THE EVALUATION OF SOCIAL EFFECTIVENESS OF PRIMARY MEDICAL SANITARY CARE

Abstract

Social efficiency of the health care system is a priority type of sector effectiveness at every management level. The actual transformations in organization of medical care require investigation of effectiveness and should not adversely effect on indices of medical organizations functioning. The satisfaction of the population with quality and accessibility of medical care are related to social efficiency evaluation. The sociological surveys pay a special attention to studying conditions of medical services provision, which are assessed by patients subjectively. The article presents the results of a study of patients concerning satisfaction with primary medical sanitary care before and after organization of the Clinical Medical Center in Chita. The estimation of efficiency was implemented on the basis of factor conditionality of satisfaction level. Identification of degree of influence of each factor was implemented using calculation of relative and absolute risks. At that, outcome of medical care provision in the form of satisfaction was considered as an effective criterion and conditions of medical care provision as "risk factors". The study results established increasing of index of patient satisfaction with medical care in the Chita Clinical Medical Center, that testifies high social efficiency. The influence of such factors conditioning a decrease of degree of satisfaction as inconvenient working schedule of physician and violation of ethical deontological standards by the medical workers in relationship with patients was established. The results of studying factor conditionality of patient satisfaction allow to consider them in development of management measures. The necessary elements of development of the system of primary medical sanitary care include implementation of modern information systems, a uniform electronic medical record, remote appointment to physician visit, telemedicine technology, systems of electronic document management.