory requirements by personnel.

THE QUALITY OF MEDICAL CARE IN MEDICAL ORGANIZATIONS OF MOSCOW PUBLIC HEALTH CARE SYSTEM IN APPRAISALS OF PATIENTS AND PHYSICIANS

2017 ◽  
Vol 16 (2) ◽  
pp. 100-106 ◽  
Author(s):  
I. Ya Tadjiev ◽  
A. V Belostotsky ◽  
S. S Budarin
Keyword(s):  
Health Care ◽  
Medical Care ◽  
Medical Personnel ◽  
Public Health Care ◽  
Fee For Service ◽  
Emergency Medical Care ◽  
Emergency Medical ◽  
Quality Of Medical Care ◽  
High Level

The article presents the analysis of results of complex medical sociological survey of effectiveness and efficiency of medical care as main criteria of its quality and accessibility. The survey comprised 1,737 patients of various social groups of population of Moscow and 203 physicians of polyclinics. At self-rating of health, 13.2% of respondents determined it as unsatisfactory, 45.1% as satisfactory and 31.3% as good. In all population groups, the most called-for proved to be polyclinic institutions. The high level of satisfaction of patients with quality of emergency medical care was established in all groups. The quality of medical care in polyclinics and hospitals was assessed significantly lower. The most negatively assessed criteria turned out transition to fee-for-service forms of medical support and time limits of waiting for all modes of medical care, except emergency medical care and district therapist. The evaluation by physicians of their own activity and present problems is characterized by their unanimity in need of increasing of salary (100%) and increasing of typical sectoral standards of time of reception of a patient (96.5%), decreasing of intensity of work of medical personal (92.3%) and reduction of some forms of record cards with the purpose of releasing of time and attention of physician for a patient (88.4%). The disrespectful attitude of patients to medical personnel was mentioned by 77.3% of physicians which is a new phenomenon testifying loss of confidence in patient-physician relationship. The quality of implemented work was assessed equally and rather high by both young and experienced physicians. The positive and negative aspects of reorganization of health care were analyzed. Two alternatives of problems were established to focus plans of development of system of Moscow health care to support accessible and qualitative medical care of population.

scholarly journals Measuring patient satisfaction in children

1993 ◽  
Vol 17 (11) ◽  
pp. 661-662
Author(s):  
Elizabeth Walters
Keyword(s):  
Mental Health ◽  
Patient Satisfaction ◽  
Medical Care ◽  
Child Mental Health ◽  
Early Stage ◽  
Child Mental Health Services ◽  
Department Of Health ◽  
Medical Advisory Committee ◽  
Quality Of Medical Care

The report of the Standing Medical Advisory Committee to the Department of Health, The Quality of Medical Care (1990), states that outcome is the most relevant indicator of quality of medical care. In addition to providing information about the appropriateness of treatments, there are important ethical and resource implications if activities are found to be unjustified. However, measuring outcome is difficult if there is no quantifiable change in symptoms or function following treatment. In child psychiatry this is a relatively common dilemma and outcome studies, while agreed to be essential, are frequently abandoned at an early stage or fail to get off the ground because of the complexity of the problems they generate. In a review of the ways in which child mental health services attempt to measure outcome (Pound & Cottrell, 1989) the authors acknowledge these difficulties and conclude that a start should be made by “Asking the customer's opinion” about the treatment they have received. In other words, “Are they satisfied?”.

scholarly journals Epileptic status: reality 2021

2021 ◽  
Vol 40 (4) ◽  
pp. 59-68
Author(s):  
Sergey N. Bazilevich ◽  
Mikhail Yu. Prokudin ◽  
Dmitriy A. Averyanov ◽  
Dmitriy E. Dyskin
Keyword(s):  
Medical Care ◽  
Antiepileptic Drugs ◽  
Early Stage ◽  
Treatment Protocol ◽  
Case Series ◽  
Medical Personnel ◽  
General Anesthetics ◽  
Quality Of Medical Care ◽  
The Russian Federation

Epileptic status is one of the urgent conditions in neurology that requires clear and urgent measures at any stage of medical care. It ranks second among all urgent neurological conditions. The therapeutic principle time-brain is applicable not only for urgent measures in acute cerebrovascular accident, but also for the relief of epileptic status, since the worst prognosis is associated with an increase in the duration of seizure activity. According to the standards proposed in the world for the treatment of epileptic status, benzodiazepines, intravenous forms of antiepileptic drugs, and general anesthetics are used. In the Russian Federation, the use of many drugs is limited due to the lack of registration, their lack in standards, and unavailability in hospitals. Due to the lack of studies on the treatment of epileptic status that go beyond the early stage of status, most of the recommendations presented worldwide remain based on case series or expert judgment. The efficacy benefits of anti-status drugs used in the second and third stages of epileptic status therapy remain unclear. Therefore, if there is a choice of anti-status drugs, the decision of which drug, in what dose and in what sequence will be used, should be made by the senior and most trained doctor in this matter, taking into account the characteristics of each patient. Based on modern international and personal experience, the paper presents a step-by-step protocol for the treatment of generalized convulsive epileptic status, discusses the successes and problems of providing care to patients with this pathology in Russia. The quality of medical care in epileptic status can be significantly improved provided that medical personnel at all stages of the treatment protocol are required to evacuate patients with epileptic status to specialized centers of multidisciplinary hospitals with the possibility of examination and therapy, including the availability of EEG monitors, neuroimaging and laboratory capabilities, and also access to modern antiepileptic drugs (1 table, bibliography: 30 refs)

Medical and Sociological Characteristics of City Multi-Profile Hospital

10.12737/9089 ◽  
2015 ◽  
Vol 22 (1) ◽  
pp. 106-111
Author(s):  
Орлов ◽  
A. Orlov
Keyword(s):  
Quality Of Care ◽  
Staff Development ◽  
Medical Care ◽  
Health Workers ◽  
Hospital Staff ◽  
Sociological Research ◽  
Ongoing Work ◽  
Medical Person ◽  
Quality Of Medical Care

The article describes medical and sociological large multidisciplinary inpatient hospital care in Samara city according to study of the opinions of patients and health workers. 357 respondents from among the patients of the hospital and 295 respondents from a number of doctors and paramedical staff of this medical prophylactic institution took part in the survey. The study was conducted on the basis of specially designed questionnaires. Sociological research method was used.The majority of patients were satisfied with both the terms of stay relation in the hospital, and the quality of diagnostic and therapeutic issues incorporated, the organization of medical care. Medical person-nel actively engaged in self-education on the assessment, monitoring and ensuring the quality of care. It was established a high proportion of respondents who consider themselves knowledgeable in matters of quality of care and well-assess the quality of care at the hospital. They believe that the ongoing work to ensure the quality of medical care is in the hospital. It is necessary to continue work in a multidisciplinary hospital staff development in the area of quality of care, as many of the questions, respondents of the number of health workers failed to give a complete and correct answer (in terms of the componentsof the ILC, controls carried out by health insurance organizations, controls).

scholarly journals Availability and quality of medical care to children according to estimates of their parents

2019 ◽  
Vol 19 (2) ◽  
pp. 97-102 ◽  
Author(s):  
I. A. Shmelyov ◽  
Oleg E. Konovalov
Keyword(s):  
Medical Care ◽  
Medical Personnel ◽  
Level Of Satisfaction ◽  
Positive Assessment ◽  
Free Care ◽  
Quality Of Medical Care ◽  
High Degree ◽  
Regional Programs ◽  
Monitoring Information

Introduction. Process of reforming of health care causes the need of the use of medico-sociological methods for the analysis of efficiency of medical care and search of ways of its improvement. There are presented data of Estimation of Parental Valuation of the quality and availability of the out-patient and polyclinic care for children. Materials and methods. The questionnaire survey of 478 lawful representatives of minor patients (residents of the samara region) was performed. Results. Respondents in general were established to give a positive assessment to the assurance of the quality of medical care for their children: relationships with the doctor were characterized by high degree of trust, attentive and respect, full understanding of problems of the patient from the medical personnel. Among the positive aspects the survey participants pointed out the possibility of obtaining expert assistance, free care, and certain availability, the possibility of the contact with a doctor as needed. The lack of a variety of specialists, safeguarding the confidentiality of the information, scarcity of medicines, and poor organization of rehabilitation are negatively perceived by parents. Parents see the achieving high quality of care in the improvement in working conditions for medical staff (including financial stimulation of employees) and increasing of the professionalism of doctors. Conclusion. Primary out-patient and polyclinic care for the children’s population in general is highly appreciated by parents enough as quite corresponds to individual needs of patients and in most cases helps to cope with their problems. Inconstancy of the level of satisfaction characterizing the quality of medical care determines the need of its regular monitoring. Information on the quality and availability of the out-patient and polyclinic care can be used in forming regional programs of the prevention of noninfectious diseases among the children’s population.

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