区域一级公共卫生防护领域公众诉求处理分析

Marina Moskvicheva, M. Polinov, Eugene Vanin
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摘要

的意义。患者越来越多地参与提高卫生保健质量是一种全球趋势。公民向国家当局提出申诉是保护公民在保健领域权利的最简单方式。公民社会活动的增加和国家当局的透明度决定了公民向国家当局和医疗组织提出的关于提供医疗服务的投诉和申诉数量的增加。处理申诉和投诉是俄罗斯医疗保健的一个系统性问题。组织对收到的信息进行监测,将有可能组织有系统的工作,以保护公民在保健领域的权利,提高保健质量和可及性。这项研究的目的是分析在区域一级处理公共卫生保护申诉的活动组织情况,以便提出旨在提高申诉处理效率的建议。材料和方法。资料:车里雅宾斯克州卫生部官方数据。研究方法:数理统计;分析性的(定量的、结构的、比较的)。结果。已查明,向联邦和地区两级卫生行政当局提出的公众申诉数量呈增长趋势,包括与医疗机构提供医疗服务、筹资和工作人员薪酬有关的申诉数量的动态增长。已确定向车里雅宾斯克州卫生部提交的公众申诉结构的区域特征。作为“ZdravControl”项目实施的一部分,对2022年Telegram messenger中医疗聊天中的申诉处理进行了分析。结论。对区域一级公共卫生保护领域处理公众呼吁的分析结果证实,有必要制定一套组织措施,以改善该区域的保健服务组织,并提高公众对其在公共卫生保护领域的权利的认识。实施" ZdravControl "项目将有可能减少居民直接向卫生行政当局提出申诉的次数,并按来源和接收方法分发申诉。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
ANALYSIS OF THE PUBLIC APPEAL HANDLING IN THE FIELD OF PUBLIC HEALTH PROTECTION AT THE REGIONAL LEVEL
Significance. Increasing involvement of patients in quality improvement of health care is a global trend. Appeals of the citizens to the state authorities are the easiest way to protect the rights of the citizens in the field of health care. The increased social activity of the citizens and transparency of the state authorities have determined the increase in the number of complaints and appeals of the citizens to the state authorities and medical organizations regarding provision of medical care. Handling appeals and complaints is a systemic problem of the Russian healthcare. Organization of monitoring over incoming information will make it possible to organize systematic work to protect the rights of the citizens in the field of health care, to improve health care quality and accessibility. The purpose of the study is to analyze organization of activities for handling appeals in public health protection at the regional level in order to develop proposals aimed at improving efficiency of appeals’ handling. Material and Methods. Material: official data of the Ministry of Health of the Chelyabinsk region. Research methods: mathematical and statistical; analytical (quantitative, structural, comparative). Results. A growth trend in the number of public appeals to the health executive authorities both at the federal and regional levels has been identified, including dynamics in the increase in the number of appeals related to the provision of medical care, financing and staff remuneration in medical organizations. Regional features of the structure of public appeals submitted to the Ministry of Health of the Chelyabinsk region have been determined. Results of the analysis of the appeal handling in medical chats in the Telegram messenger in 2022, as part of the “ZdravControl” project implementation have been presented. Conclusion. Results of the analysis of the public appeal handling in the field of public health protection at the regional level substantiate the need for developing a set of organizational measures to improve organization of care delivery in the region, and raising public awareness about their rights in the field of public health protection. Implementation of the “ZdravControl” project will make it possible to reduce the number of appeals submitted by the residents directly to the health executive authorities, as well as distribute the appeals by source and method of receipt.
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