Saratov JOURNAL of Medical and Scientific Research

Satisfaction of doctors (in a social role of patients) with medical care in rural areas of the region

Year: 2022, volume 18 Issue: №1 Pages: 63-67
Heading: Sociology and history of medicine Article type: Original article
Authors: Eremina M.G., Grigoryeva Е.А., Krom I.L., Erugina M.V.
Organization: Saratov State Medical University

Objective: to analyze the satisfaction of doctors (in the social role of patients) suffering from chronic diseases with medical care in rural health care. Material and methods. 188 doctors with chronic diseases from medical organizations of the Saratov region took part in the survey. The questionnaire developed by Academician of the Russian Academy of Sciences A. V. Reshetnikov (Moscow) was used. Results. The respondents attributed the lack of necessary specialists (67.1%), queues (9.6%), inability to get an appointment at a convenient time (8.5%), inattentive attitude of employees (8.5% of responses) to negative phenomena in the activities of medical organizations in which they received medical care. The respondents attributed insufficient technical equipment of medical organizations (67%), high cost of medicines (60.0%), long queues for doctor's appointments (27.1%) to the problems that arise in patients in a situation of chronic disease. Conclusion. Despite the limited availability of medical care, when assessing satisfaction with medical care in rural medical organizations in the region, the majority of respondents positively assessed the quality and availability of medical care in different conditions of provision and indicated high and medium estimates of the social responsiveness of rural healthcare. An explanation of the results obtained is possible in the perspective of what was described by Academician of the Russian Academy of Sciences A. V. Reshetnikov of the phenomenon of "paradoxical" medicine that arose in Russian healthcare at the end of the 20th century.

1. Oleinik AV, Sadovnikova NA, Mushnikov DL, Ananyi-na LG. The state of social efficiency of health care (according to the assessment of patient satisfaction with the care provided). Consciousness 2020; 22 (2): 10-15.
2. Kobyakova OS, Deev IA, Tyufilin DS, Kulikov ES. Satisfaction with medical care: how to measure and compare? Social Aspects of Population Health 2016; (3): 5.
3. WHO. Quality of care. WHO Fact Sheet for Health Leaders 2005; (6): 317.
4. Kharitonov SV, Lyamina NP, Golubev MV, Pogonchenko-va IV. Factors influencing the satisfaction of patients with medical care during medical rehabilitation. Modern Problems of Science and Education 2020; (3): 143.
5. Kakorina ЕР. Methodology for assessing the effectiveness of the executive authorities of the constituent entities of the Russian Federation in the field of health care. Healthcare 2011; (3): 32-5.
6. Tsygankov BD, Malygin YV. Approaches to the study of factors affecting patient satisfaction with medical care (according to foreign literature). Problems of Social Hygiene, Public Health and History of Medicine 2014; 22 (4): 18-22.
7. Mazurenko О, Collum Т, Ferdinand A. Predictors of hospital patient satisfaction as measured by HCAHPS: A systematic review. Journal of Healthcare Management 2017; 62 (4): 272-83.
8. Lehrich BM, Goshtasbi K, Brown NJ. Predictors of Patient Satisfaction in Spine Surgery: A Systematic Review. World Neu-rosurgery 2021; (146): 1160-70.
9. Sanchez-Balcells S, Callarisa Roca M, Rodriguez-Zuni-no N. Psychometric properties of instruments measuring quality and satisfaction in mental health: A systematic review. Journal of Advanced Nursing 2018; 74 (11): 2497-2510.
10. Almeida RS, Bourliataux-Lajoinie S, Martins M. Satisfaction measurement instruments for healthcare service users: A systematic review. Cad Saude Publica 2015; 31 (1): 11-25.
11. Reshetnikov AV. Medico-sociological monitoring: A guide. Moscow: Medicine, 2003; 1047 p.
12. Shnaider GV, Deev IA, Kobyakova OS, Boykov VA. Assessment of public satisfaction with medical care. Social Aspects of Population Health 2020; 66 (4): 4.
13. Sadovoy MA, Kobyakova OS, Deev IA, Kulikov ES. Satisfaction with the quality of medical care: «you can't please everyone» or «the patient is always right»? Bulletin of Siberian Medicine 2017; 16 (1): 152-61.
14. Reshetnikov AV. Social Institute of Medicine (Part 2). Sociology of Medicine 2018; 17 (2): 68-79.

2022_01_063-067.pdf310.26 KB

No votes yet