ОЦЕНКА КОМПЛАЕНСА ПАЦИЕНТОВ ПОЛИКЛИНИКИ И СТАЦИОНАРА ПО ДАННЫМ АНКЕТИРОВАНИЯ

Abstract

The article presents results of assessing patients' compliance with the treatment process, studied external and internal factors influencing adherence. As external factors, the study focused on medical and social conditions: gender, age, level of education, frequency of disease exacerbations, regularity of medical procedures and intake of medications, as well as presence or lack of the treatment effect and adherence to doctor's recommendations to maintain a healthy lifestyle. To assess the internal conditions for compliance, the attitude of patients to treatment and their understanding of the causes and consequences of the disease were studied. The purpose of the study was to assess the level of compliance of patients treated in outpatient and inpatient settings as well as to analyze factors that affect patients' compliance with doctor's recommendations. Material and methods A survey of patients using a special questionnaire, analytical and statistical analysis. Results. The level of compliance of patients treated on an outpatient and inpatient basis was assessed. It was found out that almost every second patient in the polyclinic and in the hospital is not adherent to treatment (53.5% and 42.7%, respectively). Despite the fact that 95% of the respondents suffer from the symptoms of their disease and 38.5% experience clinical manifestations of their disease every day. Moreover, 83.1% of the respondents claim to know possible outcomes of their disease, 94.0% are aware of the importance of the prescribed therapy, and 92.7% feel the real effect of the treatment. Conclusion. A comparative analysis of the survey results showed insignificant differences in adherence to treatment between hospital and polyclinic patients, so the number of respondents who scored the maximum four to three points on the Morisky Green Levin scale, absolutely adherent and insufficiently adherent to treatment is higher in a hospital than in a polyclinic with a difference of 6.6% and 4.4% respectively. The number of non-compliant policlinic patients is 10.8% higher compared to the hospital ones. There is no statistically significant difference between the groups in terms of such factors as gender, age, level of education and financial situation, suggesting a minor role of the listed characteristics in developing adherence to treatment. The data obtained as a result of the study can be used to solve the problem of patients' compliance with the treatment and rehabilitation process both in outpatient and inpatient setting, as well as for the purpose of timely prevention of consequences associated with insufficient adherence of patients to treatment.