Assessment of Health Care Quality by Population of Almaty: A Cross-Sectional Study

Abstract

A survey of 1 194 respondents aged 45+ living in Almaty (Kazakhstan) to assess satisfaction with the quality of medical care was conducted. Specially trained interviewers visited respondents at home and filled questionnaires, which included questions on socio-demographic characteristics, the characteristics of medical care during the past year, bad habits, self-assessment of health, trust to doctors and the respondent's opinion on quality of health care. Binary logistic regression was used to analyze the data. Adjustment was performed for socio-demographic characteristics of respondents and the peculiarities of medical care. Altogether, 55.7 % (95 % CI 52.9; 58.5) of respondents were not satisfied with the quality of medical care. In multivariable analysis dissatisfaction with the quality of health care was associated with education, income, and self-, but the most influential factor was distrust of doctors (OR = 19, 95 % CI 12; 30). Thus, measures aimed at increasing the trust in doctors, especially the development of personalized medicine, have a potential increase the degree of satisfaction of the population with the quality of medical care. This study can serve as a start point for a panel study to monitor population's satisfaction with the quality of health care.

Quality of Urban Space in The Eurasian Context

“…Within the above mentioned theoretical framework, many scholars specifically focused on the Kazakh case, highlighting in particular patterns of urban evolution in post-soviet time with reference to major cities as Astana and Almaty [12,13,14,15,16,17], or focusing on specific aspects as, for example, access to housing [17] and health care [18], personal security and crime [19], daily life, social relations and conditions [20,21,22,23], social configuration [24], economy [25,26,27] and environment [28,29,30], communications and infrastructures. Though encompassing crucial topics, still a few works [31] tackled the problems of urban asymmetries as a limit for sustainable, long term city's development.…”