The impact of the importance of the life priority "Health" in the formation of the patient's attitude to the organization of medical care provided on an outpatient settings

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AIM: to analyze the influence of the structure of the life priority “health” in shaping the patient’s attitude towards the organization of medical care provided in an outpatient setting.

MATERIALS AND METHODS OF RESEARCH: Primary data were obtained through an anonymous survey of 486 patients of medical organizations in Moscow. In total, the author’s questionnaire offered eight priority options: “Family”, “Work”, “Education”, “Career”, “Health”, “Material goods”, “Spiritual values”, “Faith (religion)”. When answering, the respondent arranged the proposed priorities in hierarchical order according to the degree of decreasing importance in relation to himself personally. As a division into comparison groups, the concept of standard structure was used, that is, the correspondence of the individual structure of life priorities to the collective structure. The main group (147 people) included patients who considered the life priority “Health” to be very significant. Patients included in the control group (112 people) placed the life priority “Health” in the fourth and subsequent places in the hierarchy, that is, they considered it less important compared to other priorities. 228 patients ranked the life priority “Health” in third place (the majority) and they were excluded from further consideration.

RESULTS AND DISCUSSION: The overall assessment of the activities of a medical organization providing medical care in an outpatient setting does not depend on the place in the hierarchy of life priorities of the “Health” value, however, with an average frequency of visits, which is the most common characteristic of the need for outpatient medical care, the value of the assessment of the quality of the organization of the activities of a medical organization is higher in the control group of patients, that is, with a low importance of the life priority “Health”.

CONCLUSION: Despite the higher integral ratings given by patients with a low importance of the life priority “Health”, and a lower proportion of those who did not express any complaints about the organization of the clinic’s activities, they expressed more complaints about certain aspects of the organization of the work of the medical organization and its mode of operation.

About the authors

Sergey N. Cherkasov

V.A. Trapeznikov Institute of Control Sciences of the Russian Academy of Sciences

Email: cherkasovsn@mail.ru
ORCID iD: 0000-0003-1664-6802
SPIN-code: 5392-9889

MD, Dr. Sci. (Medicine)

Russian Federation, Moscow

Aram V. Martirosov

V.A. Trapeznikov Institute of Control Sciences of the Russian Academy of Sciences; Reaviz Moscow Medical University

Email: dr.martirosov@mail.ru
ORCID iD: 0000-0001-5240-8372
SPIN-code: 1500-8468

MD, Cand. Sci. (Medicine)

Russian Federation, Moscow; Moscow

Mikhail G. Karailanov

Military Medical Academy

Author for correspondence.
Email: vmeda-nio@mail.ru
ORCID iD: 0000-0001-6584-9492
SPIN-code: 7110-9788
Scopus Author ID: 23473000300
ResearcherId: J-1471-2016

MD, Dr. Sci. (Medicine); Associate Professor

Russian Federation, Saint Petersburg

Anna V. Fedyaeva

V.A. Trapeznikov Institute of Control Sciences of the Russian Academy of Sciences

Email: orgzdravotdel@gmail.com
ORCID iD: 0000-0002-8874-0921
SPIN-code: 4383-7594

MD, Cand. Sci. (Medicine)

Russian Federation, Moscow

Irina N. Moroz

Belarusian State Medical University

Email: moroz_iri@bk.ru
ORCID iD: 0000-0002-7430-3237
SPIN-code: 2933-9746

MD, Dr. Sci. (Medicine)

Belarus, Minsk

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