scholarly journals PROBLEMS AND WAYS TO IMPROVE THE ORGANIZATION OF CARDIOLOGICAL CARE TO THE RURAL POPULATION, IN THE CARDIOLOGISTS OPINION

2020 ◽  
Vol 117 (3) ◽  
pp. 17-22
Author(s):  
Anatoliy Ivanyuk ◽  
Alexander Kanyura

The aim: to study the state, problems and ways of improving the organization of cardialogical care for the rural population in Ukraine based on the materials of a sociological survey of cardiologists. Material and methods The sociological research was carried out according to a specially developed program and covered 352 cardiologists from all regions of Ukraine. Results The main directions for improving the organization of cardialogical care, according to cardiologists opinion, are to increase funding for health care institutions (91,5±1,5%), increase wages (87,2±1,8%), introduce social medical insurance (81,8±2,1%) and mechanisms for economic motivation of personnel (89,8±1,6%); equipping health care institutions with modern medical and diagnostic equipment (73,9±2,3%); improving the quality of postgraduate training of cardiologists (78,2±1,9%); introduction of a health care qua-lity monitoring system (66,9±4,9%); an increase in the economic and legal independence of health care institutions (78,1±2,2); introduction of public-private partnership mechanisms with preservation of health care institutions in state ownership (79,3±2,2%). Conclusions The sociological study found that the main parameters of the organization of cardialogical care for the rural population of Ukraine do not correspond to the economic realities of the time and require modernization.

Author(s):  
Ilhama Isgandarova

The methodology for assessing the quality of public service at catering firms should be based on a comparison of consumer expectations and perceptions in relation to the service process, that is, the quality coefficient is determined as the difference between perception and expectations. In this case, the quality factor can be determined both by the indicator of interest and by the enterprise as a whole. Consequently, the criteria for assessing the quality of public service at catering establishments must be formed taking into account its type and class. To obtain primary information from consumers, it is necessary to organize and conduct a sociological study. When choosing a method of sociological research, it is advisable to give preference to interviews, since this is a rather flexible method of collecting information, based on direct contact between the interviewer and the respondent. The main advantage of the interview, in comparison with the questionnaire, is the ability to control the perception and understanding of the questions by the respondent; if necessary, the interviewer can explain the questions asked, and also clarify the respondent's point of view with the help of additional questions.When conducting a sociological research by the interview method, the requirements for the formation of a questionnaire are significantly reduced. The list of questions asked to respondents should be expanded with personal questions, the purpose of which is to reflect: age, social status, average monthly income. These questions are necessary to represent the target group of consumers of public catering services.


2020 ◽  
Vol 1 (1) ◽  
pp. 31-37
Author(s):  
O.A. Aleksandrova ◽  
◽  
A.V. Yarasheva ◽  
◽  
◽  
...  

Background. One of the tasks of the state policy in the field of health care is to improve the quality of medical services for the population, to increase the requirements for the competencies of medical personnel, on the results of whose activities public health depends. In this regard, the efficiency of organizing the processes of basic training and retraining (additional education) of doctors acquires a special role. Purpose. Revealing urgent problems of professional training of doctors for the capital's health care. Materials and methods. Sociological research in the form of a series of expert interviews. Results. On the basis of the systematization of the information obtained by the authors in the course of the study, imperfections in the organization of the educational process in obtaining higher medical education are determined. Discussion. Professional training of doctors is a dynamically developing system, the effectiveness of which ultimately affects the quality of medical services provided to the population. Conclusion. Solving the problems associated with improving the content of curricula in medical universities, organizing the educational process and monitoring knowledge requires careful research and search for approaches that meet modern realities.


2018 ◽  
Vol 8 (7) ◽  
pp. 2206
Author(s):  
Irina Vladimirovna NOVIKOVA ◽  
Aleksandr Ivanovich P'YANOV ◽  
Slavko Brankovich RUDICH ◽  
Valentina Anatolievna IVASHOVA

The article analyzes the measures to introduce the model of the organization of ʽe-governmentʽ in the Stavropol Territory and presents the results of a specific sociological study to determine the level of satisfaction of citizens with its functioning. The sociological research was carried out on the basis of probabilistic (random) sampling in 5 urban and 6 rural municipalities of the Stavropol region. As a method of collecting primary data, a survey was used in the form of questionnaires and interviewing. In addition to the study of the degree of satisfaction of residents of cities and rural areas of the Stavropol Territory the quality of the work of multifunctional centers, we set out to identify the main problems in the provision of public and municipal services by these centers. An analysis of the results of the research showed that the current model of the organization of ʽe-governmentʽ in the constituent entities of the Russian Federation is ineffective and requires an institutional reorganization of the mechanisms of inter-agency cooperation.


Medicina ◽  
2009 ◽  
Vol 45 (8) ◽  
pp. 652 ◽  
Author(s):  
Virginija Vanagienė ◽  
Birutė Žilaitienė ◽  
Tadas Vanagas

Objectives. To evaluate if the quality of services provided by family physicians and obstetricians/gynecologists at primary personal health care institutions of Kaunas city and access to it meet the needs and expectations of pregnant women. Material and methods. Pregnant women visiting the selected health care institutions at their third trimester of pregnancy were asked to fill in the anonymous questionnaire. The study was conducted at two randomly selected maternity centers of Kaunas city and two family practices of Kaunas city where antenatal care was provided by family physicians. The questionnaires were given to 106 patients visiting family physicians (response rate was 88.7%) and to 202 patients visiting obstetricians/ gynecologists (response rate was 81.7%). Results. Health services provided by family physicians and obstetricians/gynecologists met the expectations of pregnant women in respect of providing with information and communication. The patients of obstetricians/gynecologists significantly more often stated that they were very satisfied with patient-physician communication (P<0.05), they significantly more often understood explanations given by the physician (P<0.001) and claimed having sufficient knowledge about pregnancy (P<0.05), while the patients of family physicians significantly more often asserted that the physician helped them in preparation for childbirth (P<0.05). The patients of obstetricians/gynecologists significantly more often did not face any problems with access to services as compared to the patients of family physicians (z=3.0). Most of pregnant women stated that they were satisfied or very satisfied with the quality of health care at the health care facility providing them with antenatal care irrespective of the physician’s specialty. Conclusions. The quality of antenatal health care provided by both family physicians and obstetricians/gynecologists and access to it satisfied the needs and expectations of the surveyed women. Correction of the limitations noticed, e.g., closer communication, more understandable explanations, more attention to preparation for childbirth, better work planning, could improve the quality of antenatal care provided by the family physicians.


2017 ◽  
Vol 11 (21) ◽  
Author(s):  
Andrés Mauricio González Vargas ◽  
Ana María Sánchez Benavides ◽  
Andrés Felipe Betancourt Hernández ◽  
Carlos David Mantilla Ramirez

This paper presents the results of a survey about technovigilance carried out in 21 clinical institutions from the southwest of Colombia. It also provides an analysis of how these programs take into account different risk management methodologies in order to create awareness of the importance of patient safety in all members of the staff and improve the quality of the health services provided.


2020 ◽  
pp. 70-74
Author(s):  
M. G. Eremina ◽  
E. P. Kovalev ◽  
V. L. Krom

The article presents the results of a sociological study «Social portrait of a professional group of doctors in regional health care», for which a survey of 976 doctors of state, municipal and private medical organizations of the Saratov region was conducted. In regional health care, there is a shortage of polyclinic doctors in the public health system (–986 doctors) with a small surplus of doctors in inpatient medical organizations (+91). The main deficit (–939 people out of the estimated 3727 people) was established among the doctors of the district service, which determines the low availability and quality of medical care in the provision of primary health care, which is the basis of the Russian health care system.


2019 ◽  
Vol 74 (5) ◽  
pp. 333-341
Author(s):  
Dmitriy O. Ivanov ◽  
Yury S. Aleksandrovich ◽  
Olga S. Kulbakh ◽  
Elena R. Zinkevich ◽  
Liliya V. Ditkovskaya ◽  
...  

Background: The introduction of Federal state standards of higher education has caused the need to study the quality and condition of specialists postgraduate training in the field of health. In 20172019 at St. Petersburg state pediatric medical university a study aimed at examining the satisfaction of residents with educational training at the faculty of postgraduate and additional professional education was hold, the results of which allowed to identify the problem areas of training in order to further adjust the content and organizational aspects of the quality of training of highly qualified specialists in the field of health protection of citizens of Russia. Aims: The estimation of the quality of postgraduate training of specialists in the field of health care based on the pedagogical reflection of their satisfaction with the process of training during the residency. Methods: The study was conducted by means of a questionnaire consisting of a number of questions stated in the form of appeals aimed at obtaining information illustrating the content, organizational, operational and personal resources of postgraduate education of residents. The respondents were asked to rank their responses according to their satisfaction with the quality of education on the scale that ranged from excellent to very poor. The object of the study was 125 graduates completed their professional training at the stage of postgraduate education in residency at various clinical departments. The duration of the study, including the preparation of analytical materials, the organization, and conduct of the survey, the subsequent analysis of the data, totally amounted to two years. The analysis of the survey results allowed to identify the targets of possible correction of informative, organizational, operational and personal aspects of postgraduate training of doctors. Results: The participants of the study were 125 respondents-resident physicians who completed the educational trajectory in various areas of professional training on the basis of clinical departments of pediatric medical university. It should be noted that the distribution of participants in the questionnaire by graduate clinical departments was characterized as uneven, due to the peculiarities of the plan of admission to the residency, social order from the health care institutions of Russia, and finally, individual educational needs and needs of students. The average age of residents is 26 years. As a result of the study, it was possible to identify informative, organizational and personal problem areas of training of residents. In particular, there were problems in the content of professional education, in the level of pedagogical skills of the teaching staff of clinical departments, in the development of professional competencies of residents, in the content of test tasks in certain specialties. Due to the factor analysis of the results, a semantic space was built that reflects the analysis of the satisfaction of graduates of Spbsmu with the quality of training at the stage of residency. Conclusions: Based on the results of the study, it was possible to identify the targets of correctional work, involving the improvement of organizational, informative, technological and personal resources of the educational program of postgraduate training of residents.


2018 ◽  
Vol 97 (6) ◽  
pp. 537-541
Author(s):  
Tatiana N. Shestopalova ◽  
T. V. Gololobova

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.


2021 ◽  
Author(s):  
Yunru Zhou ◽  
Longfeng Sun ◽  
Yanting Liang ◽  
Guoju Mao ◽  
Pei Xu

Abstract Background: With the global aging problem is becoming increasingly severe, the elderly care has become an important issue that needs attention. Chinese government attaches great importance to the development of medical and health care institutions, and is committed to improving the comprehensive quality of elderly rehabilitation nursing staff in medical and health care institutions.Methods: From June to September 2019, a cross-sectional study among 193 elderly rehabilitation nursing staff was conducted in Liaoning Province, China. Using a self-designed questionnaire, the comprehensive quality of elderly rehabilitation nursing staff in medical and health care institutions was investigated by face to face. The multiple linear regression model was explored to analyze the influencing factors. Results: A total of 193 questionnaires were distributed, and 189 (97.93%) valid questionnaires were recovered. Age was from 19 to 65 years old, with an average age of (38.34 ± 9.76) years old. Bachelor degree or above accounted for 54.00%. 57.10% have engaged in elderly rehabilitation nursing for more than one year. There were 163 nurses with qualification certificates, accounting for 86.20%. The total score of comprehensive quality was 118.52 ± 22.90. The total Cronbach ' s α coefficient of the questionnaire was 0.967, and the content validity index was 0.991. Only 61 (32.30%) elderly rehabilitation nurses received professional training in elderly rehabilitation nursing. The results of multiple linear regression analysis showed that the educational level of elderly rehabilitation nursing staff (P=0.002) and the number of years engaged in elderly rehabilitation nursing (P=0.005) were the main influencing factors of comprehensive quality.Conclusions: The comprehensive quality of elderly rehabilitation nursing staff is at a medium level in Liaoning Province's medical and health care institutions. However, the professional nursing talents was very short, and the education level and years of experience in elderly care were the main influencing factors of the comprehensive quality.


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