Assessment of the social effectiveness of providing medical care to patients with a cardiological profile using the method of remote monitoring of blood pressure
Svetlana A. Fedotkina , Mikhail G. Karailanov
Russian Military Medical Academy Reports ›› 2024, Vol. 43 ›› Issue (2) : 159 -166.
Assessment of the social effectiveness of providing medical care to patients with a cardiological profile using the method of remote monitoring of blood pressure
BACKGROUND: Assessing social efficiency currently plays a key role in improving the organization of medical care to citizens. Satisfaction with medical care provided is an indicator of the availability of medical care and the effectiveness of healthcare in general.
AIM: To assess the social effectiveness of medical care using the method of remote monitoring of blood pressure in cardiac patients based on the results of remote monitoring.
MATERIALS AND METHODS: The study materials included data from an anonymous sociological survey of 200 patients who were under dispensary observation and had a history of periods of deterioration in the functional state of the cardiological profile. The questionnaire offered to patients contained six establishing questions, each of which was distributed on a scale balanced from extreme positive to extreme negative assessment.
RESULTS AND DISCUSSION: Before conducting remote monitoring, the level of awareness of patients about their own health status, preventive measures, and the use of devices for remote transmission of blood pressure data from the patient to the doctor was investigated. Subsequently, to increase patient awareness, additional information materials on the procedure for interaction be-tween patients and medical workers, as well as about risk factors for the development of cardiovascular diseases and complications from them.
The sociological survey was conducted to summarize the results of remote monitoring of patients’ blood pressure and was aimed at studying patients’ opinions on changes in the organization of medical care provided in outpatient settings.
CONCLUSION: The data obtained showed that, in general, the degree of achievement of social results after remote blood pressure monitoring increased by 61.0%. Undoubtedly, such an increase in patient satisfaction was achieved as a result of the redistribution of responsibilities between doctors and nurses, as well as a result of well-established participatory interaction between medical workers and patients in terms of remote monitoring of dispensary groups of cardiac patients, instruction in the method of measuring blood pressure and monitoring it indicators in electronic form.
health care / medical help / outpatient settings / patients with arterial hypertension / school of remote blood pressure monitoring / social efficiency / working age
| [1] |
Artemyeva MA. Patient satisfaction with medical care in various conditions of its provision. Science of the Young (Eruditio Juvenium). 2017;5(3):389–399. (In Russ.) EDN: ZFMGSN doi: 10.23888/HMJ20173389-399 |
| [2] |
Артемьева М.А. Удовлетворенность пациентов медицинской помощью в различных условиях ее предоставления // Наука молодых (eruditio juvenium). 2017. Т. 5, № 3. С. 389–399. EDN: ZFMGSN doi: 10.23888/HMJ20173389-399 |
| [3] |
Artemyeva MA. Patient satisfaction with medical care in various conditions of its provision. Science of the Young (Eruditio Juvenium). 2017;5(3):389–399. (In Russ.) EDN: ZFMGSN doi: 10.23888/HMJ20173389-399 |
| [4] |
Paltsev M, Belushkina NN, Chaban EA. 4P-medicine as a new model of healthcare in the Russian Federation. Healthcare Management: News. Views. Education. VSHOUZ Bulletin. 2015;2(2):48–54. (In Russ.) EDN: WALZKV |
| [5] |
Пальцев М., Белушкина Н.Н., Чабан Е.А. 4П-медицина как новая модель здравоохранения в Российской Федерации // Оргздрав: новости, мнения, обучение. Вестник ВШОУЗ. 2015. № 2 (2). С. 48–54. EDN: WALZKV |
| [6] |
Paltsev M, Belushkina NN, Chaban EA. 4P-medicine as a new model of healthcare in the Russian Federation. Healthcare Management: News. Views. Education. VSHOUZ Bulletin. 2015;2(2):48–54. (In Russ.) EDN: WALZKV |
| [7] |
Pchelina NV, Pozdeeva TV. Study of patient satisfaction in primary care medical organizations as a subjective criterion for the quality of medical care. In: Actual problems of health management of the population. Collection of scientific papers of the Fourth All-Russian Scientific and Practical Conference. Nizhny Novgorod. 2021:82–86. (In Russ.) EDN: VBKAML |
| [8] |
Пчелина Н.В., Поздеева Т.В. Изучение удовлетворенности пациентов медицинских организаций ПМСП как субъективного критерия качества оказания медицинской помощи. В сб.: Актуальные проблемы управления здоровьем населения. Сборник научных трудов четвертой Всероссийской научно-практической конференции. Н. Новгород, 2021. С. 82–86. EDN: VBKAML |
| [9] |
Pchelina NV, Pozdeeva TV. Study of patient satisfaction in primary care medical organizations as a subjective criterion for the quality of medical care. In: Actual problems of health management of the population. Collection of scientific papers of the Fourth All-Russian Scientific and Practical Conference. Nizhny Novgorod. 2021:82–86. (In Russ.) EDN: VBKAML |
| [10] |
Karailanov MG, Rusev IT, Prokin IG, et al. Efficient use of hospital-replacing technologies in the provision of primary health care. Bulletin of the Russian Military Medical Academy. 2016;(4(56)): 152–157. (In Russ.) EDN: XHUBRV |
| [11] |
Карайланов М.Г., Русев И.Т., Прокин И.Г., и др. Рациональное использование стационарозамещающих технологий при оказании первичной медико-санитарной помощи // Вестник Российской военно-медицинской академии. 2016. № 4 (56). С. 152–157. EDN: XHUBRV |
| [12] |
Karailanov MG, Rusev IT, Prokin IG, et al. Efficient use of hospital-replacing technologies in the provision of primary health care. Bulletin of the Russian Military Medical Academy. 2016;(4(56)): 152–157. (In Russ.) EDN: XHUBRV |
| [13] |
Karailanov MG, Fedotkina SA. Organizational and methodological approach to assessing the effectiveness of primary health care at the present stage. In the world of scientific discoveries. 2016;(8(80)): 63–80. (In Russ.) |
| [14] |
Карайланов М.Г., Федоткина С.А. Организационно-методический подход к оценке эффективности первичной медико-санитарной помощи на современном этапе // В мире научных открытий. 2016. № 8 (80). С. 63–80. |
| [15] |
Karailanov MG, Fedotkina SA. Organizational and methodological approach to assessing the effectiveness of primary health care at the present stage. In the world of scientific discoveries. 2016;(8(80)): 63–80. (In Russ.) |
| [16] |
Sabgayda TP, Ivanova AE, Tarasov NA, et al. Diseases of the circulatory system of Muscovites during the COVID-19 epidemic according to the analysis of multiple causes of death. In: Proceedings of the Scientific Research Institute of Healthcare Organization and Medical Management. Moscow; 2020:20–26. (In Russ.) EDN: SVJLZX |
| [17] |
Сабгайда Т.П., Иванова A.E., Тарасов Н.А., и др. Болезни системы кровообращения москвичей в период эпидемии COVID-19 по данным анализа множественных причин смерти. В сб.: Труды Научно-исследовательского института организации здравоохранения и медицинского менеджмента. М., 2020. С. 20–26. EDN: SVJLZX |
| [18] |
Sabgayda TP, Ivanova AE, Tarasov NA, et al. Diseases of the circulatory system of Muscovites during the COVID-19 epidemic according to the analysis of multiple causes of death. In: Proceedings of the Scientific Research Institute of Healthcare Organization and Medical Management. Moscow; 2020:20–26. (In Russ.) EDN: SVJLZX |
| [19] |
Cherkasov SN, Volkova OA. On the issue of rational management of resources of medical organizations. Problems of standardization in healthcare. 2017;(5–6):27–34. (In Russ.) EDN: ZBIFLT |
| [20] |
Черкасов С.Н., Волкова О.А. К вопросу рационального управления ресурсами медицинских организаций // Проблемы стандартизации в здравоохранении. 2017. № 5–6. С. 27–34. EDN: ZBIFLT |
| [21] |
Cherkasov SN, Volkova OA. On the issue of rational management of resources of medical organizations. Problems of standardization in healthcare. 2017;(5–6):27–34. (In Russ.) EDN: ZBIFLT |
| [22] |
Fedotkina SA, Khugaeva EV. Awareness of the population about cardiovascular factors in the development of diseases as a result of the application of a population strategy. Siberian Journal of Life Sciences and Agriculture. 2023;15(2):178–194. (In Russ.) doi: 10.12731/2658-6649-2023-15-2-178-194 |
| [23] |
Федоткина С.А., Хугаева Э.В. Информированность населения о кардиоваскулярных факторах развития заболеваний как результат применения популяционной стратегии // Siberian Journal of Life Sciences and Agriculture. 2023. Т. 15, № 2. С. 178–194. doi: 10.12731/2658-6649-2023-15-2-178-194 |
| [24] |
Fedotkina SA, Khugaeva EV. Awareness of the population about cardiovascular factors in the development of diseases as a result of the application of a population strategy. Siberian Journal of Life Sciences and Agriculture. 2023;15(2):178–194. (In Russ.) doi: 10.12731/2658-6649-2023-15-2-178-194 |
| [25] |
Khugaeva EV. Remote monitoring of blood pressure as an element of personalized medicine. International Journal of Advanced Studies in Medicine and Biomedical Sciences. 2023;(1):68–79. (In Russ.) |
| [26] |
Хугаева Э.В. Дистанционное мониторирование артериального давления как элемента персонализированной медицины // International Journal of Advanced Studies in Medicine and Biomedical Sciences. 2023. № 1. С. 68–79. |
| [27] |
Khugaeva EV. Remote monitoring of blood pressure as an element of personalized medicine. International Journal of Advanced Studies in Medicine and Biomedical Sciences. 2023;(1):68–79. (In Russ.) |
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