Modeling of the effective doctor–patient communication in managerial technologies for quality control of medical care

Introduction. According to WHO (2022), effective doctor-patient communication is included in ten key indicators of the quality of medical care. Modern research has confirmed the critical role of doctor–patient interaction in achieving optimal clinical outcomes, which can increase patient adherence to treatment by 30–40% and reduce the risk of diagnostic errors by 25%. The low quality of doctor–patient interaction in global healthcare accounts for 15–30% of the services provided, in Russian — 30–45%. The significant variability of the indicator is due to the lack of effective monitoring tools, standardized assessment protocols and the construction of predictive models of communication risks.

The purpose of the research. Study of the psychosocial mechanisms of effective doctor–patient communication and developing managerial technologies to improve it.

Materials and methods. Based on patient assessments, the levels of quality of interaction with the primary care physician providing primary health care (PHC) to the population of medical institutions in Moscow have been determined. Methods of multiple factor analysis of data from a parallel survey of general practitioners (GPs) as family doctors (FDs) and their patients were applied. The assessment results have been grouped into the «Low» and «High» levels of the «Doctor–Patient Interaction» indicator. Using the «Decision Tree» method, an algorithm for managing the quality of the «Doctor–Patient» system has been calculated.

Limitations. The study was limited to a representative sample of FDs and patients of medical institutions in PHC in Moscow.

Conclusion. The article provides a scientifically grounded methodological approach to managing the quality of doctor–patient interaction based on monitoring the psychosocial factors of the work environment and applying managerial technologies to prevent critical levels of their impact on the satisfaction of GPs with their work as a leading communicative factor in patient satisfaction with medical care.

Compliance with ethical standards. The study was approved at a meeting of the Independent ethics committee of the N.A. Semashko National Research Institute of Public Health (Protocol No. 2, May 17, 2022). Informed consent was received from all participants.

Contribution of the authors:
Zudin A.B. — concept and design of research, organization of research, editing;
Kuznetsova M.A. — concept and design of research, collection and systematization of primary data, statistical processing and analysis of primary data, writing text.
All authors — approval of the final version of the article, responsibility for the integrity of all parts of the article.

Funding. The study had no sponsorship.

Conflict of interest. The authors declare the absence of obvious and potential conflicts of interest in connection with the publication of this article.

Received: October 30, 2025 / Accepted: April 24, 2026 / Published: July 28, 2026

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