Conducting the first stage of clinical audit – “Problem Diagnosis” (based on the example of urology patients)

Authors

DOI:

https://doi.org/10.32782/2077-6594/2025.1/05

Keywords:

clinical audit, quality of medical care, focus group, survey, patient satisfaction

Abstract

Purpose. To conduct the first stage of clinical audit (CA) – "Problem Diagnosis" among urology patients. Materials and methods. A survey was conducted among 405 respondents, patients of Lviv hospitals' urology departments. The study employed a sociological method, as well as methods of systematic approach, structural and logical, and medical and statistical analysis. Results. As a result of the first stage of the clinical audit – “Problem Diagnosis”, conducted among urology patients, it was established that nearly 10% of patients were dissatisfied with the medical services provided. The main concerns included: insufficient scope of laboratory and instrumental examinations (9.14 %), lack of comprehensive information about their test results (4.69 %), lack of involvement in decision-making regarding the treatment they were prescribed (7.16 %), the treatment they received did not eliminate the primary reason for seeking medical care (2.72 %), and lack of trust and confidence in the attending physician and their actions (3.95 %). Conclusions. The results of the first stage of the clinical audit made it possible to identify and form focus groups of dissatisfied patients for a more in-depth study of the moral, ethical, and financial aspects of their medical care. It is assumed that this approach will improve the quality of medical services by incorporating personalization in healthcare delivery for the identified patient group.

References

Puri I, Hollingshead CM, Tadi P. Quality Improvement. 2023 Nov 13. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 Jan. PMID: 32310557.

Pap R, Lockwood C, Stephenson M, Simpson P. Indicators to measure prehospital care quality: a scoping review. JBI Database System Rev Implement Rep. 2018 Nov;16(11):2192-2223. doi: 10.11124/JBISRIR-2017-003742. PMID: 30439748.

Šinkovec H, Gall W, Heinze G. Cross-Sectoral Comparisons of Process Quality Indicators of Health Care Across Residential Regions Using Restricted Mean Survival Time. Med Care. 2024 Nov 1;62(11):748-756. doi: 10.1097/MLR.0000000000002057. Epub 2024 Oct 11. PMID: 39733232; PMCID: PMC11462882.

Jamtvedt G, Young JM, Kristoffersen DT, O'Brien MA, Oxman AD. Audit and feedback: effects on professional practice and health care outcomes. Cochrane Database Syst Rev. 2006 Apr 19;(2):CD000259. doi: 10.1002/14651858.CD000259.pub2. Update in: Cochrane Database Syst Rev. 2012 Jun 13;(6):CD000259. doi: 10.1002/14651858.CD000259.pub3. PMID: 16625533.

Fawkes Carol. A Brief Introduction to Clinical Audit, National Council for the Osteopathic Research, 2012 https://www.ncor.org.uk/wp-content/uploads/2012/10/A-Brief-Introduction-to-Clinical-Audit.pdf

Зіменковський АБ, Степаненко АВ, Єремеєва ТВ, Шибінський ВЯ. Сучасний міжнародний досвід клінічного аудиту (на прикладі університетського шпиталю St. George, університет Лондона, Велика Британія). Клінічна фармація, фармакотерапія та медична стандартизація. 2012. (1-2): 7-13.

Сміянов ВА. Особливості застосування внутрішнього аудиту в закладах охорони здоров’я. Україна. Здоров’я нації. 2013. № 2: 113–117.

Багдасарян ВЄ, Богомаз ВМ. Вступ до клінічного аудиту. Рекомендації щодо вдосконалення системи управління якістю медичної допомоги в Україні: інструменти управління якістю. Новічкова ОМ., Росс Г. редактори. Київ. Представництво Європейської Комісії в Україні; 2009. С. 21–30.

Гутор Т, Зіменковський А. Результати проведених клінічних аудитів 2008 - 2023 років в урологічній практиці. AML [інтернет]. 26, Жовтень 2023 [цит. за 05, Лютий 2025];29(1-2):142–56. доступний у: https://amljournal.com/index.php/journal/article/view/335

Kinnear N, Herath M, Barnett D, Hennessey D, Dobbins C, Sammour T, Moore J. A systematic review of dedicated models of care for emergency urological patients. Asian J Urol. 2021 Jul;8(3):315–323. doi: 10.1016/j.ajur.2020.06.006. Epub 2020 Jun 26. PMID: 34401338; PMCID: PMC8356060.

Shahraz S, Shahin S, Farzi Y, Modirian M, Shahbal N, Azmin M, Mohebi F, Naderian M, Amin-Esmaeili M, Ahmadi N, Seyfi S, Zokaei H, Samadi R, Mohajer B, Sherafat-Kazemzadeh R, Balouchi A, Mesgarpour B, Parsaeian M, Gorgani F, Rahimi S, Saeedi Moghadam S, Khezrian M, Amin A, Baheshmat S, Beyranvand MR, Haghjoo M, Mahdavi-Mazdeh M, Mehrpour M, Moradi G, Peiman S, Rahimi B, Rahimi-Movaghar A, Rikhtegar R, Roshani S, Saadatnia M, Samimi Ardestani SM, Khatibzadeh S. Iran Quality of Care in Medicine Program (IQCAMP): Design and Outcomes. Arch Iran Med. 2023 Mar 1;26(3):126–137. doi: 10.34172/aim.2023.21. PMID: 37543935; PMCID: PMC10685727.

Talavera JO. DIA-Person Integration Model to increase the quality of teaching, research and medical care. A person-oriented strategy. Gac Med Mex. 2022;158(4):242-248. English. doi: 10.24875/GMM.M22000683. PMID: 36256563.

Published

2025-02-25

How to Cite

Гутор, Т., & Зіменковський, А. (2025). Conducting the first stage of clinical audit – “Problem Diagnosis” (based on the example of urology patients). Ukraine. Nation’s Health, (1), 28–33. https://doi.org/10.32782/2077-6594/2025.1/05

Issue

Section

Organization and management of health care