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.

scholarly journals MODERN APPROACHES TO THE IMPROVEMENT OF THE INSTITUTE OF PAID MEDICAL SERVICES IN RUSSIA

2019 ◽  
Vol 6 (1) ◽  
pp. 119-131
Author(s):  
A. V. Panov ◽  
T. Yu. Bykovskaya
Keyword(s):  
Health Care ◽  
Medical Care ◽  
Medical Services ◽  
Economic Regulation ◽  
Medical Organization ◽  
Gradual Development ◽  
Quality Of Medical Care ◽  
Almost All

The article pertains the main problems faced by manufacturers and consumers of paid medical services. The increase in the volume of paid medical care prevails in the fields of dentistry, diagnostics and cosmetology. Of course, the expansion of voluntary medical insurance in almost all areas of medicine, further digitalization and gradual development of commercial outpatient care will be promising areas in the domestic health care. After all, currently every fourth outpatient medical organization is private owned. In this regard, taking into account the foreign and domestic experience of modernization of the medical services market, the paper comprehensively analyzes the trends in the development of commercial medicine within the legal, organizational and socio-economic regulation of the health care industry. Marketing tools to optimize the system of paid services are presented. The key role of mechanisms of public-private interaction in health care management is proved. Integrative approaches to the problems of introduction and development of paid medical services, considered in this study, will allow to systematize and to adjust the extra-budgetary activities of medical organizations while simultaneously increasing the availability and quality of medical care in Russia.

Comparative analysis of patient satisfaction with COVID-19 medical care provided in telemedicine center

2021 ◽  
pp. 73-77
Author(s):  
A. V. Starshinin ◽  
A. A. Tyazhelnikov ◽  
A. V. Pogonin ◽  
E. V. Kostenko
Keyword(s):  
Patient Satisfaction ◽  
Comparative Analysis ◽  
Statistical Analysis ◽  
Medical Care ◽  
Dynamic Assessment ◽  
Medical Services ◽  
Level Of Satisfaction ◽  
Time Periods ◽  
High Level

The article presents the results of a dynamic analysis of the satisfaction of patients diagnosed with CAVID‑19 with the quality of medical services provided remotely at the telemedicine centre in Moscow in 2020.Purpose of research. Conduct a dynamic assessment of patient satisfaction with the quality of remote medical services provided in different time periods.Material and methods. The results of an anonymous survey of 424 patients on the quality of remote medical services were dynamically evaluated. The first group (138) received medical care from 01.04 to 30.04, the second one (286) – from 01.06 to 30.06 of 2020 after the implementation of measures to improve them. Statistical analysis was performed using IBM SPSS Statistics 20.0.Results. When analysing the results, a high level of patient satisfaction was revealed, but there was a significant (p < 0.05) difference in the level of satisfaction between the groups. The factors of connection between telemedicine services and patient satisfaction were identified, which served as the basis for organizational measures.Conclusion. Providing medical services using telemedicine technologies can be considered as one of the most effective ways to provide medical care.

scholarly journals Some aspects of the theory of errors of doctors

2021 ◽  
Vol 65 (2) ◽  
pp. 159-165
Author(s):  
Murat M. Makhambetchin ◽  
Kayrat T. Shakeyev
Keyword(s):  
Medical Care ◽  
Medical Errors ◽  
Negative Attitude ◽  
Quality Of Medical Care ◽  
Clinical Thinking ◽  
Based Medicine ◽  
Relationship Of ◽  
The Relationship

The development of clinical thinking and the improvement of medical care largely depend on doctors and society’s attitude to medical errors. A balanced, rational perspective to medical errors is critical with an understanding of the main aspects of medication errors. The paper presents two important aspects of the problem of medical errors - their probability and, in a sense, their routine, as well as the role of collective relationships in shaping an objective attitude of doctors to errors. The article argues that the correct action of a doctor does not mean that they are unmistakable. The factors that determine the complexity of medicine are listed. The actual and ambiguous effectiveness of the medicine is considered. It is argued that the development of evidence-based medicine is evidence of the relativity of knowledge in medicine. The basic variants of the relationship of doctors in the collective are given. The role of collegiality in improving the professional experience and quality of medical care is specified. It has been shown that the absence of objective criteria of guilt or innocence of a doctor in error exacerbates the problem of errors. It emphasizes the flaw of equating all errors with misconduct and the unilateralism of such an approach in preventing mistakes. A vicious circle is presented, where the traditionally negative attitude towards doctors who made a mistake ultimately leads to concealment of errors, a decrease in the number and quality of error analysis, stagnation in the development of clinical thinking, an increase in the number of errors and, accordingly, the legal tightening of demand for medical errors.

scholarly journals Evaluation of the Quality of Medical Care to the Population at the Level of Day Stations and Emergency Stations

2022 ◽  
Vol 8 (1) ◽  
pp. 114-121
Author(s):  
B. Niyazov ◽  
S. Niyazovа
Keyword(s):  
Medical Care ◽  
Emergency Medical Services ◽  
Chronic Diseases ◽  
Emergency Care ◽  
Rural Population ◽  
Medical Services ◽  
Emergency Medical ◽  
Medical Institutions ◽  
Quality Of Medical Care

Insufficient availability of emergency medical services to the rural population is noted. The dynamics of the growth of calls to emergency medical services testifies to the fact that emergency medical institutions have taken over part of inpatient services for the provision of emergency care to patients with chronic diseases and acute colds.

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.

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%.

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.

scholarly journals Conflict between doctor and patient: legal consequences

2021 ◽  
Vol 2 (3) ◽  
pp. 118-122
Author(s):  
I. G. Berezin ◽  
Y. B. Samoilova ◽  
Y. L. Shepeleva
Keyword(s):  
Medical Care ◽  
Point Of View ◽  
Medical Services ◽  
Sources Of Information ◽  
Conflict Situations ◽  
Quality Of Medical Care ◽  
Official Sources ◽  
Legal Consequences

The article is devoted to the quality of medical care from the point of view of the legal consequences of conflict situations arising during the provision of medical services. The authors made an attempt to analyze the most typical conflict situations with possible legal consequences of their resolution based on examples from official sources of information.

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