Medical and sociological assessment of patients' opinions on the state of the oncological service in the Moscow region and suggestions for its improvement

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Abstract

BACKGROUND: Oncological diseases are one of the leading causes of death in the world, which determines the fundamental importance of efforts to improve measures aimed at early detection of oncopathology in the population. The strategy for the development of oncological medical care includes the implementation of a wide range of measures to improve the therapeutic and diagnostic, organizational, personnel, technological, and other components of the activities of a specialized oncological medical service aimed at early detection of diseases, reducing mortality and improving the quality of life of patients.

AIM: The study of patients' opinions on various components of the oncological service of the Moscow region.

METHODS: The medical and sociological study "Analysis of patients' opinions on the state of the oncological service of the region and proposals for its optimization" was implemented in 2022 on the basis of the Moscow Regional Research and Clinical Institute. The research method was a questionnaire survey, the sample included 369 patients with oncological diseases who were treated at the clinic.

RESULTS: The study revealed a fairly high level of satisfaction with medical care for patients with oncological diseases, showed the need to strengthen the personnel and logistical component of its activities, as well as the formed request for optimizing patient routing algorithms during treatment and strengthening the humanistic component of the regional health system.

CONCLUSION: Oncological diseases are not only a medical problem, the solution of which requires significant financial, personnel, and organizational resources, but also a special area of social interaction in the professional space of medicine. This determines the need for regular monitoring of patients' opinions on the quality of medical care and related social aspects in its provision, expansion of information and preventive work with the population, as well as strengthening the social component — first of all, supporting communication between a doctor and a patient in oncological practice.

About the authors

Andrey V. Reshetnikov

The First Sechenov Moscow State Medical University

Email: reshetnikov_a_v@staff.sechenov.ru
ORCID iD: 0000-0001-9413-4859
SPIN-code: 6488-3251

Academician of RAS, MD, Dr. Sci. (Medicine), Dr. Sci. (Sociology), Professor

Russian Federation, Moscow

Konstantin E. Sobolev

Moscow Regional Research and Clinical Institute

Email: sob-kos@live.ru
ORCID iD: 0000-0003-4779-8577

MD, Cand. Sci. (Medicine)

Russian Federation, Moscow

Nina V. Suslonova

Moscow Regional Research and Clinical Institute

Email: nv.suslonova@mail.ru
ORCID iD: 0000-0002-4179-8202
SPIN-code: 5988-4121

MD, Dr. Sci. (Medicine), Professor

Russian Federation, Moscow

Nadezhda V. Prisyazhnaya

The First Sechenov Moscow State Medical University

Author for correspondence.
Email: prisyazhnaya_n_v@staff.sechenov.ru
ORCID iD: 0000-0002-5251-130X
SPIN-code: 6930-9377

Cand. Sci. (Sociology)

Russian Federation, Moscow

Valentina E. Shikina

Moscow Regional Research and Clinical Institute

Email: shik-val@mail.ru
ORCID iD: 0000-0002-6672-4269
SPIN-code: 8371-5054

MD, Cand. Sci. (Medicine)

Russian Federation, Moscow

Andrey S. Razdorskiy

Moscow Regional Research and Clinical Institute

Email: razdorskiy.andrey@mail.ru
ORCID iD: 0009-0007-2637-3437
Russian Federation, Moscow

References

  1. Cancer. In: World Health Organization [Internet]. Geneva: World Health Organization, 20 [cited 2022 May 26]. Available from: https://www.who.int/health-topics/cancer#tab=tab_1
  2. Ward ZJ, Yeh JM, Bhakta N, Frazier AL, Atun R. Estimating the total incidence of global childhood cancer: a simulation-based analysis. Lancet Oncol. 2019;20(4):483-493. doi: 10.1016/S1470-2045(18)30909-4
  3. Bernstein E, Lev-Ari S, Shapira S, et al. Data From a One-Stop-Shop Comprehensive Cancer Screening Center. J Clin Oncol. 2023;41(14):2503-2510. doi: 10.1200/JCO.22.00938
  4. Espina C, Feliu A, Maza M, et al. Latin America and the Caribbean Code Against Cancer 1st Edition: 17 cancer prevention recommendations to the public and to policy-makers (World Code Against Cancer Framework). Cancer Epidemiol. 2023;(86 Suppl. 1):102402. doi: 10.1016/j.canep.2023.102402
  5. GBD 2019 Chronic Respiratory Diseases Collaborators. Global burden of chronic respiratory diseases and risk factors, 1990-2019: an update from the Global Burden of Disease Study 2019. EClinicalMedicine. 2023;59:101936. doi: 10.1016/j.eclinm.2023.101936
  6. GBD 2019 Lip, Oral, and Pharyngeal Cancer Collaborators, Cunha ARD, Compton K, et al. The Global, Regional, and National Burden of Adult Lip, Oral, and Pharyngeal Cancer in 204 Countries and Territories: A Systematic Analysis for the Global Burden of Disease Study 2019. JAMA Oncol. 2023;9(10):1401-1416. doi: 10.1001/jamaoncol.2023.2960
  7. Miller KD, Nogueira L, Devasia T, et al. Cancer treatment and survivorship statistics, 2022. CA Cancer J Clin. 2022;72(5):409-436. doi: 10.3322/caac.21731
  8. Shimizu H, Nakayama KI. Artificial intelligence in oncology. Cancer Sci. 2020;111(5):1452-1460. doi: 10.1111/cas.14377
  9. Tran KA, Kondrashova O, Bradley A, Williams ED, Pearson JV, Waddell N. Deep learning in cancer diagnosis, prognosis and treatment selection. Genome Med. 2021;13(1):152. doi: 10.1186/s13073-021-00968-x
  10. Federal project “Fight against cancer”. In: Ministry of Health of the Russian Federation [Internet]. Moscow: Ministry of Health of the Russian Federation, 2023 [cited 2023 Mar 24]. Available from: https://minzdrav.gov.ru/poleznye-resursy/natsproektzdravoohranenie/onko
  11. Reshetnikov AV, Sobolev KE. Conceptual model of organization of medical and sociological monitoring of the results of strategic planning for the development of regional health care (by the materials of the Moscow region. Sociology of Medicine. 2022;21(1):5-15. EDN: GWQGPZ doi: 10.17816/socm109235
  12. Merabishvili VM, Belyaev AM. The state of cancer care in Russia: oneyear survival rate of patients with malignant neoplasms and first-year mortality rate for cancer of any site. (Population study at the federal district level). Voprosy onkologii. 2023;69(1):55-65. doi: 10.37469/0507-3758-2023-69-2-227-237
  13. Yumaguzin VV, Vinnik MV. Assessing the Quality of the Cause-Specific Mortality Statistics in Russian Regions. Monitoring of Public Opinion: Economic and Social Changes. 2023;(2):282-302. EDN: VJNDWS doi: 10.14515/monitoring.2023.2.2368
  14. Krom IL, Erugina MV, Eremina MG, et al. Modern transformations of medicine space from medical care to a medical service. Bioethics journal. 2019(1):27-29. EDN: ZLRFSU doi: 10.19163/2070-1586-2019-1(23)-27-29
  15. Reshetnikov AV, Sobolev KE. Medical and sociological monitoring. Moscow: GEOTAR-Media, 2022. (In Russ.)
  16. Mihailova IuV, Siburina TA, Son IM. The public opinion about health care: the main factors of increasing satisfaction of population with medical care. The problems of social hygiene, public health and history of medicine. 2019;27(3):231-236. EDN: VTTSFF doi: 10.32687/0869-866X-2019-27-3-231-236
  17. Department of the Federal State Statistics Service for Moscow and the Moscow Region. Moscow region in numbers: a brief statistical collection. [Internet]. Mosstat, 2023 [cited 2023 Feb 13]. Available from: https://youthlib.mirea.ru/ru/reader/4027 (In Russ.)
  18. Wang S, Liu X, Zhao J, et al. Computer auxiliary diagnosis technique of detecting cholangiocarcinoma based on medical imaging: A review. Comput Methods Programs Biomed. 2021;208:106265. doi: 10.1016/j.cmpb.2021.106265
  19. Wang Y, Yan Q, Fan C, et al. Overview and countermeasures of cancer burden in China. Sci China Life Sci. 2023;66(11):2515-2526. doi: 10.1007/s11427-022-2240-6
  20. Korobchuk AB. Analysis of global experience in creating reference centers. European science. 2023;4:60-63.
  21. Kogan EA, Rudenko EE, Demura TA, et al. Practical experience of the Sechenov University Reference Centre for immunohistochemical, pathomorphological, molecular genetic diagnostic methods. National Health Care (Russia). 2022;3(4):27-33. EDN: WNEXNH doi: 10.47093/2713-069X.2022.3.4.27-33
  22. Schulmeyer CE, Beckmann MW, Fasching PA, et al. Improving the Quality of Care for Cancer Patients through Oncological Second Opinions in a Comprehensive Cancer Center: Feasibility of Patient-Initiated Second Opinions through a Health-Insurance Service Point. Diagnostics (Basel). 2023;13(21):3300. doi: 10.3390/diagnostics13213300
  23. Grauman Å, Ancillotti M, Veldwijk J, Mascalzoni D. Precision cancer medicine and the doctor-patient relationship: a systematic review and narrative synthesis. BMC Med Inform Decis Mak. 2023;23(1):286. doi: 10.1186/s12911-023-02395-x
  24. Helgeson VS, Cohen S. Social support and adjustment to cancer: reconciling descriptive, correlational, and intervention research. Health Psychol. 1996;15(2):135-148. doi: 10.1037//0278-6133.15.2.135
  25. Hillen MA, Smets EMA, M Stouthard J, de Vos FYF, Lehmann V. Cancer patients' trust as a motivator to seek a second opinion and its effects on trust. Psychol Health. 2023;38(9):1109-1127. doi: 10.1080/08870446.2021.2011282
  26. Hinzey A, Gaudier-Diaz MM, Lustberg MB, DeVries AC. Breast cancer and social environment: getting by with a little help from our friends. Breast Cancer Res. 2016;18(1):54. doi: 10.1186/s13058-016-0700-x
  27. Marino F, Alby F, Zucchermaglio C, Scalisi TG, Lauriola M. Navigating Intercultural Medical Encounters: An Examination of Patient-Centered Communication Practices with Italian and Foreign Cancer Patients Living in Italy. Cancers (Basel). 2023;15(11):3008. doi: 10.3390/cancers15113008
  28. McCabe R, Healey PGT. Miscommunication in Doctor-Patient Communication. Top Cogn Sci. 2018;10(2):409-424. doi: 10.1111/tops.12337
  29. Reshetnikov A, Gevandova M, Prisyazhnaya N, Vyatkina N. The Role of Parents in Their Child's Cancer Diagnosis, Treatment, Rehabilitation, and Socialization. Indian J Pediatr. 2024;91(1):30-34. EDN: CRZKBY doi: 10.1007/s12098-022-04387-7
  30. Bottaro R, Craparo G, Faraci P. What is the direction of the association between social support and coping in cancer patients? A systematic review. J Health Psychol. 2023;28(6):524-540. doi: 10.1177/13591053221131180
  31. Campisi G, Bazzano M, Mauceri R, et al. Improving the cancer adult patient support network (iCAN): a pilot study on a communication model and modified focus group. Front Psychol. 2023;14:1223168. doi: 10.3389/fpsyg.2023.1223168
  32. Jensen LF, Pedersen AF, Andersen B, Vedsted P. Social support and non-participation in breast cancer screening: a Danish cohort study. J Public Health (Oxf). 2016;38(2):335-342. doi: 10.1093/pubmed/fdv051
  33. Yoo W, Shah DV, Shaw BR, et al. The role of the family environment and computer-mediated social support on breast cancer patients' coping strategies. J Health Commun. 2014;19(9):981-998. doi: 10.1080/10810730.2013.864723
  34. Reshetnikov AV. Sociology of Medicine. Moscow: GEOTAR-Media, 2022. (In Russ.)

Supplementary files

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2. Fig. 1. Respondents' assessment of satisfaction with the quality of oncological care provided in medical organizations of the Moscow region

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3. Fig. 2. Frequency of respondents seeking outpatient oncologic care in the last 12 months

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