Articles with tag: «multidisciplinary hospital»

    Management in health care
  • 2021 № 5 Experience and prospects of palliative care in a multidisciplinary hospital

    Experience of rendering palliative medical (PMC) care in a versatile hospital is presented – in the St. Petersburg City geriatric medico-social center (CGMSC). Clinical records of 4561 patients receiving treatment on office of PMC CGMSC during 2015–2020 underwent the analysis. Characteristic of stages of hospitalization of oncological patients, patients with somatic pathology and patients with neurodegenerative diseases in office of palliative medical care is given. Presented clinical cases from the practice of managing difficult patients. The prospects of rendering palliative medical care in the conditions of a versatile hospital are described.
    The conclusion is drawn that only during creation of offices of palliative medical care in versatile hospitals it is possible to render this type of specialized medical care for patients adequately and in full.
    The purpose of the study is to analyze the activities of the Department of palliative care in the City Geriatric Medical and Social Center of St. Petersburg.Materials and methods.
    A n a n a l y t i c a l s t u d y of the medical records of patients of the Department of Palliative Care of St. Petersburg State Medical Institution City Geriatric Medical and Social Center was conducted. The case histories were selected for three nosologies typical for geriatric patients.
    R e s u l t s . The analysis included the medical records of 4,561 patients treated in the department of PMP GHZ in the period from 2015 to 2020. The article describes the stages of hospitalization of cancer patients, patients with somatic pathology and patients with neurodegenerative diseases in the department of palliative care. Clinical cases from the practice of managing difficult patients are presented. The prospects of providing palliative care in a multidisciplinary hospital are described.
    C o n c l u s i o n s . Only with the establishment of palliative care units in multi-specialty hospitals is it possible to provide this type of specialized medical care to patients adequately and in full.

    Authors: Lapteva E. S. [2] Kulibaba D. M. [1] Serpov V. Yu. [1] Sovetkina N. V. [1] Sirotkin O. G. [1] Aryev A. L. [1]

    Tags: cancer patients1 multidisciplinary hospital2 palliative care1 patients with neurodegenerative diseases1 patients with somatic pathology1

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  • Informatization of healthcare
  • 2023 № 4 The use of information technologies in assessing the quality of medical care

    The currently relevant value-based healthcare model (Value-Based Healthcare) is more focused on ensuring long-term effectiveness and patient satisfaction, which is directly related to the implementation of the principles of patient-oriented and patient-centered activities [1].
    In accordance with the Proposals (practical recommendations) on the organization of internal quality control and safety of medical activities in a medical organization (hospital) of the Federal State Budgetary Institution “National Institute of Quality” of Roszdravnadzor, compliance with the principles of patient-centered medical care provides for the development and implementation at the level of a medical organization of a patient safety strategy, including compliance with ethical standards and rules in the implementation of medical care activities. This also includes the procedure for organizing feedback with patients [15].
    The use of information technologies in patient questionnaires and analysis of results allows for operational monitoring of patient satisfaction indicators and to create a basis for assessing most aspects of hospital activities from the perspective of patients: the quality of medical services and their results, interaction with staff, infrastructure and service components.
    The purpose of the study is to provide the results of the implementation of the author’s information and analytical system for collecting and processing information about patient satisfaction through an electronic web questionnaire and providing the calculation of satisfaction indicators in a multidisciplinary hospital.
    M a t e r i a l s a n d m e t h o d s . The basis of the study was a multidisciplinary hospital of the state budgetary healthcare institution “Regional Clinical Hospital No. 2” in Vladivostok. Within the framework of the study, the inpatient patients were surveyed using questionnaires in electronic form prepared by a medical organization, an information and analytical system was developed to conduct a mathematical analysis of the results of the survey according to five criteria for assessing the quality of medical care conditions.
    The study used a questionnaire including 20 questions, the answers to which express the opinion of patients about the quality of work of doctors and nursing staff, the comfort of the conditions of stay in the emergency department, as well as in the hospital during hospitalization.
    The questionnaire was developed in 2015, and for many years the survey was conducted using paper and manual calculations. But since 2021, patient questionnaires and analysis of the collected data have been transferred to an electronic format.
    In this article we present the results obtained with the help of an information system for collecting and analyzing questionnaires, in which adult patients of a round-the-clock hospital participated.
    R e s u l t s . The use of information technologies in patient questionnaires and analysis of results allows for operational monitoring of patient satisfaction indicators and to create a basis for assessing a number of aspects of hospital activity from the perspective of patients: the quality of medical services and their results, interaction with staff, infrastructure and service components make it possible to evaluate the effectiveness of measures to ensure comfortable conditions for the patient’s stay and can be used in practical healthcare to organize measures to eliminate defects and make decisions on the management of a medical organization.
    C o n c l u s i o n s . The introduction of additional methods for studying patient satisfaction using electronic forms, taking into account the specifics of the work of a medical organization to the requirements established by the Ministry of Health of the Russian Federation, makes it possible to increase the effectiveness of interaction with patients and can be one of the tools for assessing the social effectiveness of a medical organization (hospital).

    Authors: Potylitsyn A. V. [3] Martynova A. V. [2] Li M. V. [1]

    Tags: information technology4 multidisciplinary hospital2 patient satisfaction6 patient survey2 patient-orientation6

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