ANALYSIS OF INDICATORS OF PATIENT SATISFACTION WITH MEDICAL CARE DEPENDING ON DURATION OF ACTIVITIES UNDER THE STANDARD FOR OUTPATIENT CARE ORGANIZATION

L. Protasova, S. V. Baranovskaya, V. Boykov, I. Deev, O. Kobyakova, I. Shibalkov, N. Naydenova, M. A. Babeshina
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Abstract

Significance. In the modern healthcare paradigm, stipulating for a maximum patient-orientation, a comprehensive assessment of activities implemented can be ensured by studying opinion of patients and their level of satisfaction with a medical organization, as an integral criterion for their effectiveness Purpose. To conduct analysis of indicators of patient satisfaction with medical care depending on duration of activities under the Standard for outpatient care organization in the Tomsk region to develop proposals to increase customer satisfaction at the regional and individual facility level. Material and Methods. From March 1 to December 31, 2019, 2,729 parents of patients, who received medical services in 24 medical organizations in the Tomsk region (23 polyclinics with the assigned children’s population and one clinical and diagnostic polyclinic of the Regional Children’s Hospital) participating in the implementation of the Standard for outpatient care organization in the Tomsk region. Results. The proved of the effect of the duration of the impact of factors of organizational transformations, implemented as part of the implementation of the Standard for organizing outpatient care in Tomsk region, on the parameters of patient satisfaction with medical Care, highlighting measures with a quick (2-3 months) and delayed (5-8 months) onset of the effect, developed practical recommendations for increasing on the level of patient satisfaction in children's clinics. Conclusion. The new data obtained on the importance of the time factor for the implementation of measures when carrying of organizational transformations in the primary health care system, as well as practical recommendations formulated on their basis, should be taken into account when making managerial decisions all levels of the industry's functioning. Scope of application. The study results can be used in practical healthcare to select best measures aimed at improving conditions of medical care provision, their prioritization, planning targeted values of the monitored indicators of satisfaction.
门诊机构标准下活动时间对患者医疗服务满意度指标的影响分析
的意义。在现代医疗保健范式中,规定最大限度地以病人为导向,可以通过研究病人的意见和他们对医疗机构的满意程度来确保对所开展的活动进行全面评估,作为其有效性的一个整体标准。根据托木斯克州门诊医疗机构标准规定的活动持续时间,对患者对医疗服务的满意度指标进行分析,以制定建议,提高区域和个别医疗机构的客户满意度。材料和方法。从2019年3月1日至12月31日,在托木斯克州24个医疗机构(23个有指定儿童人口的综合诊所和一个地区儿童医院的临床和诊断综合诊所)接受医疗服务的患者的2,729名家长参与了托木斯克州门诊医疗机构标准的实施。结果。作为实施托木斯克州门诊服务组织标准的一部分,对组织变革因素的影响持续时间对患者对医疗服务满意度参数的影响进行了验证,重点介绍了见效快(2-3个月)和见效慢(5-8个月)的措施,为提高儿童诊所患者满意度水平提出了切实可行的建议。结论。在初级卫生保健系统进行组织变革时,关于时间因素对实施措施的重要性所获得的新数据,以及在此基础上制定的实际建议,在制定行业各级职能的管理决策时应予以考虑。适用范围。研究结果可用于实际医疗保健,以选择最佳措施,旨在改善医疗保健提供条件,其优先级,规划目标值的监测指标的满意度。
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