The impact of the importance of the life priority "Health" in the formation of the patient's attitude to the organization of medical care provided on an outpatient settings
- Authors: Cherkasov S.N.1, Martirosov A.V.1,2, Karailanov M.G.3, Fedyaeva A.V.1, Moroz I.N.4
-
Affiliations:
- V.A. Trapeznikov Institute of Control Sciences of the Russian Academy of Sciences
- Reaviz Moscow Medical University
- Military Medical Academy
- Belarusian State Medical University
- Issue: Vol 43, No 2 (2024)
- Pages: 151-157
- Section: Original articles
- URL: https://ogarev-online.ru/RMMArep/article/view/264702
- DOI: https://doi.org/10.17816/rmmar569353
- ID: 264702
Cite item
Full Text
Abstract
AIM: to analyze the influence of the structure of the life priority “health” in shaping the patient’s attitude towards the organization of medical care provided in an outpatient setting.
MATERIALS AND METHODS OF RESEARCH: Primary data were obtained through an anonymous survey of 486 patients of medical organizations in Moscow. In total, the author’s questionnaire offered eight priority options: “Family”, “Work”, “Education”, “Career”, “Health”, “Material goods”, “Spiritual values”, “Faith (religion)”. When answering, the respondent arranged the proposed priorities in hierarchical order according to the degree of decreasing importance in relation to himself personally. As a division into comparison groups, the concept of standard structure was used, that is, the correspondence of the individual structure of life priorities to the collective structure. The main group (147 people) included patients who considered the life priority “Health” to be very significant. Patients included in the control group (112 people) placed the life priority “Health” in the fourth and subsequent places in the hierarchy, that is, they considered it less important compared to other priorities. 228 patients ranked the life priority “Health” in third place (the majority) and they were excluded from further consideration.
RESULTS AND DISCUSSION: The overall assessment of the activities of a medical organization providing medical care in an outpatient setting does not depend on the place in the hierarchy of life priorities of the “Health” value, however, with an average frequency of visits, which is the most common characteristic of the need for outpatient medical care, the value of the assessment of the quality of the organization of the activities of a medical organization is higher in the control group of patients, that is, with a low importance of the life priority “Health”.
CONCLUSION: Despite the higher integral ratings given by patients with a low importance of the life priority “Health”, and a lower proportion of those who did not express any complaints about the organization of the clinic’s activities, they expressed more complaints about certain aspects of the organization of the work of the medical organization and its mode of operation.
Full Text
##article.viewOnOriginalSite##About the authors
Sergey N. Cherkasov
V.A. Trapeznikov Institute of Control Sciences of the Russian Academy of Sciences
Email: cherkasovsn@mail.ru
ORCID iD: 0000-0003-1664-6802
SPIN-code: 5392-9889
MD, Dr. Sci. (Medicine)
Russian Federation, MoscowAram V. Martirosov
V.A. Trapeznikov Institute of Control Sciences of the Russian Academy of Sciences; Reaviz Moscow Medical University
Email: dr.martirosov@mail.ru
ORCID iD: 0000-0001-5240-8372
SPIN-code: 1500-8468
MD, Cand. Sci. (Medicine)
Russian Federation, Moscow; MoscowMikhail G. Karailanov
Military Medical Academy
Author for correspondence.
Email: vmeda-nio@mail.ru
ORCID iD: 0000-0001-6584-9492
SPIN-code: 7110-9788
Scopus Author ID: 23473000300
ResearcherId: J-1471-2016
MD, Dr. Sci. (Medicine); Associate Professor
Russian Federation, Saint PetersburgAnna V. Fedyaeva
V.A. Trapeznikov Institute of Control Sciences of the Russian Academy of Sciences
Email: orgzdravotdel@gmail.com
ORCID iD: 0000-0002-8874-0921
SPIN-code: 4383-7594
MD, Cand. Sci. (Medicine)
Russian Federation, MoscowIrina N. Moroz
Belarusian State Medical University
Email: moroz_iri@bk.ru
ORCID iD: 0000-0002-7430-3237
SPIN-code: 2933-9746
MD, Dr. Sci. (Medicine)
Belarus, MinskReferences
- Genovese U, Del Sordo S, Pravettoni G, et al. A new paradigm on health care accountability to improve the quality of the system: four parameters to achieve individual and collective accountability. J Glob Health. 2017;7(1):010301. doi: 10.7189/jogh.07.010301
- Shapovalova MA, Anopko VP. Conditions for healthcare reform. Siberian Journal of Life Sciences and Agriculture. 2010;(2–4(8)): 159–160. (In Russ.) EDN: MUKVFB
- Meshkov D, Bezmelnitsyna L, Cherkasov S. A data management model for proactive risk management in healthcare. Advances in Systems Science and Applications. 2020;20(1):114–118. EDN: ZTMDMZ doi: 10.25728/assa.2020.20.1.864
- Lisitsyn YuP. Public health and healthcare. Moscow; 2010. (In Russ.)
- Munro N, Duckett J. Explaining public satisfaction with healthcare systems: findings from a nationwide survey in China. Health Expect. 2016;19(3):654–666. doi: 10.1111/hex.12429
- Saraev AR, Sahibgareeva EH, Cherkasov SN, Sopova IL. Assessment of the social status of a potential consumer as a condition for ensuring high efficiency of the medical organization. Medical education and professional development. 2013;2–3(12–13):131–132. (In Russ.) EDN: UFFQNF
- Deev IA, Kobyakova OS, Boykov VA, et al. Satisfaction of patients as an indicator of the effectiveness of organizational models of providing medical care in the outpatient sector. Manager of Health Care. 2020;(8):35–40. (In Russ.) EDN: SWKQYE doi: 10.37690/1811-0185-2020-8-35-40
- Lehrich M, Goshtasbi K, Brown NJ. Predictors of Patient Satisfaction in Spine Surgery: A Systematic Review. World Neurosurg. 2021;146:1160–1170. doi: 10.1016/j.wneu.2020.11.125
- Aleksandrova OYu, Konovalov OE, Vasilyeva TP, et al. Development of health saving technologies: from an individual approach to family. Problems of social hygiene, health care and the history of medicine. 2021;29(6):1470–1474. (In Russ.) EDN: DAQVOP doi: 10.32687/0869-866X-2021-29-6-1470-1474
- Cherkasov SN, Kirtadze ID. The influence of life priorities on the self-assessment of health in the population of older age groups. Public Health and Health Care. 2019;(1(61)):40–43. (In Russ.) EDN: WBJKUS
- Cherkasov SN, Kirtadze ID. Influence of life priorities on health-related quality of life in older age groups. Bulletin of Bakoulev Center. Cardiovascular Diseases. 2018;19(4):549–553. (In Russ) EDN: VNBQRA doi: 10.24022/18100694-2018-19-4-549-553
- Abramova OV, Cherkasov SN, Sopova IL. Dependence of the level of physical activity of university students on the hierarchy of their life priorities. Health & education millennium. 2017;19(3):61–63. (In Russ.) EDN: XUVJQZ
- Cherkasov SN, Sopova IL, Fedyaeva AV. The structure of life priorities in women of reproductive age as a social determinant of health. In: Kiryushin VA, ed. Socio-hygienic monitoring of public health. Materials for the 24th All-Russian Scientific and Practical Conference with International Participation. Ryazan; 2020:53–59. EDN: ZXVYRK
- Chausov AA, Grebennik TK, Shuvalova MP, Prikhodko NA. Vital values determining medical activity and value orientations of mothers when caring for their newborn children. The value system of modern society. 2016;50:213–218. (In Russ.) EDN: XHSDDP
Supplementary files
