The problems of medical care quality in primary section of private sector of health care

Author(s):  
Siburina T. A. ◽  
◽  
Volnukhin A. V. ◽  
Reze A. G. ◽  
◽  
...  
2015 ◽  
Vol 125 (2) ◽  
pp. 77-82
Author(s):  
Marek Kos ◽  
Agnieszka Dziewa ◽  
Bartłomiej Drop ◽  
Marzena Furtak-Niczyporuk ◽  
Ewa Warchoł-Sławińska

Abstract Introduction. Measuring the patient satisfaction with the hospital stay, as well as the knowledge of their requirements are very important in the management of health institutions. A good example of the recognition of patients’ expectations is studying the level of satisfaction with specially prepared questionnaires. Aim. The aim of the study was to investigate the relationship between the patients’ place of residence and their satisfaction with the medical care they received when treated in local hospitals Material and methods. Patient satisfaction survey was carried out in the Independent Public Health Care Centre in Kraśnik in two subsequent years: at the turn of 2011/2012 and in February 2013. The survey consisted of patients hospitalized in the surgical wards of the hospital. A testing tool for this survey was a self-designed questionnaire entitles “Patient satisfaction survey” specifically developed by nursing managers and approved by the management of the hospital. Results. Patients of the District Hospital in Kraśnik gave their complex assessment of satisfaction with the benefits provided by the health care facility, taking into account not only the quality of strictly medical services, but the entire infrastructure of the hospital, including ancillary services. The obtained results gave a positive assessment of the analyzed branches. No statistically significant differences between the assessments of rural and urban inhabitants were found. The results allow knowledge of the strengths and weaknesses of medical care in the wards. Conclusions. Residents of rural areas, who are slightly better than those who live in cities, assess the work of local hospital surgical wards. You can clearly see it by assessing the quality of nurses’ and doctors’ work and the assessment of nutrition and the appearance of patient rooms. Systematic research, measurement and evaluation of patient satisfaction with hospital care can be the basis for the improvement and ensure an appropriate level of quality


10.12737/8114 ◽  
2015 ◽  
Vol 9 (1) ◽  
pp. 0-0 ◽  
Author(s):  
Орлова ◽  
A. Orlova

High quality of medical care is the primary goal of a health system. At the moment it cann’t be considered high. The results of sociological surveys presented that quite a large proportion of patients isn’t satisfied with the care provided by medical assistance. The causes of this are: absence of funding for health care (and related problems of material and technical base, staffing, staff interest and other), as well as the absence of commonly agreed (and unified with the world) approaches to the definition criteria (indicators), means of verification and a unified system of quality assurance. The moral and ideological factors (destructive changes in the medical profession, the divergence of moral and professional principles, a dominance of the economic aspects of rela-tions, reduced social activity and responsibility) are important. In addition, managers of medical institutions are the following problems of theoretical and methodological nature: the need for a clear distinction between the concepts of "quality of care", "quality of medical services", "quality organization" (including accessibility, ethi-cal aspects, sanitary conditions, which significantly affect the level of subjective assessment). In the context of globalization and international cooperation, it is very important to bring domestic approaches to understanding, assessing, managing the quality of health care in the world.


1986 ◽  
Vol 15 (3) ◽  
pp. 337-360 ◽  
Author(s):  
John Mohan

ABSTRACTThis paper discusses issues raised by the uneven expansion of private health care in Britain in recent years. The problems being experienced by the industry have exposed divisions in the private health care industry and have provoked criticisms of the Government and requests for a greater degree of state support for, and regulation of, the industry. The paper therefore examines the scope for changes of government policy to facilitate further expansion. It argues that few of the alternatives are either technically adequate, in terms of solving the private sector's problems, or politically feasible, in the sense of being electorally justifiable. It concludes that policies to further private sector expansion could be implemented only at the cost of the private sector's independence, or at the expense of the Government's commitment to the NHS.


2003 ◽  
Vol 29 (8) ◽  
pp. 425-433 ◽  
Author(s):  
Lynn A. Blewett ◽  
Stephen T. Parente ◽  
Eileen Peterson ◽  
Michael D. Finch

Diabetes ◽  
2020 ◽  
Vol 69 (Supplement 1) ◽  
pp. 1205-P
Author(s):  
HECTOR GALLARDO ◽  
LORENA SUAREZ-IDUETA ◽  
JULIETA LOMELIN-GASCON ◽  
ALEJANDRA MONTOYA ◽  
RICARDO MUJICA-ROSALES ◽  
...  

1992 ◽  
Vol 22 (2) ◽  
pp. 235-243 ◽  
Author(s):  
Gerald J. Mossinghoff

Contrary to critics' contentions that pharmaceutical promotion and advertising hurts medical care and raises health care costs, the opposite is true. Advertising and promotion improves health care quality by keeping health care providers up to date about the best medicines for preventing, treating and curing diseases. This knowledge reduces the need for more expensive medical care and helps restore good health, which lowers overall health care costs. The article cites a number of instances in which advertising and promotional efforts by pharmaceutical companies have increased awareness of health problems amenable to pharmaceutical intervention, with positive results. Pharmaceutical company support of medical journals and continuing medical education has been an important resource for the dissemination of new medical knowledge. Government regulation of pharmaceutical advertising and promotion is strict. The research-based pharmaceutical industry has adopted guidelines that prohibit many of the activities critics have referred to as abuses. Further government regulation would be unnecessary and unwise.


2019 ◽  
Vol 61 (4) ◽  
pp. 172-177
Author(s):  
Natalya M. Zhilina ◽  
A. E. Vlasenko ◽  
G. I. Chechenin

The study was carried out to examine population health in large industrial center exemplified by Novokuznetsk for establishing risk zones and increasing efficiency of health care functioning and medical care quality. The efficiency is determined by increasing of reliability and integration of indices of population health and its particular categories for effective decision making, amelioration of awareness of specialists and quality of medical care. The article presents the results of analysis of health of working population of a large industrial center of Siberia as exemplified by Novokuznetsk according information data bases of the Kustovoii medical informational analytical center in relationship with environmental factors and indices of health care functioning. The indicator of "problemability" is developed and its application is presented related to establishment of risk zones for population health. The results of modeling of indices of population health and algorithms of support of decision making for the most problematic indices (health of newborns and disability) are presented. The health of schoolchildren, preschoolers and pedagogic workers is analyzed according information from sub-system "Pedagogic monitoring" sub-system. The results are presented concerning the clustering of educational organizations on main health risk factors. The results of study containing summarized analytical information about human environment, zones and categories of risk are to support timely decision making by mangers of all levels, increasing of role of healthy life style, amelioration of labor conditions, ecological and social environment, preservation and promotion of population health.


2021 ◽  
Vol 74 ◽  
pp. 138-148
Author(s):  
Chih-Ming CHEN ◽  
Di-Yu LEI ◽  
Tzu-Jiun YEH ◽  
Jui-Hsi CHENG

The 21st century is a hundred-year century, when senior citizen related issues are derived along with enhancing life expectancy, declining concept of raising a child as the insurance for old age, and increasing index of aging. Aiming at the test for possible needs, national social policies and systems as well as relevant economic industries should make adjustment and innovation. People’s needs for health care used to be pure disease treatment and health acquisition. When the market system moved towards the trend of customer-oriented service, people did not simply ask for the enhancement of medical technology, but started to criticize the feelings in the medical process. It resulted in medical care institutions focusing on the quality of service. Service innovation is a critical factor for medical care institutions keeping the competitiveness and sustainable growth in the market. Aiming at senior citizens in Fujian Province, 480 copies of questionnaire are distributed, and 351 valid copies are retrieved, with the retrieval rate 73% . The research results are summarized as below: “Service type” is the most emphasized dimension in Hierarchy II, followed by “service delivery”, “customer interface”, and “technology choice”, Among 12 indicators, top five indicators are ordered diversified service, service channel point, customer relationship management, business model, and customer participation. According to the results to propose suggestions, it is expected to benefit medical care institutions as well as enhance the health care quality of domestic medical market.


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