The importance of the level of education as a social characteristic of the patient in the formation of his attitude to the organization of outpatient medical care

Abstract

The significance of a patient’s level of education as a social characteristic in shaping their attitude toward the provision of medical care in outpatient settings has been scientifically supported. This analysis is based on primary data obtained from interviews conducted with 502 patients seeking outpatient medical care in Moscow. The main group consisted of 185 patients with secondary or specialized secondary education, while the control group comprised 273 patients with incomplete higher, higher or multiple higher education. Various approaches have been employed to assess the management system of medical care in patients with different educational backgrounds. The data reveals a correlation between the frequency of patient visits and their evaluation of the medical care system, with distinct trends observed. Patients with lower levels of education, who make more frequent visits to medical facilities, tend to provide more critical assessments of the administrative structures. The data reveals a correlation between the frequency of patient visits and their evaluation of the medical care system, with distinct trends observed. Patients with lower levels of education, who make more frequent visits to medical facilities, tend to provide more critical assessments of the administrative structures. On the contrary, patients with higher levels of education, who also visit medical organizations frequently, tend to hold a more positive view of the administrative structures. Despite both groups assigning similar overall ratings to the medical organizations providing outpatient care, patients with higher education levels tend to file more complaints specifically concerning the organization of certain departments within the polyclinic. These complaints are predominantly related to the functioning of the laboratory service, specialized specialists, and senior management within the polyclinic’s staff. Consequently, a patient’s social characteristics significantly influence their behavior and attitude toward the health care system. It should be noted that the list of social characteristics that can impact an individual’s behavior and their perception of the healthcare system is extensive.

Keywords

patient satisfaction / satisfaction factors / outpatient care / medical care management system / medical organization / social determinants / education levels / polyclinic staff

References

[1] Shapovalova MA, Anopko VP. Usloviya reformirovaniya zdravookhraneniya. In the World of Scientific Discoveries. 2010;(2-4):159–160. (In Russ.).

[2] Шаповалова М.А., Анопко В.П. Условия реформирования здравоохранения // В мире научных открытий. 2010. № 2-4. С. 159–160.

[3] Akulin IM, Chesnokova EA, Smirnova KM, Presnyakov RA. Transformation of medical privacy in the era of digital health. Statute. 2019;(9):179–189. (In Russ.).

[4] Акулин И.М., Чеснокова Е.А., Смирнова К.М., Пресняков Р.А. Трансформация института врачебной тайны в эпоху электронного здравоохранения // Закон. 2019. № 9. С. 179–189.

[5] Lehrich BM, Goshtasbi K, Brown NJ. Predictors of patient satisfaction in spine surgery: a systematic review. World Neurosurg. 2021;146:e1160–e1170. DOI: 10.1016/j.wneu.2020.11.125

[6] Lehrich B.M., Goshtasbi K., Brown N.J. Predictors of patient satisfaction in spine surgery: a systematic review // World Neurosurg. 2021. Vol. 146. Р. e1160–e1170. DOI: 10.1016/j.wneu.2020.11.125

[7] Alexandrova OYu, Konovalov OE, Vasilieva TP, et al. The development of health preservation technologies: from individual to family approach. Problems of social hygiene, public health and history of medicine. 2021;29(6):1470–1474. (In Russ.). DOI: 10.32687/0869-866X-2021-29-6-1470-1474

[8] Александрова О.Ю., Коновалов О.Е., Васильева Т.П., и др. Развитие технологий здоровьесбережения: от индивидуального подхода к семейному // Проблемы социальной гигиены, здравоохранения и истории медицины. 2021. Т. 29, № 6. С. 1470–1474. DOI: 10.32687/0869-866X-2021-29-6-1470-1474

[9] Krom IL, Yerugina MV, Orlova MM, et al. Public health determinants in social context. Saratov Journal of Medical Scientific Research. 2017;13(2):292–295. (In Russ.).

[10] Кром И.Л., Еругина М.В., Орлова М.М., и др. Детерминанты общественного здоровья в социальном контексте // Саратовский научно-медицинский журнал. 2017. T. 13, № 2. С. 292–295.

[11] Khoroshilova EYu. Obrazovanie kak determinanta zdorov'ya. Nauchnyi al'manakh. 2017;(3-3):387–390. (In Russ.).

[12] Хорошилова Е.Ю. Образование как детерминанта здоровья // Научный альманах. 2017. № 3-3. С. 387–390.

[13] Cherkasov SN, Gorbunov AL, Fedyaeva AV. The influence of educational level on medical care-seeking behavior patterns. International Research Journal. 2022;(9):1–5. (In Russ.). DOI: 10.23670/IRJ.2022.123.7

[14] Черкасов С.Н., Горбунов А.Л., Федяева А.В. Влияние уровня образования на модели поведения, связанные с обращением за медицинской помощью // Международный научно-исследовательский журнал. 2022. № 9. С. 1–5. DOI: 10.23670/IRJ.2022.123.7

[15] Cherkasov SN, Kirtadze ID. Influence of level of education on the self-assessment of health in different age groups. Bulletin of Semashko National Research Institute of Public Health. 2017;(7): 74–78. (In Russ.).

[16] Черкасов С.Н., Киртадзе И.Д. Влияние уровня образования на самооценку здоровья в различных возрастно-половых группах // Бюллетень Национального научно-исследовательского института общественного здоровья имени Н.А. Семашко. 2017. № 7. С. 74–78.

[17] Sopova IL, Cherkasov SN, Polozkov OI. Influence of the level of education on the degree of responsibility for one's own health. Caspian journal of medicine and pharmacy. 2020;1(3-4):21–26. (In Russ.). DOI: 10.17021/2020.1.3-4.21.26

[18] Сопова И.Л., Черкасов С.Н., Полозков И.М. Влияние уровня образования на степень ответственности в отношении собственного здоровья // Прикаспийский вестник медицины и фармации. 2020. Т. 1, № 3-4. С. 21–26. DOI: 10.17021/2020.1.3-4.21.26

[19] Gorbunov AL, Kurnosikov MS, Cherkasov PS. The influence of the level of education on the attitude to compliance with the doctor's recommendations. Remedium. 2022;26(3):221–224. (In Russ.). DOI: 10.32687/1561-5936-2022-26-3-221-224

[20] Горбунов А.Л., Курносиков М.С., Черкасов П.С. Влияние уровня образования на отношение к соблюдению рекомендаций врача // Ремедиум. 2022. Т. 26, № 3. С. 221–224. DOI: 10.32687/1561-5936-2022-26-3-221-224

[21] Kobyakova OS, Deev IA, Kulikov ES, et al. The results of study of quality and accessibility of medical care in health care institutions: “Who is guilty and what to do?” Health Care of the Russian Federation. 2016;60(4):219–224. (In Russ.). DOI: 10.18821/0044-197X-2016-60-4-219-224

[22] Кобякова О.С., Деев И.А., Куликов Е.С., и др. Результаты исследования качества и доступности медицинской помощи в учреждениях здравоохранения: «Кто виноват и что делать?» // Здравоохранение Российской Федерации. 2016. Т. 60, № 4. С. 219–224. DOI: 10.18821/0044-197X-2016-60-4-219-224

[23] Sadovoy MA, Kobyakova OS, Deev IA, et al. Patient satisfaction with medical care. Bulletin of Siberian Medicine. 2017;16(1):152–161. (In Russ.). DOI: 10.20538/1682-0363-2017-1-152-161

[24] Садовой М.А., Кобякова О.С., Деев И.А., и др. Удовлетворенность качеством медицинской помощи: «всем не угодишь» или «пациент всегда прав»? // Бюллетень сибирской медицины. 2017. Т. 16, № 1. С. 152–161. DOI: 10.20538/1682-0363-2017-1-152-161

[25] Brazovskaya NG, Deev IA, Kobyakova OS, et al. Patient-centered approach: analysis of relationship between effectiveness of medical care and conditions of its provision as estimated by patients. Social aspects of population health. 2019;(5):1. (In Russ.). DOI: 10.21045/2071-5021-2019-65-5-1

[26] Бразовская Н.Г., Деев И.А., Кобякова О.С., и др. Пациентоориентированный подход: анализ взаимосвязи оценки пациентами результативности медицинской помощи и условий ее оказания // Социальные аспекты здоровья населения. 2019. № 5. С. 1. DOI: 10.21045/2071-5021-2019-65-5-1

[27] Deev IA, Kobyakova OS, Boykov VA, et al. Satisfaction of patients as an indicator of the effectiveness of organizational models of providing medical care in the outpatient sector. Manager zdravoohranenia. 2020;(8):35–40. (In Russ.). DOI: 10.37690/1811-0185-2020-8-35-40

[28] Деев И.А., Кобякова О.С., Бойков В.А., и др. Удовлетворенность граждан как индикатор эффективности организационных моделей оказания медицинской помощи в амбулаторном звене // Менеджер здравоохранения. 2020. № 8. С. 35–40. DOI: 10.37690/1811-0185-2020-8-35-40

[29] Shnaider GV, Deev IA, Kobyakova OS, et al. Assessment of public satisfaction with health care. Social aspects of population health. 2020;(4):4. (In Russ.). DOI: 10.21045/2071-5021-2020-66-4-4

[30] Шнайдер Г.В., Деев И.А., Кобякова О.С., и др. Оценка удовлетворенности населения медицинской помощью // Социальные аспекты здоровья населения. 2020. Т. № 4. С. 4. DOI: 10.21045/2071-5021-2020-66-4-4

[31] Yakovlev AG, Zryanina NV, Karailanov MG. Use of mind-map in education of doctors of medical and preventive care profile. Bulletin of the Russian Military Medical Academy. 2017;(3):243–248. (In Russ.).

[32] Яковлев А.Г., Зрянина Н.В., Карайланов М.Г. Использование интеллект-карт в обучении врачей медико-профилактического профиля // Вестник Российской военно-медицинской академии. 2017. № 3. С. 243–248.

[33] Karailanov MG, Rusev IT, Novitsky AV, et al. Organization of the outpatient and polyclinic help in the conditions of the large city. Medline.ru Rossiiskii biomeditsinskii zhurnal. 2015;16:969–975. (In Russ.).

[34] Карайланов М.Г., Русев И.Т., Новицкий А.В., и др. Организация амбулаторно-поликлинической помощи в условиях крупного города // Medline.Ru. Российский биомедицинский журнал. 2015. Т. 16. С. 969–975.

RIGHTS & PERMISSIONS

Eco-Vector