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.

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 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.

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 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.

Study of temporary losses of patients when receiving medical services in ambulatorypolyclinic conditions

2021 ◽  
pp. 37-44
Author(s):  
T. V. Pozdeeva ◽  
◽  
N. V. Pchelina ◽  
Keyword(s):  
Medical Care ◽  
Statistical Processing ◽  
Medical Services ◽  
Special Technique ◽  
Medical Organization ◽  
Patient’S Satisfaction ◽  
District Center ◽  
Quality Of Medical Care ◽  
Microsoft Office

The study of the patient’s temporary losses when receiving medical services in an outpatient clinic and their minimization contribute to an increase in patient satisfaction with the quality of medical care. Objective of the stud y: to assess the temporary losses of patients when visiting outpatient clinics of the city municipality. Methods and materials. The temporary losses of patients were studied by analyzing route maps compiled using a special technique. The analysis of the questionnaires made it possible to assess the patient’s satisfaction with the conditions of providing medical services, the information received in the healthcare institution and the attitude of the nursing staff to the visitor. Statistical processing of the results was carried out using the programs Statistica 5.0 and Microsoft Office Excel. Results. As a result of the conducted research, significant time costs of patients were identified when receiving medical care in polyclinics of the district center: when visiting a district doctor, a registry, a treatment room and a laboratory, which directly affected the results of assessing their satisfaction with the temporary criteria for visiting a medical organization. Scope of the results. The data obtained during the study can be used as basic information when developing measures to optimize key processes in outpatient health care institutions.

The emergency medical system

2015 ◽  
Author(s):  
Marc Sabbe ◽  
K Bronselaer ◽  
O Hoogmartens
Keyword(s):  
Medical Care ◽  
Emergency Medical Services ◽  
Medical Services ◽  
Emergency Medical Care ◽  
Hospital Emergency ◽  
High Quality Research ◽  
Emergency Medical ◽  
System P ◽  
Quality Of Medical Care

The mission of the emergency medical services is to promote and support a system that provides timely, professional, and state-of-the art emergency medical care, including ambulance services, to anyone who is victim of a sudden injury or illness, at any time or location and at any phase of the emergency incident. These phases include lay people’s prevention and preparedness, occurrence of the problem, its detection, alarming of trained responders, help provided by bystanders and trained pre-hospital providers, transport to the appropriate hospital, and, if necessary, admission or transfer to a more appropriate hospital. In order to meet the goal outlined, emergency medical services must work closely with local and state officials—fire and rescue departments, other ambulance providers, hospitals, and other agencies—to foster a smooth functioning network. The term emergency medical services evolved to reflect a change from a simple system of ambulances, providing only transportation, to a system in which actual medical care is given at the scene and during transport. Medical supervision and/or participation of emergency medicine physicians in the emergency medical services systems contribute to the quality of medical care. This emergency medical services network must be capable of responding instantly and reliably around the clock, with well-trained, well-equipped personnel linked, as needed, through a strong communication system. Research plays an important role in conserving resources and improving the delivery of health care. This chapter gives an overview of the different aspects of emergency medical services and calls for high-quality research in pre-hospital emergency care in a true partnership between cardiologists and emergency physicians.

scholarly journals Organization of accounting for the provision of paid medical services and forecasting the needs of the population in the types and volumes of medical care

2019 ◽  
Vol 2019 (3) ◽  
pp. 75-79
Author(s):  
Сергей Бударин ◽  
Sergey Budarin
Keyword(s):  
Medical Care ◽  
Legal Framework ◽  
Medical Services ◽  
Unified Approach ◽  
Quality Of Medical Care

In the article on the basis of a brief overview of the provisions of the regulatory legal framework governing the provision of paid medical services, highlighted the problems of accounting for medical care, paid at the expense of the population. Proposals for the development of a unified approach to the organization of accounting for the types and volumes of medical care paid from various sources, including proposals for improving the forms of statistical reporting provided by medical organizations of different forms of ownership of the results of their activities and the organization of monitoring the availability of quality of medical care.

scholarly journals Estimation Of Quality Of Medical Care

2020 ◽  
Vol 1 (1) ◽  
pp. 93-105
Author(s):  
Liubov Syhyda ◽  
Paulína Srovnalíková ◽  
Alla Onda
Keyword(s):  
Information System ◽  
Medical Care ◽  
Medical Information ◽  
Medical Information System ◽  
Systematic Analysis ◽  
Family Doctors ◽  
Scientific Discussion ◽  
Number Of Patients ◽  
Quality Of Medical Care

This paper summarizes the arguments and counterarguments within the scientific discussion on the issue of quality of medical care. The main purpose of the research is to analyze the quality of medical care in dispensary №1 of municipal non-profit enterprise «Shostka city center of primary health care» and determine recommendations for its improvement in the context of «MEDSTAR» medical information system implementation. The research methods authors used in the article were systematic analysis, comparative research, and patients’ survey. As the information sources, the authors used internal documentation of the dispensary № 1 (data for September 2018) and its electronic documentation from the MEDSTAR medical information system (data for September 2020). First, the authors analyzed and compared the number of patients who visited the dispensary №1, and the number of patients visited by doctors at home in September 2020 and September 2018. Second, the authors determined the number of referrals for examination issued to patients in September 2020 and September 2018. Third, the authors surveyed the patients on their satisfaction with the quality of medical care. The results of the research showed that the total number of patients’ visits at the dispensary №1 decreased by 32.4%, and the rate of home visits decreased by 5.12% in September 2020 compared to September 2018. The same situation is with the number of referrals for examination. In September 2018 763 patients got referrals for further examinations, and in September 2020 the number of referrals was 169. The survey showed that patients are dissatisfied with some aspects of the quality of medical care, particularly, with the automation of medicine, focus of medicine, as well as with the conditions of appointment and accessibility of conventional medical services. In total, the results of the research helped to highlight problems in the work of family doctors caused by healthcare reform and medical information systems implementation which reduce the quality of medical care. The recommendations for problems solving were suggested. The authors’ research will be useful for further research in the quality of medical care.

scholarly journals Quality of medical care in Russia

2021 ◽  
Vol 99 (5-6) ◽  
pp. 383-387
Author(s):  
G. В. Nazarenko
Keyword(s):  
Medical Care ◽  
Medical Practice ◽  
Economic Activity ◽  
Personal Responsibility ◽  
Medical Community ◽  
Free Access ◽  
Provision Of Services ◽  
Quality Of Medical Care ◽  
Intended Effect

The system of providing medical care belongs to the sphere of economic activity referred to as «range of services» in Russia.The main criterion in the provision of services is the receipt of the final intended effect, which fully satisfies the customer of this service. If the final intended effect is not achieved, then this service cannot be considered as completed.In medical care, there is no final guaranteed result. The purpose of providing medical care is the very process of its provision.The intended result of treatment cannot be guaranteed, but the provider of medical care is obliged to apply all their experience and knowledge to achieve the most useful effect for the patient.Russian legislation provides for the evaluation of the quality of medical care based on the final effect. This approach to solving the issue of medical care improvement quality does not allow the healthcare in Russia to adequately develop since the main emphasis is placed on the administrative command system of control and motivation of doctors to their work. The openness of the medical community to the society leads to an inadequate evaluation of the inevitable medical failures, complications and problems in the field of medical treatment. The absence of medical practice institution in Russia and the prevalence of hired labor of doctors deprive the medical community of one of the main criteria for the development of medicine — the discretion, provided personal responsibility before a patient. In fact, it is impossible to receive high quality medical care under circumstances where a physician is only a hired "addition" to the material and technical base of a medical institution.The solution to the above problems can be found on condition of separating healthcare in Russia into a special sphere of economic activity with its own legal determination, structure, management, legislation. It is necessary to isolate medical community from society as much as possible, to limit free access to special information for public inspection and non-expert accusations. We should rely on the development of medical practice in the country as it fullestly reflects doctor's competence independent on the will of the employer.

scholarly journals Expertise of quality of medical care in general practice

2017 ◽  
Vol 21 (3) ◽  
pp. 16-22
Author(s):  
Irina E Moiseeva
Keyword(s):  
General Practice ◽  
Quality Of Care ◽  
Medical Care ◽  
General Practitioners ◽  
Medical Records ◽  
Medical Insurance ◽  
Family Doctors ◽  
Quality Of Medical Care

The article presents some results of the expertise of the quality of medical care by general practitioners (family doctors) in outpatient medical organizations working in the system of obligatory medical insurance. The most common errors in the collection of information, the diagnosis and the treatment, identified during the expertise of the quality of care by the assessment of patient medical records, as well as comments on the often-occurring defects in the preparation of medical records are listed.

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