Satisfaction with medical care in the Russian Federation: factors influencing the assessment.

Abstract

One of the primary indicators of the efficiency of the healthcare system is the patient’s experience and his individual evaluation of the medical care given. With the development and launch of the Federal project “Modernization of primary health care”, a methodology for assessing the satisfaction of the population with medical care has been formed. The survey evaluates not only the general indicator of public satisfaction with medical care, but also a number of individual domains and parameters of respondents. The aim of the study: was to determine the relationship between the level of satisfaction with medical care and its domains with the gender and age characteristics of respondents, the timing of receiving medical care, the place of residence of the study participants and preferences in choosing medical organizations. Materials and methods. The data were obtained by conducting a survey by medical insurance organizations operating in 85 constituent entities of the Russian Federation. The satisfaction level was calculated as the ratio of the number of respondents who chose the answers “Mostly satisfied” and “Absolutely satisfied” to the total number of respondents who answered the corresponding question, translated into a percentage. To test the hypothesis about the impact of factors on the level of satisfaction, a generalized linear mixed model with a binomial error distribution function was used. Results. The total number of respondents is 254488. The maximum level of satisfaction is 45,8% (April 2023), the minimum is 40,0% (September 2022). Living in rural areas and the private type of medical organization were factors that increase the level of both overall satisfaction (OSH=1,12 and OSH=2,81) and all its domains. The age of the respondents was inversely proportional to the specified parameters. In men, compared with women, the chance of getting into the group satisfied with the general expectation and the solution of the problem increased by 1,04 and 1,09 times, respectively (p<0,001), and in the group satisfied with the comfort in a medical organization – decreased (OR=0,97, p<0,001). Conclusion. The data obtained during the study allowed us to determine the relationship between the level of satisfaction with medical care and its domains with the gender and age characteristics of respondents, the timing of receiving medical care, the place of residence of study participants and preferences in choosing medical organizations, which can become the basis for the development of measures aimed at achieving and maintaining a high level of the parameter under study.