Satisfaction with the quality and accessibility of medical care in regional healthcare: A prospective cohort longitudinal dynamic study
- Authors: Grigoreva E.A.1, Yeremina M.G.1, Krom I.L.1, Erugina M.V.1, Sapogova M.D.1, Zotova Y.A.1
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Affiliations:
- Razumovsky Saratov State Medical University
- Issue: Vol 21, No 2 (2022)
- Pages: 193-201
- Section: SOCIOLOGY OF THE PATIENT
- URL: https://journals.rcsi.science/1728-2810/article/view/126182
- DOI: https://doi.org/10.17816/socm112407
- ID: 126182
Cite item
Abstract
BACKGROUND: One of the leading indicators of the social effectiveness of healthcare is the assessment, monitoring, and analysis of the social satisfaction of patients with medical care, which reflect the degree of implementation of a personalized approach of medical care. Patients’ satisfaction with their interaction with the healthcare system is a result of the main characteristics of the quality of medical care, established by the professional community.
AIM: To analyze the satisfaction of consumers of medical services in terms of the accessibility and quality of medical care in regional healthcare facilities.
MATERIALS AND METHODS: The study involved 218 doctors from primary healthcare medical organizations in Saratov and 312 doctors from primary healthcare medical organizations in districts of the Saratov region.
RESULTS: From the results of the research, we determined negative phenomena in the activity of medical organizations in which the respondents received medical care. Despite the limitation of medical care accessibility for the majority of respondents in the regional healthcare (the absence of the necessary specialists, insufficient technical equipment in the medical organizations, the high cost of medicines unaffordable by patients, and queues), while assessing the satisfaction with medical care in the medical organizations of the region the majority of the respondents (63.8% of respondents in the medical organizations of Saratov and 64.9% in medical organizations of Saratov region) evaluated their satisfaction with medical care positively.
CONCLUSION: The explanation of the results obtained is possible in the context of the description by Academician of RAS A.V. Reshetnikov the phenomenon of “paradoxical” medicine, which appeared in the Russian healthcare literature at the end of the twentieth century.
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##article.viewOnOriginalSite##About the authors
Ekaterina A. Grigoreva
Razumovsky Saratov State Medical University
Email: vrach-katerina@mail.ru
ORCID iD: 0000-0002-8970-9272
SPIN-code: 6663-6473
department assistant
Russian Federation, SaratovMaria G. Yeremina
Razumovsky Saratov State Medical University
Email: 913693@mail.ru
ORCID iD: 0000-0001-9752-1352
SPIN-code: 9205-0670
MD, Cand. Sci. (Med.), applicant of the department
Russian Federation, SaratovIrina L. Krom
Razumovsky Saratov State Medical University
Author for correspondence.
Email: irina.crom@yandex.ru
ORCID iD: 0000-0003-1355-5163
SPIN-code: 4854-1094
MD, Dr. Sci. (Med.), Professor, associate professor
Russian Federation, SaratovMarina V. Erugina
Razumovsky Saratov State Medical University
Email: lab48@yandex.ru
ORCID iD: 0000-0002-8743-4500
SPIN-code: 7016-3160
MD, Dr. Sci. (Med.), Professor, department head
Russian Federation, SaratovMaria D. Sapogova
Razumovsky Saratov State Medical University
Email: maria.sapogova@mail.ru
ORCID iD: 0000-0001-6495-9884
SPIN-code: 2289-3152
graduate student
Russian Federation, SaratovYulia A. Zotova
Razumovsky Saratov State Medical University
Email: votoz73@mail.ru
ORCID iD: 0000-0002-6508-0502
SPIN-code: 1578-4636
MD, Cand. Sci. (Med.), applicant of the department
Russian Federation, SaratovReferences
- Grishchenko KS. Sushchnost’ sotsial’no-ekonomicheskoi effektivnosti sistemy zdravookhraneniya. Academic Journal of West Siberia. 2012;4:31. (In Russ).
- Reshetnikov AV, Shamshurina NG, Alekseeva VM, et al. Primenenie kliniko-ekonomicheskogo analiza v meditsine (opredelenie sotsial’no-ekonomicheskoi effektivnosti). Moscow: GEOTAR-Media; 2009. (In Russ).
- Reshetnikov AV. Kriterii i pokazateli otsenki sotsial’no-ekonomicheskoi effektivnosti upravleniya finansovymi resursami sistemy OMS. Ekonomika zdravookhraneniya. 2002;11:25–28. (In Russ).
- Reshetnikov AV, Astaf’ev LM. Mediko-sotsiologicheskii podkhod k issledovaniyu kachestva meditsinskoi pomoshchi. Sociology of medicine. 2005;6(1):32–37. (In Russ).
- Reshetnikov AV. Ekonomika zdravookhraneniya. Moscow: GEOTAR-Media; 2007. (In Russ).
- Oleynik AV, Sadovnikova NA, Mushnikov DL, et al. The state of social efficiency of health care (according to the assessment of patient satisfaction with the help provided). Educational Bulletin Consciousness. 2020;22(2):10–15. (In Russ). doi: 10.26787/nydha-2686-6846-2020-22-2-10-15
- Kobyakova OS., Deev IA, Tyufilin DS, et al. Satisfaction with health care: how to measure and compare? Social aspects of population health. 2016;3:5. (In Russ). doi: 10.21045/2071-5021-2016-49-3-5
- Reshetnikov AV. Mediko-sotsiologicheskii monitoring: Rukovodstvo. Moscow: Meditsina; 2003. (In Russ).
- WHO. Quality of health care [Internet]. WHO Fact Sheet for Health Care Managers [cited 25 January 2023]. Available from: https://www.who.int/ru/health-topics/quality-of-care#tab=tab_1
- Schneider GV, Deev IA, Kobyakova OS, et al. Assessment of public satisfaction with health care Social aspects of population health. 2020;66(4):4. (In Russ). doi: 10.21045/2071-5021-2020-66-4-4
- Tsygankov BD, Malygin YV. The approaches to investigation of factors impacting satisfaction of patients with medical care (according international publications’ data). Problems of Social Hygiene, Public Health and History of Medicine. 2014;22(4):18–22. (In Russ).
- Mazurenko O, Collum T, Ferdinand A, Menachemi N. Predictors of hospital patient satisfaction as measured by HCAHPS: a systematic review. J Healthc Manag. 2017;62(4):272–283. doi: 10.1097/JHM-D-15-00050
- Lehrich BM, Goshtasbi K, Brown NJ, et al. Predictors of patient satisfaction in spine surgery: a systematic review. World Neurosurg. 2021;146:e1160–e1170. doi: 10.1016/j.wneu.2020.11.125
- Sadovoy MA, Kobyakova OS, Deev IA, et al. Patient satisfaction with medical care. Bulletin of Siberian Medicine. 2017;16(1):152–161. (In Russ). doi: 10.20538/1682-0363-2017-1-152-161
- Reshetnikov AV. The social institution of medicine. Part II. Sociology of Medicine. 2018;17(2):68–79. (In Russ). doi: 10.18821/1728-2810-2018-17-2-68-79