ANALYSIS OF PROSPECTS OF DEVELOPMENT OF DERMATOVENEROLOGICAL SERVICE TAKING INTO ACCOUNT THE OPINION OF PATIENTS AND HEALTHCARE MANAGERS
DOI:
https://doi.org/10.11603/1681-2786.2020.4.11907Keywords:
organization of medical care, dermatovenereological care, availability, quality, patients, managers, sociological research, telemedicine technologies, resource provision, COVID-19, reformingAbstract
Purpose: to assess the current state and problems of dermatovenereological care from the standpoint of patients and healthcare managers.
Materials and Methods. Bibliographic, medical-statistical, sociological methods were used. The scientific basis were the data of the scientific literature, data of own sociological researches of opinion of patients and healthcare managers concerning quality and availability of dermatovenereological care.
Results. Problems of availability and quality of dermatological care were identified by sociological research. More than a third of the surveyed patients rated territorial (34.6±2.1) per 100 and financial (31.3±2.0) dermatovenereological care as insufficient availability, as low – (13.3±1.5) and (28.5±2.0) respectively. The quality of care was considered insufficient, (27.3±2.0) per 100 respondents. The causes of problems and ways to improve the availability and quality of dermatological care were determined, including improving the organization of services, the introduction of e-Health, improving resources, communication. Healthcare managers pointed to the reasons for insufficient efficiency of dermatovenereological care, including insufficient medical equipment (71.9±3.9) and information support (40.7 ± 4.2), lack of computer equipment (57.8±4.3), unsatisfactory coordination of activity with colleagues, auxiliary divisions, lack of interbranch interaction, lack of motivational levers, etc. There is the need for the introduction of remote technologies – telemedicine, mobile medicine, as well as the spread of the use of digital dermatoscopy, ultrasound skin diagnostics, skin pathohistology, laser and radio wave hardware treatment technologies. The opinion of patients and healthcare managers about the negative impact of the COVID-19 pandemic on the availability and quality of medical services has been confirmed.
Conclusions. The study of the opinion of patients and health managers on the current state of the dermatovenereology service, human resources, availability and quality of its services, revealed a number of organizational and managerial problems and identified priorities for further development of dermatovenereology in health care reform, to substantiate the conceptual principles of building its improved functional and organizational model.
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