The patients' evaluation of medical service at the out-patient level

Abstract


The article presents the results of questionnaire survey of patients' opinions about out-patient medical care. The survey was carried out using the Doctors' Interpersonal Skills Questionnaire during 12 months. The sampling consisted of 14.712 respondents. The lowest rates out of 11 parameters analyzed received parameters Q5 (Could the doctor reassure you?) and Q7 (Did the doctor help you to express your feelings and fears?). Such a situation was common for all medical specialties. Unexpectedly, combination of low estimate of mentioned parameters with their low correlation and resultant satisfaction with medical care was established. The resultant satisfaction with medical service by general practitioners (family doctors) was less dependent from physician's respectful attitude to patient than attention of physician to personal circumstances of patient choosing treatment. The patients of endocrinologists noted that the least input into resultant satisfaction with medical care was related to ability of physician to assist them to express their fears, and the greatest input was given to first impression from manner and mode of how physician received patient. The least input into resultant satisfaction of patients with medical services by cardiologists was made by respectful attitude of physician and the most input was attributed to way of how physician considers patient’s personal circumstances in treatment selection. The patients of gastroenterologists mentioned physician's ability to reassure patient as least input into resultant satisfaction with medical care, and attention to way of how physician considers patient’s personal circumstances in treatment selection as most input.

Full Text

Restricted Access

About the authors

I. N. Denisov

The Federal State Autonomous Educational Institution of Higher Education “The I. M. Sechenov First Moscow State Medical University” of Minzdrav of Russia


A. G. Reze

The Federal State Autonomous Educational Institution of Higher Education “The I. M. Sechenov First Moscow State Medical University” of Minzdrav of Russia

Email: rese@mail.ru

A. V. Volnuhin

The Federal State Autonomous Educational Institution of Higher Education “The I. M. Sechenov First Moscow State Medical University” of Minzdrav of Russia


D. Iu. Azizova

The Federal State Autonomous Educational Institution of Higher Education “The I. M. Sechenov First Moscow State Medical University” of Minzdrav of Russia


References

  1. Avorn J. Academic detailing: “marketing” the best evidence to clinicians. JAMA. 2017;317(4):361-2. doi: 10.1001/jama.2016.16036
  2. Avorn J. The Psychology of Clinical Decision Making - Implications for Medication Use. N. Engl. J. Med. 2018;378:689-91. doi: 10.1056/NEJMp1714987
  3. Рожнова К. С. Поведенческие факторы риска у подростков. Справочник врача общей практики. 2012;(4):53-9.
  4. Bejnordi B. E., Veta M., van Diest P. J. Diagnostic Assessment of Deep Learning Algorithms for Detection of Lymph Node Metastases in Women With Breast Cancer. JAMA. 2017;318(22):2199-210. doi: 10.1001/jama.2017.14585
  5. Nochomovitz M., Sharma R. Is It Time for a New Medical Specialty? The Medical Virtualist. JAMA. 2018;319(5):437-8. doi: 10.1001/jama.2017.17094
  6. Greco M., Cavanagh M., Brownlea A., McGovern J. Validation studies of the Doctors' Interpersonal Skills Questionnaire. Educ. Gen. Pract. 1999;10:256-64.
  7. Greco M. J., Brownlea A. A., McGovern J. M., Cavanagh M. J. Consumers as educators: implementation of patient feedback in general practice training. Health. Comm. 2000;12:173-93.
  8. Greco M. J., Brownlea A. A., McGovern J. M. Impact of patient feedback on the interpersonal skills of general practice registrars: results of a longitudinal study. Med. Educat. 2001;35:748-56.
  9. Greco M. J., Spike N., Powell R., Brownlea A. A. Assessing communication skills of GP registrars: a comparison of patient and GP examiner ratings. Med. Educat. 2002;36:366-76.

Statistics

Views

Abstract - 55

Cited-By


PlumX

Dimensions


Copyright (c) 2019 АО "Шико"

Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

Mailing Address

Address: 105064, Vorontsovo Pole, 12, Moscow

Email: ttcheglova@gmail.com

Phone: +7 903 671-67-12

Principal Contact

Tatyana Sheglova
Head of the editorial office
FSSBI «N.A. Semashko National Research Institute of Public Health»

105064, Vorontsovo Pole st., 12, Moscow


Phone: +7 903 671-67-12
Email: redactor@journal-nriph.ru

This website uses cookies

You consent to our cookies if you continue to use our website.

About Cookies