Focus of problem
  • 2020 № 6 Pregnant technologies in primary health care in rural doctor’s ambulatory

    The priority state project currently being implemented, “Creating a New Model of a Medical Organization Providing Primary Health Care,” is especially relevant for implementation in hard-to-reach areas. Since rural health care is character- ized by a shortage of personnel, a weak medical and diagnostic base, low material and technical equipment, a low level of development of information technologies, and a large territorial extent. Objective: to evaluate the effectiveness of the implementation of lean manufacturing technologies with the participation of nursing specialists in the work of a medical out- patient clinic. Materials and methods. To determine the directions for the implementation of lean manufacturing methods, a questionnaire was conducted among patients (n = 232). Mapping and visualization, as well as timing of the processes before and after the introduction of organizational measures in two areas of the medical ambulance clinic “Reception of healthy children” and “Reception of patients with acute disease and with exacerbation of chronic.” Results and discussions. In order to eliminate (minimize) the revealed losses, re-planning of the premises was carried out, the functions were redistributed and the working hours of the medical staff were structured, templates-forms of documentation were developed. Conclusion and conclusions. The introduction of organizational measures allowed us to significantly reduce the waiting time for admission of a healthy child on the day of the disease without additional financial costs, as well as to increase patient satisfaction.

    Authors: Pyreva E. V. [1] Noskova V.  A. [2] Pozdeeva T.  V. [2]

    Tags: a  medical outpatient clinic1 a  new  organizational  model1 elimination  of  losses1 general practitioner4 implementation effectiveness.1 lean  technologies2 medical care in hard-to-reach areas1 nursing  staff4 primary health care14

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  • Management in health care
  • 2021 № 8 Study of temporary losses of patients when receiving medical services in ambulatory-polyclinic conditions

    The study of the patient’s temporary losses when receiving medical services in an outpatient clinic and their minimization contribute to an increase in patient satisfaction with the quality of medical care.
    Objective of the stud y: to assess the temporary losses of patients when visiting outpatient clinics of the city municipality.
    Methods and materials. The temporary losses of patients were studied by analyzing route maps compiled using a special technique. The analysis of the questionnaires made it possible to assess the patient’s satisfaction with the conditions of providing medical services, the information received in the healthcare institution and the attitude of the nursing staff to the visitor. Statistical processing of the results was carried out using the programs Statistica 5.0 and Microsoft Office Excel.
    Results. As a result of the conducted research, significant time costs of patients were identified when receiving medical care in polyclinics of the district center: when visiting a district doctor, a registry, a treatment room and a laboratory, which directly affected the results of assessing their satisfaction with the temporary criteria for visiting a medical organization.
    Scope of the results. The data obtained during the study can be used as basic information when developing measures to optimize key processes in outpatient health care institutions.

    Authors: Pozdeeva T.  V. [2] Pchelina N. V. [1]

    Tags: lean polyclinic1 lean technologies in healthcare1 patient satisfaction with the provision of medical services1 temporary loss of patients1

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