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ESTIMATION BY PARENTS OF ACCESSIBILITY AND QUALITY OF MEDICAL AID PROVIDED TO CHILDREN IN OUT-PATIENT CONDITIONS


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Abstract

Introduction. In modern conditions, the population’s satisfaction with medical care, including the urban and rural population, is one of the main criteria for the quality and accessibility of medical care. The goal. Subjective assessment of the organization of medical care for children in the conditions of the children’s polyclinical department of a medical ambulatory. Materials and methods. The study was conducted by random sampling using an anonymous questionnaire of 312 parents of children receiving medical care on an outpatient basis in the children’s department of the New Devyatkino village clinic in the Vsevolozhsky district of the Leningrad Region. Results. Preventive examinations, treating acute diseases, and testing when being under observation were established to be the main reasons for contacting the pediatric ward of a polyclinic are. Most of the parents spent an average of 24.5 ± 0.07 minutes on the way to the medical organization. Most often, parents choose to make an appointment with a doctor through a call center, the Internet and through an electronic record. The majority of parents (73.6%) believe the schedule of work of doctors to be convenient. More than half of parents (53.6%) believe that in the children’s outpatient department there are no specialists of the profile they need. In the opinion of parents, the most difficult is to arrange a visit to an ophthalmologist, otolaryngologist, and surgeon. In general, 65.3% of parents were satisfied with the organization of the children’s outpatient department, 28.9% were not completely satisfied, 2.3% were not completely satisfied. The main reasons for parents dissatisfaction are long queues at the registry (20.5 ± 0.08 minutes), to the pediatrician (average 22.7 ± 0.09 minutes) and highly specialized doctors (average 23.5 ± 0.09 minutes), difficulties in obtaining expert advice, and passing the examination. Conclusion There is a need to improve the availability and quality of medical care for children provided on an outpatient basis.


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