Investigation of problems of functioning of the primary health care system in the federal districts of the Russian Federation through the analysis of sociological research data
Abstract. One of the important tools for determining the effectiveness of health system reforms is the assessment by the population of the work of the primary health care system, since it is a system that largely determines the availability of medical care to the population. The purpose of this article is to study the data of sociological studies on patients` dissatisfaction with the work of polyclinics in Russia as a whole and in the federal districts, to identify significant problems of functioning of this health care unit, as well as to identify federal districts where problems of primary health care are most pronounced. In the course of the study, index and graphical research methods were used. As a result of the study, the most significant problems in the work of polyclinic characteristic of all federal districts of the Russian Federation were identified (dissatisfaction with the work of specialist doctors, lack of necessary equipment and/or medicines, waiting time in the queues), and also identified federal districts where there is an increase in the proportion of residents dissatisfied with medical care according to almost all criteria of dissatisfaction, which were considered in the study. The study has practical significance. Since healthcare is traditionally considered as an industry that strongly influences the growth of social tension, analyzing data on the criteria of dissatisfaction with medical care in federal districts, we can not only assess the effectiveness of healthcare reforms, but also identify areas of possible social tension.
Keywords: primary health care, federal districts, social research, criteria of dissatisfaction with medical
care
Highlights:
♦ the analysis of criteria of dissatisfaction of the population with medical care in polyclinics makes it possible to assess the effectiveness of the reforms carried out in the healthcare branch, in particular the level of accessibility of medical care;
♦ the analysis of criteria of dissatisfaction of the population with medical care in polyclinics makes it possible to identify federal districts where the dissatisfaction with medical care is growing, and thereby identify territories in which social tension may arise;
♦ the analysis of criteria of dissatisfaction of the population with medical care in polyclinics makes it possible to identify problems in the most significant link of the health care system - the primary health care system.
Elena V. Shamalova - I.M. Sechenov First Moscow State Medical University of the Ministry of Health of the Russian Federation (Sechenov University), Moscow, Russia