STUDY OF OPINION OF PATIENTS WITH EPIDERMAL DYSPLASIA OF THE SKIN ON THE IMPORTANCE AND SATISFACTION OF THE SPECIALIZED MEDICAL CARE

Authors

  • O. O. Oshуvalova State Scientific Institution “Research and Practical Centre of Preventive and Clinical Medicine” of the State Administration, Kyiv, Ukraine P. Shupyk National Medical Academy of Postgraduate Education, Kyiv, Ukraine

DOI:

https://doi.org/10.11603/1681-2786.2019.2.10480

Keywords:

epidermal dysplasia of the skin, patient satisfaction, importance of the health care components

Abstract

Purpose: to study the opinion of the patients with epidermal dysplasia of the skin (EDS) regarding the importance and degree of satisfaction with a specialized medical care.

Materials and Methods. An anonymous questionnaire was developed and 283 patients were interviewed who received specialized medical care at the “State and Practical Centre of Preventive and Clinical Medicine” of the Scientific Institution “Scientific State Administration of the Affairs according to the Local Protocols of the Medical Assistance Statistical processing of the study materials was made using biometric analysis methoods, implemented in SPSS 10.0, EXCEL-2000 programmes packs. Statistical differences were estimated using χ2, Student’s t test.

Results. The analysis of the components of the specialized health care showed that almost all respondents (62.5 – 88 %) emphasize the importance of the all without exception components with high level of satisfaction (68.2 – 92.2 %). Significant differences between the degree of importance and the level of satisfaction were found only in the comparative analysis of the components “Provision of information on preventive measures in the future” and “Organization of the treatment process” (p = 0.001). All components of the evaluation were in the segment “Successful results”.

Conclusions. The components of the medical care (work of medical staff, organization of the medical-diagnostic process, social conditions, patient awareness) from the point of view of the patients with EDS are important components of the specialized medical care.

Author Biography

O. O. Oshуvalova, State Scientific Institution “Research and Practical Centre of Preventive and Clinical Medicine” of the State Administration, Kyiv, Ukraine P. Shupyk National Medical Academy of Postgraduate Education, Kyiv, Ukraine

MD, PhD, Senior Researcher at the State Scientific Institution “Research and Practical Centre of Preventive and Clinical Medicine” of the State Administration; Associate Professor, Department of Dermatology of Shupyk National Medical Academy of Postgraduate Education

References

Voronenko, Yu. V., & Gorachuk, V. V. (2012). Metodychni pidkhody do vprovadzhennіa standartyzatsii orhanizatsiіnykh tekhnolohiі u systemu upravlinnіa yakistіu medychnoіi dopomohy [Methodical approaches to the introduction of standardization of organizational technologies in the quality management system of medical care]. Ukr. med. chasopys – Ukrainian Medical Journal, 5 (91), 108-110 [in Ukrainian].

(2012). Vsesvitnia orhanizatsiia okhorony zdorovia. Zdorovia-2020. Osnovy polityky ta stratehiia [World Health Organization. Health 2020. Policy Basics and Strategy]. Vsesvitnia orhanizatsiia okhorony zdorovia, Yevropeiske rehionalne biuro – World Health Organization, European Regional Office, Kopengagen. Retrieved from: http://www.euro.who.int/__data/assets/pdf_file/0017/215432/Health2020-Long-Rus.pdf [in Ukrainian].

Ziukov, O.L. (2008). Zadovolenist medychnoho personalu khirurhichnykh statsionariv yakistiu medychnoho obsluhovuvannia onkolohichnykh khvorykh [Satisfaction of medical staff of surgical hospitals with the quality of medical care of cancer patients]. Medychni perspektyvy – Medical Perspectives, ХІІІ (1), 111-118. Retrieved from: http://medpers.dsma.dp.ua/issues/2008/N1/MedPers_2008_1.pdf [in Ukrainian].

Lapach, S.N., Chubenko, A.V. & Babich, P.N. (2000). Statisticheskiye metody v mediko-biologicheskikh issledovaniyakh s ispolzovaniyem Excel [Statistical methods in biomedical research using Excel]. Kyiv: MORION [in Ukrainian].

Oshyvalova, O.О. (2019). Efektyvnist vprovadzhennia lokalnoho protokolu medychnoi dopomohy khvorym na epidermalni dysplazii shkiry u bahatoprofilnomu medychnomu zakladi [Effectiveness of implementation of local protocol of medical care for patients with epidermal skin dysplasia in a multidisciplinary medical institution]. Visnyk problem biolohii i medytsyny – Bulletin of Problems in Biology and Medicine, Iss. 1, 1 (148), 307-313. Retrieved from: https://vpbm.com.ua/ua/vyipusk-1-tom-1-(148),-2019/11975 [in Ukrainian].

Saltman, R.B., & Figeyros, Dzh. (2000). Reformy sistemy zdravookhraneniya v Yevrope. Analiz sovremennykh strategiy [Health system reform in Europe. Analysis of modern strategies]. Moscow: Geotar Meditsina [in Russian].

Slabkyi, H.O., & Dudina, O.O. (2008). Osnovni mizhnarodni pidkhody do vyznachennia i formuvannia osnov polityky polipshennia yakosti medychnykh posluh [The basic international approaches to defining and formulating the basics of the policy of improving the quality of medical services]. Okhorona zdorovia Ukrainy – Health Protection of Ukraine, 4, 119-120 [in Ukrainian].

Esmann, S., & Jemec, G.B. (2007). Management of actinic keratosis patients: a qualitative study. J Dermatolog. Treat. 18, 53-58. Retrieved from: https://www.ncbi.nlm.nih.gov/pubmed/17365267.

Hughes, R.G. (2008). Patient safety and quality: An evidence-based handbook for nurses. Rockville (MD). Agency for Healthcare Research and Quality (US), Chapter 44. Retrieved from: https://www.ncbi.nlm.nih.gov/books/NBK2651/.

(2001). Institute of Medicine. Crossing the quality chasm: a new health system for the 21st century. Washington, DC. National Academy Press.

Inside the patient journey: Three key touch points for consumer engagement strategies. Findings from the Deloitte 2018 Health Care Consumer Survey. Retrieved from: https://www2.deloitte.com/ insights/us/en/industry/health-care/patient-engagement-health-care-consumer-survey.html.

Lohr, K.N., & Schroeder, S.A. (1990). A strategy for quality assurance in Medicare. N Engl. J. Med., 322, 1161-1171. Retrieved from: https://www.nejm.org/doi/full/10.1056/NEJM199003083221031 DOI: https://doi.org/10.1056/NEJM199003083221031

Lear, W., Akeroyd, J. E., Mittmann, N., & Murray, С. (2008). Measurement of utility in nonmelanoma skin cancer. J. Cutan. Med. Surg., 12, 102-106. DOI: https://doi.org/10.2310/7750.2008.07034

Asgari, М.М., Bertenthal, D., Sen, S., Sahay, А., & Chren, М.М. (2009). Patient satisfaction after treatment of nonmelanoma skin cancer. Dermatol. Surg., 35 (7), 1041-1049. Retrieved from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2710423/ DOI: https://doi.org/10.1111/j.1524-4725.2009.01181.x

Serup, J., Lindblad, А. К., Maroti, М., Kjellgren, K. I., Niklasson, E., Ring, L., & Ahlner, J. (2006). To follow or not to follow dermatological treatment – a review of the literature. Acta Derm. Venereol., 86, 193-197. Retrieved from: https://www.ncbi.nlm.nih.gov/pubmed/16710573 DOI: https://doi.org/10.2340/00015555-0073

Rhee, J.S., Matthews, B.A., Neuburg, M., Logan, B.R., Burzynski, M., & Nattinger, A.B. (2006). Validation of a quality-of life instrument for patients with nonmelanoma skin cancer. Arch. Facial. Plast. Surg., 8, 314-318. Retrieved from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2556600/ DOI: https://doi.org/10.1001/archfaci.8.5.314

Varkey, P., Peller, К., & Resar, R.K. (2007). Basics of quality improvement in health care. Mayo Clin. Proc., 82 (6), 735-739. Retrieved from: https://www.ncbi.nlm.nih.gov/pubmed/17550754 DOI: https://doi.org/10.1016/S0025-6196(11)61194-4

Published

2019-10-18

How to Cite

Oshуvalova O. O. (2019). STUDY OF OPINION OF PATIENTS WITH EPIDERMAL DYSPLASIA OF THE SKIN ON THE IMPORTANCE AND SATISFACTION OF THE SPECIALIZED MEDICAL CARE . Bulletin of Social Hygiene and Health Protection Organization of Ukraine, (2), 50–58. https://doi.org/10.11603/1681-2786.2019.2.10480

Issue

Section

Organization of medical care