Authors
Andreeva V. E.
Deputy Chief Physician for Organizational and Methodological Issues1
Preobrazhenskaya E. V.
Head, Scientific Department, physician-methodologist1
Cherkasova I. V.
Head, Consultative Polyclinic1
Belova N. V.
Deputy Chief Medical Officer1
1 - Federal State Budgetary Institution Federal Center of Traumatology, Orthopedics and endoprosthesis replacement of Ministry of Health of the Russian Federation (Cheboksary) 33, F. Gladkova street, Cheboksary, Chuvash Republic, 428020
Corresponding Author
Preobrazhenskaya Elena; e-mail: epreobrazhenskaya@orthoscheb.com
Conflict of interest
None declared.
Funding
The study had no sponsorship.
Abstract
Satisfaction of the population with the quality of medical care is one of the key indicators of the effectiveness of medical organizations and territorial bodies of state power. The article gives a brief overview of the normative documents regulating the management of the quality of medical care and conduct of sociological surveys of patients. Evaluation of patient satisfaction with the quality of clinics is carried out in many ways, including questionnaires. The purpose of the study is to analyze the opinions of hospital patients about the quality of treatment, comfort and services, satisfaction with medical care in general. The results are based on about 17 thousand patient’s questionnaires entered into the information system (IC) of the clinic, covering a 3-year period. We describe the survey process at different stages of treatment in the clinic. The questionnaires included questions about the organization of medical care, professionalism and human qualities of the staff, the level of information support, the quality of rehabilitation care and medical nutrition, the quality of medical care in general, the possibility of personal referral for treatment in the clinic in the future and possible recommendations to contact the center for relatives. The methods included automated processing of responses to 13 questions that has been exported from IP in the form of Excel files. The results of the study showed a high survey coverage of patients treated in the hospital – 84.43%. According to the results of the survey, up to 48.39% of patients waited to be hospitalized in the admission department from 1 to 3 hours. Most of the respondents stated that the price and quality of paid services were adequate. The satisfaction of patients with most aspects of the clinic's work was 97.5-99.7%. In general, all respondents are satisfied with the quality of medical care, 99% of patients are ready to refer to the clinic again if necessary and advise their relatives to be treated there. The study identified areas for improvement of work. A number of organizational measures have been taken to optimize the activity of the admission department, the medical rehabilitation department, improve patient information support, hospital conditions, comfort and service. The obtained results indicate the correct vector of development of the institution. The survey is an important tool for feedback from patients, meeting their needs and wishes, making management decisions and evaluating the results of actions to improve the quality of work.
Key words
survey of patients, satisfaction with medical care, quality of clinic's work
DOI
References
1. Federalnyj zakon ot 21 noyabrya 2011g. ¹323-FZ «Ob osnovah ohrany zdorovya grazhdan v Rossijskoj Federacii» [Federal Law of November 21, 2011. No. 323-FZ «On the fundamentals of protecting the health of citizens in the Russian Federation»].
2. Prikaz Minzdrava Rossii ot 28.06.2013g. ¹421 «Ob utverzhdenii Metodicheskih rekomendacij po razrabotke organami gosudarstvennoj vlasti subektov Rossijskoj Federacii i organami mestnogo samoupravleniya pokazatelej ehffektivnosti deyatel'nosti podvedomstvennyh gosudarstvennyh (municipalnyh) uchrezhdenij, ih rukovoditelej i rabotnikov po vidam uchrezhdenij i osnovnym kategoriyam rabotnikov» [Order of the Ministry of Health of Russia from 28.06.2013. ¹ 421 «On the approval of the Methodological Recommendations for the development by government bodies of the constituent entities of the Russian Federation and local self-government bodies of performance indicators of subordinated state (municipal) institutions, their managers and employees by types of institutions and main categories of employees»].
3. Ukaz Prezidenta RF ot 21 avgusta 2012g. ¹1199 «Ob ocenke ehffektivnosti deyatel'nosti organov ispolnitelnoj vlasti subektov Rossijskoj Federacii» [Decree of the President of the Russian Federation of August 21, 2012. ¹ 1199 «On the assessment of the effectiveness of the executive authorities of the subjects of the Russian Federation»].
4. Prikaz Ministerstva zdravoohraneniya RF ot 31 oktyabrya 2013g. ¹810a «Ob organizacii raboty po formirovaniyu nezavisimoj sistemy ocenki kachestva raboty gosudarstvennyh (municipalnyh) uchrezhdenij, okazyvayushchih uslugi v sfere zdravoohraneniya» [Order of the Ministry of Health of the Russian Federation of October 31, 2013. ¹ 810à «On the organization of work on the formation of an independent system for assessing the quality of work of public (municipal) institutions that provide services in the health sector»].
5. Prikaz Ministerstva zdravoohraneniya RF ot 12 sentyabrya 2014g. ¹503 «Ob organizacii raboty po formirovaniyu rejtingov gosudarstvennyh (municipalnyh) uchrezhdenij, okazyvayushchih uslugi v sfere zdravoohraneniya» [Order of the Ministry of Health of the Russian Federation of September 12, 2014. ¹ 503 «On the organization of work on the formation of ratings of state (municipal) institutions that provide services in the health sector»].
6. Prikaz FFOMS ot 29.05.2009g. ¹118 «Ob utverzhdenii Metodicheskih rekomendacij »Organizaciya provedeniya sociologicheskogo oprosa (anketirovaniya) naseleniya ob udovletvorennosti dostupnost'yu i kachestvom medicinskoj pomoshchi pri osushchestvlenii obyazatel'nogo medicinskogo strahovaniya« [Order of Federal Compulsory Health Insurance Fund rom 29.05.2009. ¹ 118 »On the approval of the Methodological Recommendations« Organization of a sociological survey (questionnaire) of the population on satisfaction with the availability and quality of medical care in the implementation of compulsory health insurance »].
7. RIA Novosti. Skvorcova: Udovletvoryonnost rossiyan medpomoshchyu rastyot. 2015. [Internet]. [Cited 22.03.2018]. Available from: http://ria.ru/society/20150831/1219179644.html (In Russ.).
8. Best hospitals National Rankings. 2017-18. [Internet]. [Cited 22.03.2018]. Available from: https://health.usnews.com/best-hospitals/rankings
9. Prikaz Ministerstva zdravoohraneniya RF ot 21 dekabrya 2012g. ¹1340n «Ob utverzhdenii poryadka organizacii i provedeniya vedomstvennogo kontrolya kachestva i bezopasnosti medicinskoj deyatel'nosti» [Order of the Ministry of Health of the Russian Federation of December 21, 2012. ¹1340í «About the statement of the order of the organization and carrying out of departmental quality control and safety of medical activity»].
10. Nikolaev N.S. Rol informatizacii v sisteme upravleniya kachestvom v specializirovannoj medicinskoj organizacii (na primere FGBU «Federalnyj Centr travmatologii, ortopedii i ehndoprotezirovaniya» Minzdrava Rossii, g. Cheboksary) [The role of informatization in the quality management system in a specialized medical organization (on the example of Federal State Institution Federal Center for Traumatology, Orthopedics and Endoprosthetics of the Ministry of Health of Russia, Cheboksary) Vestnik Roszdravnadzora [Bulletin of Russian Health Inspection] 2014; (2): 53-58.
11. Nikolaev N.S., Orlova A.V. K voprosu ob udovletvorennosti pacientov pri endoprotezirovanii sustavov v FGBU «Federalnyj Centr travmatologii, ortopedii i endoprotezirovaniya» Minzdrava Rossii [On the satisfaction of patients with arthroplasty in the Federal State Institution Federal Center of Traumatology, Orthopedics and Endoprosthetics of the Russian Ministry of Health]. Voprosy travmatologii i ortopedii [The Issues of traumatology and orthopedics] 2012; (4): 12-15.