ASSESSMENT OF THE QUALITY OF MEDICAL CARE TO THE POPULATION OF UZHHOROD AND UZHHOROD DISTRICT AT THE PRIMARY CARE LEVEL
DOI:
https://doi.org/10.11603/1681-2786.2020.2.11408Keywords:
family medicine, assessment of the quality of medical services, primary health careAbstract
Purpose: to determine the level of quality of medical care provided to the population of Uzhhorod and Uzhhorod district in primary care facilities (family outpatient clinics and primary care centers).
Materials and Methods. The main objective of the study was to determine the level of patient satisfaction with the quality of primary medical care. The study was conducted by electronic questionnaire. The sample included 130 people aged 18 to 65 years, who live in Uzhhorod and Uzhhorod district.
Results. The majority of respondents (51.5 %) gave a positive overall assessment of the quality of the provision of medical services at the primary level (“good” and “very good” ratings). A neutral rating was given by 36.9 % of respondents. 11.6 % expressed a negative opinion (assessments “unsatisfactory” and “absolutely unsatisfactory”) regarding the quality of medical services received. Participants were asked to analyze their last visit to their family doctor. Among the difficulties that patients encounter when contacting a family doctor, the most common are: long lines for an appointment with a doctor, uncomfortable waiting areas and an inconvenient appointment schedule. According to respondents, improving the quality of services may be reached by providing an opportunity of online visit scheduling and contacting a doctor via video calls, coordination reception schedules for family doctors, narrow specialists and laboratory working hours, and the opportunity to be tested directly in the outpatient clinic, increasing the number of medical personnel, improving the material and technical conditions of the outpatient clinic. The overall assessment of medical services quality was as follows: 11.5 % of respondents rated “very good”, 40 % chose the option “good”. A neutral rating was given by 36.9 % of respondents. Unsatisfactory – 6.2 % and absolutely unsatisfactory – 5.4 %.
Conclusions. Most respondents gave a positive overall assessment of the quality of medical services at the primary care level. According to respondents, improving the quality of services may be reached by using technology for simplifying communication between the primary care institution and patients (for example, the possibility of online visit scheduling and contacting a doctor via video calls).
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