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 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.

PATIENT CULTURE AS A FACTOR IN ENSURING THE QUALITY OF MEDICAL CARE

2021 ◽  
pp. 106-112
Author(s):  
Oleynik A.V. ◽  
Mushnikov D.L. ◽  
Germakhanov Z.Z. ◽  
Drobysheva E.V.
Keyword(s):  
Medical Care ◽  
Structural Component ◽  
Medical Information ◽  
Medical Services ◽  
Expert Assessment ◽  
Sample Population ◽  
Information Culture ◽  
Cultural Characteristics ◽  
Quality Of Medical Care

The relevance of the study is due to the insufficient development of improving the structural component of the quality of medical care in terms of the cultural characteristics of the participants in their provision. The purpose of the study: to determine the contribution of the patient's culture factor to ensuring the quality of medical care of different profiles. The collection of material was carried out by the method of sociological survey of patients on the original questionnaires and the method of expert assessment of cases of medical care. The volume of the sample population formed by random selection amounted to 256 patients of dental profile, 320 therapeutic, 196 surgical (urological), 210 pediatric profile, respectively. An expert assessment of the quality of medical care was carried out according to the methodology that takes into account the implementation of its individual properties, for 984 cases of assistance. It is established that the quality of medical care is reliably influenced by the state of the cultural profile of patients. It was found that the assessment of the patient structural component of the quality of medical services without taking into account their profile was reduced to 40.6% relative to the maximum assessment, especially the characteristics of the sanological and information culture of the patient. The analysis of the role of patient cultural characteristics in the formation of the structural component of the quality of medical services showed the presence among them of characteristics that have a significant impact on the decline in the quality of services. The revealed differences in the value of the relative risk of the same patient cultural risk factor for reducing the quality of medical services in their different profiles substantiated the need to differentiate factors into high-risk and low-risk. The basis for managing the culture of patients should be measures to transform low gradations of cultural characteristics of patients into high ones, through medical information and education, socio-psychological counseling, patient education and the formation of behaviors focused on the preservation and promotion of health.

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 COVID-19 patients’ satisfaction with quality of medical care provided in the form of telemedicine consultations

2020 ◽  
Author(s):  
NV Polunina ◽  
AA Tyazhelnikov ◽  
AV Pogonin ◽  
EV Kostenko
Keyword(s):  
Medical Care ◽  
Outpatient Care ◽  
Healthy Lifestyle ◽  
Poor Quality ◽  
Health Condition ◽  
Care Provision ◽  
Level Of Satisfaction ◽  
House Call ◽  
Quality Of Medical Care

The paper reports the results of survey carried out in order to assess patients’ opinion on the remote medical care provided by the telemedicine center of theDepartment of health of Moscow during the pandemic. Survey of 216 COVID-19 patients who received outpatient care made it possible to assess their healthcondition and determine the factors contributing to satisfaction with care provided. Patients’ health condition was evaluated based on the course of underlyingdisease and comorbidities, which were revealed in 24.3% of COVID-19 patients. The following three groups were formed: patients with favorable (37.5%),satisfactory (36.7%) and unfavorable (25.8%) health condition. The majority of patients (76.4%) were satisfied with telemedicine consultations; men (79.8%),individuals with favorable condition (83.1%) and patients under 50 (81.9%) demonstrated significantly higher level of satisfaction. The following arguments in favourof telemedicine consultations were specified by patients: appointment of the specialist’s consultation, promptness of treatment appointment, provision of medicalrecommendations, including recommendations on a healthy lifestyle, as well as promptness of house call and ambulance call. The main dissatisfaction reasons wereas follows: lack of appropriate equipment, difficulties when setting up the equipment, complexity of the instructions for connecting to telemedicine consultations,poor quality of video/audio conferencing; these indicated the patients’ inadequate technical resources. Telemedicine consultations may be considered an effectivemethod of outpatient care provision for COVID-19 patients, especially since 64.7% of patients plan to use telemedicine consultations in the future, and 72.3% ofpatients are ready to recommend them to others.

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)

scholarly journals Means And Problems Of Forming A Healthy Lifestyle Among The Population

2021 ◽  
Vol 03 (05) ◽  
pp. 73-77
Author(s):  
Guloyim Sattarovna Avezova ◽  
◽  
Zarnigor Beshimova ◽  
Gulshod Sattarovna Avezova ◽  
◽  
...  
Keyword(s):  
Life Expectancy ◽  
Medical Care ◽  
Healthy Lifestyle ◽  
World Health ◽  
The World ◽  
Hereditary Factors ◽  
Quality Of Medical Care ◽  
Health Organization ◽  
State Of The Environment

The health of the population, its preservation and strengthening, an increase in life expectancy and a reduction in mortality have always been and remain the focus of state social policy. However, it is known that human health depends not only on the quality of medical care, but also on many other factors, such as genetic predisposition to certain diseases, the state of the environment and lifestyle. According to experts from the World Health Organization, the combined contribution of medical care and hereditary factors to health is no more than 30%, while 50% is a healthy lifestyle.

CURRENT ISSUES ON PROVISION OF SERVICES TO WOMEN DURING PREGNANCY AND POSTPARTUM PERIOD BY FAMILY DOCTORS

2020 ◽  
Vol 73 (11) ◽  
pp. 2421-2426
Author(s):  
Olena S. Shcherbinska ◽  
Gennadiy O. Slabkiy ◽  
Viktoria Y. Bilak-Lukyanchuk
Keyword(s):  
Medical Care ◽  
Postpartum Period ◽  
Medical Services ◽  
Expert Assessment ◽  
Family Doctors ◽  
Study Results ◽  
Pregnancy And Postpartum ◽  
Provision Of Services ◽  
Quality Of Medical Care

The aim is to determine the types of medical services that family doctors should provide to women during pregnancy and in the postpartum period and the competencies they should have to provide these services and the most acceptable ways to acquire them. Materials and methods: During the study, the method of expert assessment, statistical method and method of structural and logical analysis were used. 50 obstetricians and gynaecologists who provide women with outpatient care and 50 family doctors acted as independent experts in the study. Results: The types of medical services that family doctors should provide to women during pregnancy and in the postpartum period and the competencies that they should have to ensure the provision of these services were determined by experts. The most acceptable ways to acquire the necessary competencies, as well as the benefits and risks of providing these services at the primary level of health care were designated. Conclusions: The implementation of the proposed types of medical care by family doctors will increase the availability and quality of medical care for women during pregnancy and in the postpartum period.

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.

SAFETY OF MEDICAL ACTIVITY IN DENTISTRY

2021 ◽  
pp. 183-190
Author(s):  
Andreeva S.N. ◽  
Furchakova A.V.
Keyword(s):  
Medical Care ◽  
Medical Personnel ◽  
Economic Security ◽  
Medical Activity ◽  
Medical Environment ◽  
Literary Sources ◽  
Dental Equipment ◽  
Quality Of Medical Care ◽  
Definition Of

Today, ensuring the safety of patients and medical personnel is an integral part of medical practice. In dentistry, this problem is especially relevant, given the fact that dentists occupy one of the leading places in terms of the frequency of professional errors among doctors who have been sued, as well as the frequency of complaints from patients about the quality of medical care. This article discusses the safety of medical activities and the safety of medical care in medical organizations, in general, and in dentistry in particular, an analysis of the regulatory documentation in relation to these concepts is carried out, and issues of terminology are considered. Analysis of literary sources shows that today there is uncertainty in the interpretation of the concept of "safety of medical activity" due to the lack of a legislatively enshrined definition of this concept. With regard to dental practice, the safety of medical activities includes the safety of the patient, the safety of medical personnel, the safety of the environment in which dental care is provided, as well as the safety of pharmaceuticals and medical dental equipment. Organizational, legal, personnel and economic security can also be considered as constituent parts of the safety of medical activities. At the same time, there is no unambiguous understanding of the relationships between the concepts of safety of medical activity, safety of medical care, safety of medical services, safety of the medical environment. An important unresolved to date task is to determine the criteria for assessing the safety of medical activities. Taking into account the versatility of the concept of the safety of medical activities and the specifics of medical activities, it is necessary to develop criteria for assessing the safety of medical activities for each specialty, including dentistry. It seems that the assessment structure should be uniform for all medical activities, but include specific elements with criteria for the safety of medical activities in individual specialties.

Effects of labor satisfaction of medical personnel for the quality of providing medical care

2021 ◽  
pp. 65-72
Author(s):  
Larisa Arkadyevna Karaseva ◽  
Tatyana Vladimirovna Bessonova
Keyword(s):  
Job Satisfaction ◽  
Comparative Analysis ◽  
Medical Care ◽  
Medical Personnel ◽  
Medical Services ◽  
Nurse Leader ◽  
Quality Of Medical Care ◽  
Practical Recommendations

The aim of the study the influence of job satisfaction of medical personnel on the quality of medical care. Results: the role of the nurse-leader in increasing the job satisfaction of medical personnel was studied; a comparative analysis of the attitude to work of medical personnel and their satisfaction in commercial and non-commercial medical organizations was carried out; formulated practical recommendations aimed at increasing the job satisfaction of medical personnel and the quality of medical services. Conclusion: formulated practical recommendations aimed at increasing job satisfaction of medical personnel and improving the quality of medical services provided to them.

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