The impact of the importance of the life priority "Health" in the formation of the patient's attitude to the organization of medical care provided on an outpatient settings

Abstract

AIM: to analyze the influence of the structure of the life priority “health” in shaping the patient’s attitude towards the organization of medical care provided in an outpatient setting.

MATERIALS AND METHODS OF RESEARCH: Primary data were obtained through an anonymous survey of 486 patients of medical organizations in Moscow. In total, the author’s questionnaire offered eight priority options: “Family”, “Work”, “Education”, “Career”, “Health”, “Material goods”, “Spiritual values”, “Faith (religion)”. When answering, the respondent arranged the proposed priorities in hierarchical order according to the degree of decreasing importance in relation to himself personally. As a division into comparison groups, the concept of standard structure was used, that is, the correspondence of the individual structure of life priorities to the collective structure. The main group (147 people) included patients who considered the life priority “Health” to be very significant. Patients included in the control group (112 people) placed the life priority “Health” in the fourth and subsequent places in the hierarchy, that is, they considered it less important compared to other priorities. 228 patients ranked the life priority “Health” in third place (the majority) and they were excluded from further consideration.

RESULTS AND DISCUSSION: The overall assessment of the activities of a medical organization providing medical care in an outpatient setting does not depend on the place in the hierarchy of life priorities of the “Health” value, however, with an average frequency of visits, which is the most common characteristic of the need for outpatient medical care, the value of the assessment of the quality of the organization of the activities of a medical organization is higher in the control group of patients, that is, with a low importance of the life priority “Health”.

CONCLUSION: Despite the higher integral ratings given by patients with a low importance of the life priority “Health”, and a lower proportion of those who did not express any complaints about the organization of the clinic’s activities, they expressed more complaints about certain aspects of the organization of the work of the medical organization and its mode of operation.

Keywords

life priorities / medical organization / outpatient care / patient satisfaction / satisfaction factors / social determinants

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