DOCTORS-NEUROLOGISTS’ ASSESSMENT OF IN-PATIENT MEDICAL CARE FOR PATIENTS WITH CEREBRAL STROKE (AFTER THE RESULTS OF SOCIOLOGICAL RESEARCH)
DOI:
https://doi.org/10.24144/2077-6594.3.2020.208611Keywords:
cerebral stroke, medical care, in-patient departments, assessment, neurologists, surveyAbstract
Goal of research: to study and analyze the level of neurologists’ assessment of in-patient medical care for patients with cerebral stroke in Kyiv health care establishments.
Materials and methods. The results of a sociological survey of 119 Kyiv neurologists who provide in-patient care to patients with cerebral stroke were used as the materials of research. Sociological and statistical methods were applied in the course of study. Systematic approach became the methodological basis of the study.
Results. According to the respondents in 99,3±0.4% of cases the condition of patients after their hospitalization has changed: 83.8±1.9% of the polled persons indicated that the patients’ condition was harder, and 16.2±1.8% noted that patients are found in more abandoned condition. According to the polled doctors, the reason for this is untimely treatment (52,1±2,5%), the abolition of prophylactic medical examination (50,4±2.5%), the low level of the population sanitary culture (44.4±2.5%), deterioration of the economic state of the population (37,6±2.4%), health care system reforming in the city, etc.
26.9±2.2%, have a round-the-clock visualization of the cerebral pathological process and 24.4±2.1% can carry that out including weekends and holidays. At the same time 19.3±2.0% of the polled have the possibility to organize consultation of doctor-neurosurgeon for patients 24 hours a day as on weekends and holidays. 34,5±2.4% have possibility to organize anesthesiologist’s consultation 24 hours a day, including weekends and holidays. 95,8±1.1% of respondents indicated that the health care establishment is provided with medicinal products for emergency (intensive) care to patients with cerebral strokes, and 28,6±2.3%. for the treatment of patients with cerebral strokes in the required volume. The general results of medical care to patients with cerebrovascular diseases and cerebral strokes were assessed by the respondents in the following way: very good – 1.7±0.6%, good – 22,7±2.1%, satisfactory – 38,7±2.4%, require improvement – 36,9±2.4%.
Conclusions. The undertaken analysis of the results of sociological research among doctors-neurologists, who provide in-patient medical care to patients with cerebrovascular diseases and cerebral strokes, has allowed to identify the problems of organizational and financial character that are subject to decision in the course of healthcare system reform.
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