Assessment of Parents’ Satisfaction With Primary Health Care Provided to Their Children in Polyclinics

Меньшикова, Л. И.; Dyachkova, M G; Дьячкова, М. Г.; Mordovsky, E A; Мордовский, Э А

doi:10.33396/1728-0869-2017-12-15-20

Cited by 2 publications

(2 citation statements)

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“…Модель международного стандарта JCI (Joint Commission International) основана преимущественно на показателях, повышающих удовлетво-ренность пациентов условиями пребывания в МО [10,11]. Так, критерии качества клиники Мэйо основаны на принципе "нужды пациента превыше всего", которые ориентированы на комфортное пребывание пациента в МО и достигаются организацией командной работы персонала [3,[12][13][14].…”

Section: Introductionunclassified

Quality balanced scorecard for the outpatient clinic

Latukha,

Son,

Bravve

et al. 2024

Cardiovasc Ther Prev

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The quality audit system for healthcare in various countries is based on the quality of medical services, the satisfaction of the patient and his relatives, as well as the quality of medical documentation. At the same time, quality indicators of healthcare facilities include criteria of the social and economic efficiency. Often these groups of indicators are considered by researchers separately from each other, and the literature available does not show balanced approaches to combining indicators from different groups within one process, which served as the basis for this work.Aim. The article is devoted to identifying the specifics of quality balanced scorecard for outpatient clinic using the example of the results of preventive examination for children in the first year of life.Material and methods. The study of quality indicators of the outpatient clinic was carried out from 2019 to 2023. The base of the study was the Clinical Consultative and Diagnostic Clinic № 27 in Novosibirsk. The study of the Clinic development was carried out from 2012 to 2023. The work used data from a social and expert survey of managers (20122018), as well as comparative modeling, general logical methods and techniques.Results. The longest multi-level and complex medical service is the process of preventive examination of children in the first year of life. Therefore, using his example, a quality balanced scorecard for the outpatient clinic was developed. At the first stage, medical quality criteria were determined. Patients were interviewed and quality criteria important for the patients' parents were determined. The complexity, multi-stage nature and short time frame for providing medical services determined the criteria for the economic efficiency. At the second stage, criteria for the management effectiveness and criteria for quality monitoring were developed, which allow department heads to track key performance indicators, as well as build coordinated work between various departments. At the third stage, the quality criteria were developed, which, on the one hand, reflect the clinic work, and, on the other hand, are not redundant and can be used to assess the effectiveness of the organization as a whole.Conclusion. The study showed that to increase the sustainability of the clinic development, effective monitoring based on key performance indicators is necessary. The classical approach to determining the effectiveness of medical facilities is based on general performance indicators to the quality criteria of individual processes, which does not allow identifying violations in individual medical and auxiliary processes, and, accordingly, does not allow identifying ways to solve them. It also does not indicate the level of violation. The use of a process and system approach in developing quality criteria allows developing a quality balanced scorecard with respect to the criteria of various groups, which ultimately reflects the effectiveness of processes as a whole, provides an understanding of cause-and-effect relationships and identifies the root cause of destabilization.

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Section: Introductionunclassified

Quality balanced scorecard for the outpatient clinic

Latukha,

Son,

Bravve

et al. 2024

Cardiovasc Ther Prev

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“…Удовлетворенность родителей уровнем качества и доступности ПМСП детям, особенно в условиях крупного города, создает представление населения об уровне здравоохранении в целом, определяет степень доверия к медицинскому учреждению и его авторитет [22]. Качество оказания медицинской помощи ребенку основывается на степени удовлетворенности оказанной медицинской помощью родителями, ко-торая складывается из субъективных психологических ощущений от самого факта оказания медицинской помощи и выздоровления как достигнутого ожидаемого результата [23]. Изучение данных субъективной оценки с помощью социологических опросов родителей и специалистов системы здравоохранения, позволит сформировать программу мероприятий по совершенствованию оказания ПМСП детям и подросткам с учетом современных принципов и технологий [24][25][26].…”

Section: Introductionunclassified

Observation of Children of the Newborn Period in Childrens Polyclinic

Ahmedova¹

2022

HMJ

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INTRODUCTION: Primary health care is a fundamental element in protecting the health of the children’s population. This article presents a literature review on the problems of providing medical care to children of the first month of life. One of the main stages in an integrated approach to observation of children is the antenatal protection of the fetus, which is provided primarily by childrens clinics through prenatal patronage. To date, at this stage, there is still lack of coordination in the work of womens clinics and childrens clinics. After the discharge of newborns, prenatal care is replaced by home care for newborns, which is realized by both a doctor and a district nurse and represents a complete system with an integrated approach to appropriate examinations. Observance of the frequency of both prenatal and primary patronages, which is regulated by the federal normative acts, is ensured by the professional level of district pediatricians and district nurses, as well as by the appropriate provision of the primary link with personnel. Lack of specialists in medical organizations providing primary health care to children is reflected in the increased burden on the medical and nursing staff. According to the research conducted in different regions of the Russian Federation, the number of population attached to a health locality, often significantly exceeds the recommended standard of 800 people per one locality. All this leads to non-standardized loads on the staff, and has a significant impact on the quality of medical care provided. This, in turn, leads to dissatisfaction of the patients legal representatives with the availability, quality and completeness of the medical care provided. CONCLUSION: The presented information, based on the data of the literature review devoted to the quality of medical care for children of the first month of life in childrens polyclinics, is aimed at optimizing the conditions for improving affordable and high-quality medical care, improving the health of the child population, reducing infant mortality.

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Assessment of Parents’ Satisfaction With Primary Health Care Provided to Their Children in Polyclinics

Cited by 2 publications

References 1 publication

Quality balanced scorecard for the outpatient clinic

Quality balanced scorecard for the outpatient clinic

Observation of Children of the Newborn Period in Childrens Polyclinic

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