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Khirurgii

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Year 2019 Vol. 27 No 1

TRAUMATOLOGY AND ORTHOPEDICS

M.A. CHERKASOV, A.G. CHERNYI, I.I. SHUBNYAKOV, A.A. IRZHANSKI, K.K. IDRISOV, R.K. DZAMIKHOV

INTEGRATED QUALITY ASSESMENT OF MEDICAL CARE FROM PATIENT’S STANDPOINT

Russian Scientific Research Institute of Traumatology and Orthopedics named after R.R. Vreden,
St. Petersburg,
The Russian Federation

Objective. To assess the quality of medical care and patient satisfaction in a specialized hospital.
Methods. Prospective study of the group consisting of 210 patients hospitalized with different orthopedic pathologies during the period from October to December 2017 was carried out. Before discharge from the hospital, patients were asked to complete the PPE-15 questionnaire (Picker Patient Experience Questionnaire). Beforehand, the PPE-15 questionnaire was translated and adapted for use in Russian-speaking medical practice.
Results. The average age of patients was 49.4 years (CI 95% 46.2-52.6), Male patients were 87 (42%), female patients – 120 (58%). The average value of pain by the visual analogue scale was 27.4 points (CI 95% 24.2-30.5), satisfaction with medical support averaged 93 points (CI 95% 90.8-95.2). 91% of patients were ready to recommend treatment at our clinic to their relatives and friends, 6% abstained and left the question unanswered, 3% answered negatively. The connection between patient’s satisfaction and the 1, 3, 4 and 7 domains of the PPE-15, p<0.001 questionnaire was the strongest. There was no correlation between satisfaction and other factors.
Conclusions. The presented assessment results of patients’ satisfaction and their readiness to recommend the hospital to their relatives or acquaintances allow us making optimistic forecasts. However, a detailed study of certain aspects of patients’ experiences on the PPE-15 questionnaire will be useful for monitoring the work of different hospitals or hospital departments and may indicate ways of improving health care. Satisfaction with the process of medical care is indeed one of the goals of the Ministry of Health, and since the patient is the most interested party in assessing its quality, taking into account his opinion on the assistance provided is key to achieving maximum satisfaction with the treatment process.

Keywords: patient satisfaction, medical care quality, scoring systems, surveys and questionnaires, patient’s experience, traumatology, orthopedics
p. 49-58 of the original issue
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Address for correspondence:
195427, The Russian Federation,
Saint-Petersburg, Ac. Baykov Str., 8,
Russian Scientific Research Institute
Of Traumatology and Orthopedics
Named after R.R. Vreden,
Scientific Department of Knee Joint Pathology.
Tel.: +7 905 276-48-48,
e-mail: arseni.a.irzhanski@gmail.com,
Arseni A. Irzhanski
Information about the authors:
Cherkasov Magomed A., Post-Graduate Student, Russian Scientific Research Institute of Traumatology and Orthopedics named after R.R. Vreden, Saint-Petersburg, Russian Federation.
https://orcid.org/0000-0003-2799-532X
Cherny Andrey G., PhD, Associate Professor, Deputy Director for Medical Work, Russian Scientific Research Institute of Traumatology and Orthopedics named after R.R. Vreden, Saint-Petersburg, Russian Federation.
https://orcid.org/0000-0003-1097-2340
Shubnyakov Igor I., MD, Chief Researcher, Russian Scientific Research Institute of Traumatology and Orthopedics named after R.R. Vreden, Saint-Petersburg, Russian Federation.
https://orcid.org/0000-0003-0218-3106
Irzhanski Arseni A., Post-Graduate Student, Russian Scientific Research Institute of Traumatology and Orthopedics named after R.R. Vreden, Saint-Petersburg, Russian Federation.
https://orcid.org/0000-0001-5939-0216
Idrisov Khasan K., Clinical Intern, Russian Scientific Research Institute of Traumatology and Orthopedics named after R.R. Vreden, Saint-Petersburg, Russian Federation.
https://orcid.org/0000-0001-6979-7001
Dzamihov Ruslan K., Clinical Intern, Russian Scientific Research Institute of Traumatology and Orthopedics named after R.R. Vreden, Saint-Petersburg, Russian Federation.
https://orcid.org/0000-0002-5230-2110
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