rfhealthЗдравоохранение Российской ФедерацииHealth care of the Russian Federation0044-197X2412-0723Federal Scientific Center of Hygiene named after F.F. Erisman10.47470/0044-197X-2023-67-5-411-416lfsvffrfhealth-1386Research ArticleОРГАНИЗАЦИЯ ЗДРАВООХРАНЕНИЯHEALTH CARE ORGANIZATIONОценка общеврачебной практики в многомерной конструкции удовлетворённости пациентов качеством медицинской помощиAssessment of general medical practice in a multidimensional design of patient satisfaction with the quality of medical carehttps://orcid.org/0000-0001-8243-5902КузнецоваМария АнатольевнаKuznetsovaMaria A.

Аспирант, мл. науч. сотр. ФГБНУ «Национальный научно-исследовательский институт общественного здоровья имени Н.А. Семашко», 105064, Москва.

e-mail: mascha.kuznetsova@yandex.ru

Junior researcher FSSBI «N.A. Semashko National Research Institute of Public Health», Moscow, 105064, Russian Federation.

e-mail: mascha.kuznetsova@yandex.ru

mascha.kuznetsova@yandex.ruhttps://orcid.org/0000-0003-4831-1783ВасильеваТатьяна П.VasilyevaTatyana P.noemail@neicon.ruhttps://orcid.org/0000-0002-6966-5559ЗудинАлександр Б.ZudinAlexander B.noemail@neicon.ruhttps://orcid.org/0000-0003-1600-1641АксёноваЕлена И.AksenovaElena I.noemail@neicon.ruhttps://orcid.org/0000-0002-1244-1925ГруздеваОльга А.GruzdevaOlga A.noemail@neicon.ruhttps://orcid.org/0000-0003-2176-7852КузнецоваКамаля Ю.KuznetsovaKamalya Yu.noemail@neicon.ruФГБНУ «Национальный научно-исследовательский институт общественного здоровья имени Н.А. Семашко»РоссияN.A. Semashko National Research Institute of Public HealthRussian FederationФГБНУ «Национальный научно-исследовательский институт общественного здоровья имени Н.А. Семашко»; ГБУ города Москвы «Научно-исследовательский институт организации здравоохранения и медицинского менеджмента Департамента здравоохранения города Москвы»РоссияN.A. Semashko National Research Institute of Public Health; Research Institute for Healthcare Organization and Medical Management of Moscow Healthcare DepartmentResearch Institute for Healthcare Organization and Medical Management of Moscow Healthcare DepartmentRussian FederationГБУ города Москвы «Научно-исследовательский институт организации здравоохранения и медицинского менеджмента Департамента здравоохранения города Москвы»; ФГАОУ ВО «Российский университет дружбы народов имени Патриса Лумумбы»РоссияResearch Institute for Healthcare Organization and Medical Management of Moscow Healthcare Department; Peoples’ Friendship University of Russia named after Patrice LumumbaRussian FederationФГБОУ ДПО «Российская медицинская академия непрерывного профессионального образования» Министерства здравоохранения Российской Федерации; ФБУЗ «Центр гигиены и эпидемиологии в городе Москве»РоссияRussian Medical Academy of Continuous Professional Education; Center for Hygiene and Epidemiology in the city of MoscowRussian FederationФГБУ «Центр государственного санитарно-эпидемиологического надзора» Управления делами Президента Российской ФедерацииРоссияCenter for State Sanitary and Epidemiological Supervision under the Office of the President of the Russian FederationRussian Federation202309112023675411416Copyright © Кузнецова М.А., Васильева Т.П., Зудин А.Б., Аксёнова Е.И., Груздева О.А., Кузнецова К.Ю., 20232023Кузнецова М.А., Васильева Т.П., Зудин А.Б., Аксёнова Е.И., Груздева О.А., Кузнецова К.Ю.Kuznetsova M.A., Vasilyeva T.P., Zudin A.B., Aksenova E.I., Gruzdeva O.A., Kuznetsova K.Y.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.rfhealth.ru/jour/article/view/1386Введение

Введение. Программные и практические действия российской системы здравоохранения в области оказания личностно-ориентированной помощи направлены на участие пациента в лечебном процессе с индивидуальным подходом к его потребностям и ожиданиям. Качество медицинской помощи всё чаще оценивается через восприятие пациента, его удовлетворённость. В связи с этим конструкция личностно-ориентированной медицины является многомерной, формирующей отношения партнёрства сторон-участников — врача, пациента, медицинской организации — в принятии совместных решений.

Цель исследования — оценка общеврачебной практики через индивидуальные предпочтения пациентов в многомерной конструкции удовлетворённости качеством медицинской помощи.

Материал и методы

Материал и методы. Проведён опрос с применением международного опросника EUROPEP. При статистической обработке материалов исследования использовали программы Statistica v. 10 и SAS JMP v. 11.

Результаты

Результаты. Выявлены статистически значимые (р < 0,0001) различия в удовлетворённости респондентов в зависимости от возраста и пола. Показано преимущественное преобладание положительного мнения по совокупности всех анализируемых критериев удовлетворённости среди респондентов-женщин. В то же время респонденты-мужчины дали положительную оценку качеству общеврачебной практики только в двух группах наблюдения: 53,09% — в возрастной категории 36–45 лет, 66,67% — лица старше 75 лет.

Ограничения исследования

Ограничения исследования. Исследования ограничены анкетированием определённого числа пациентов медицинских организаций г. Москвы для оценки общеврачебной практики по показателям удовлетворённости качеством оказываемой медицинской помощи.

Заключение

Заключение. Получены новые данные о разном восприятии респондентами качества стандартизированной медицинской помощи, оказываемой врачами общей практики, и оценка удовлетворённости её качеством в зависимости от возраста и пола взрослого населения. Показано, что удовлетворённость респондентов-мужчин качеством медицинской помощи ниже во всех возрастных группах, кроме 53,09% (36–45 лет) и 66,67% (старше 75 лет). Респонденты-женщины выразили удовлетворённость по совокупности всех формирующих их мнение факторов.

Соблюдение этических стандартов основано на информированном согласии участников опроса и утверждено протоколом заседания Локального этического комитета ФГБНУ «Национальный научно-исследовательский институт общественного здоровья имени Н.А. Семашко» (протокол № 2 от 17.05.2022).

Участие авторов

Участие авторов:Кузнецова М.А. — концепция и дизайн исследования, сбор и статистическая обработка материала, обобщение, написание текста;Васильева Т.П. — консультирование, редактирование;Зудин А.Б. — систематизация материала, редактирование;Аксенова Е.И. — консультирование, редактирование;Груздева О.А. — организация исследования в медицинских организациях, редактирование;Кузнецова К.Ю. — первичная обработка статистических данных, редактирование.Все соавторы — утверждение окончательного варианта статьи, ответственность за целостность всех частей статьи.

Финансирование

Финансирование. Исследование не имело спонсорской поддержки.

Конфликт интересов

Конфликт интересов. Авторы декларируют отсутствие явных и потенциальных конфликтов интересов в связи с публикацией данной статьи.

Поступила 22

Поступила 22.06.2023Принята в печать 23.08.2023Опубликована 03.11.2023

Introduction

Introduction. The policy and practice of the Russian healthcare system in the area of person-centered care aims to involve the patient in the treatment process with an individual approach to their needs and expectations. The quality of medical care is increasingly evaluated through the perception of the patient, his/her satisfaction. In this regard, the design of person-centered medicine is multi-dimensional, forming a partnership relationship between the parties involved — doctor, patient, health care provider — in making joint decisions.

The purpose of the study

The purpose of the study. Assessment of general practice (GP) through individual patient preferences in a multidimensional construct of satisfaction with the quality of care.

Material and methods

Material and methods. The international EUROPEP questionnaire was used. Statistical processing of the study materials was performed using Statistica 10 and SAS JMP 11.

Results

Results. Statistically significant differences in respondents’ satisfaction depending on the age and gender (p < 0.0001) were revealed. The predominance of a positive opinion on the totality of all the analyzed criteria of satisfaction among female respondents is shown. At the same time male respondents gave positive estimation of quality of general medical practice only in such two groups of observation as in age category of 36–45 years old — 53.09 % and 66.67 % of persons older than 75 years old.

Research limitations

Research limitations. The research is limited to the survey of a certain number of patients of medical institutions in Moscow to assess the GP in terms of satisfaction with the quality of medical care provided.

Conclusion

Conclusion. New data have been obtained on different respondents’ perceptions of the quality of standardized medical care provided by GPs, and the assessment of satisfaction with its quality depending on the age and gender of the adult population. The satisfaction of male respondents with the quality of medical care was shown to be lower in all age groups except 53.09% (36–45 years) and 66.67% (over 75 years). Female respondents expressed satisfaction on the aggregate of all opinion-forming factors.

Compliance with ethical standards is based on the informed consent of the survey participants and approved by the minutes of the Local Ethics Committee of the FSBSI «N.A. Semashko National Research Institute of Public Health» (Protocol No. 2 of 17.05.2022).

Contribution of the authors:Kuznetsova M.A. — concept and design of the study, collection and statistical processing;Vasilyeva T.P. — consulting, editing;Zudin A.B. — material systematization, editing;Aksenova E.I. — consulting, editing;Gruzdeva O.A. — organization of the study in medical organizations;Kuznetsova K.Yu. — summarization, editing.All authors are responsible for the integrity of all parts of the manuscript and approval of the manuscript final version.

Acknowledgment

Acknowledgment. The study had no sponsorship.

Conflict of interest

Conflict of interest. The authors declare no conflict of interest.

Received

Received: June 22, 2023Accepted: August 23, 2023Published: November 3, 202

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The authors declare that there are no conflicts of interest present.