PUBLIC SATISFACTION WITH MEDICAL CARE IN THE SVERDLOVSK REGION

DOI:10.22138/2500-0918-2024-21-1-86-100

T.A. Mezentseva¹, S.L. Leontiev¹, A.A. Kurmangulov²,
D.O. Mikhailova¹, V.S. Kazantsev¹

¹State Autonomous Institution of Additional Professional Education «A.B. Blokhin Urals Institute of Health Care Management», Yekaterinburg, Russian Federation;
²Federal State Budgetary Educational Institution of Higher Education «Tyumen State Medical University» of the Ministry of Healthcare of the Russian Federation, Tyumen, Russian Federation

Abstract.
The satisfaction of the population with medical care is becoming an important indicator of the effectiveness of the healthcare system. The purpose of the work: on the basis of a comprehensive assessment, to establish regional characteristics of indicators of public satisfaction with medical care in the Sverdlovsk region in terms of the introduction of a new model of a medical organization providing primary health care. Materials and methods. For the period 2017-2022, data from insurance medical organizations on population satisfaction were studied as part of the introduction of a New model of a medical organization providing primary health care. The database of a sociological survey of 3,666 people conducted by insurance medical organizations of the Sverdlovsk region in the period from August 2022 to January 2023 was analyzed. The work uses mathematical, statistical, and analytical methods, the Mann-Whitney criterion was used to assess the significance of differences between two independent groups, and the Kraskel-Wallis criterion was used for three or more groups. Results. As part of the introduction of a New model of a medical organization providing primary health care, patient satisfaction rates increased with the length of waiting for an appointment with a doctor, the attitude of attending physicians, the result of visiting a district doctor, but the assessments related to the medical examination worsened. The low satisfaction rates of the population of the Sverdlovsk region relate to the convenience of making an appointment with a doctor and the waiting time for medical services. The analysis of the significance of differences in estimates of population satisfaction between the groups of respondents, depending on their gender, age, and district of residence, was carried out. When receiving medical care from a medical organization, 23.3% of respondents indicated an insufficient number of doctors and specialists, 13.3% — a long waiting time for an appointment with a doctor, etc. In general, for the region, 19.4% of respondents also noted a shortage of doctors and specialists, 13.2% — insufficient equipment with medical equipment, 12.5% — long life expectancy. Conclusion. The identified problems in the process of providing medical care characterize the general trends of the personnel situation in healthcare, problems of accessibility of medical care, financing of the healthcare system and require comprehensive improvement measures at the regional level.

Keywords:
patient satisfaction, accessibility of medical care, doctor’s appointment, New model of medical organization

There is no conflict of interest.
Contact details of the corresponding author:
Tatyana A. Mezentseva
umsep-ta@yandex.ru
Received 22.03.2024
For citation:
Mezentseva T.A., Leontiev S.L., Kurmangulov A.A., Mikhailova D.O., Kazantsev V.S. Public satisfaction with medical care in the Sverdlovsk region. [Online] Vestn. Ural. Med. Akad. Nauki. = Journal of Ural Medical Academic Science. 2024, Vol. 21, no. 1, pp. 86–100. DOI:10.22138/2500-0918-2024-21-1-86-100 (In Russ)

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Authors
Tatyana A. Mezentseva
Ural Institute of Public Health Management named after A.B. Blokhin
Scientific worker
umsep-ta@yandex.ru
ORCID: 0000-0001-6318-8037
SPIN: 2627-2450
Yekaterinburg, Russian Federation

Sergey L. Leontiev
Ural Institute of Public Health Management named after A.B. Blokhin
Professor, Doctor of Medical Sciences, Director
ls.04@yandex.ru
ORCID: 0000-0003-4092-4577
SPIN: 8386-2137
Yekaterinburg, Russian Federation

Albert A. Kurmangulov
Tyumen State Medical University of the Ministry of Health of the Russian Federation
Doctor of Medical Sciences, Associate Professor, Associate Professor of the Department of Public Health and Public Health, Head of the Training Center for Lean Technologies in Healthcare
kurmangulovaa@tyumsmu.ru
ORCID: 0000-0003-0850-3422
SPIN: 1443-3497
Tyumen, Russian Federation

Diana O. Mikhailova
Ural Institute of Public Health Management named after A.B. Blokhin
Doctor of Medical Sciences, Deputy Director for Development o
umsep-do@yandex.ru
ORCID: 0000-0001-8068-5940
SPIN:9236-1821
Yekaterinburg, Russian Federation

Vladimir S. Kazantsev
Ural Institute of Public Health Management named after A.B. Blokhin
Candidate of Technical Sciences, Leading Researcher
8бkvs222@yandex.ru
ORCID: 0000-0002-5138-9728
SPIN: 1568-3011
Yekaterinburg, Russian Federation