Preview

Transbaikalian Medical Bulletin

Advanced search

Evaluation of the achievement of the criterion "ensuring outpatient admission of planned patients by doctors strictly on time and by appointment" on the example of a children's polyclinic

https://doi.org/10.52485/19986173_2023_4_1

Abstract

The aim of the research: assessment of achievement of the criterion "Provision of outpatient admission of planned patients by district pediatricians strictly on time and by appointment" and to study the reasons for non-fulfillment of this criterion in the Chita polyclinic.

Materials and methods. The study was carried out on the basis of the GUZ "Children's Clinical Medical Center of Chita". The number of observations was 1,158 visits by patients of district pediatricians. Data fixation and study were carried out using a created checklist based on the recommended checklist for evaluating the fulfillment of the criterion. In the future, the data obtained were compared with the target indicators of the criteria of a New model of a medical organization providing primary health care.

Results. The majority of patients (78%) who turned to the district pediatrician made an appointment beforehand (p<0,0001), which indicates that the criterion for this parameter has been reached. 52.2% of patients from the total number of visits by appointment were registered for an appointment by time. At the same time, the recommended figure of 80% has not been reached (p<0,0001). The main reasons for non-compliance with the reception of the district pediatrician strictly on time are: the patient's lateness to the appointment, the queue in front of the doctor's office, an earlier start of the appointment, because the doctor has no patients.

Conclusions. The criterion "Ensuring outpatient admission of planned patients by doctors strictly on time and by appointment" at the Children's Clinical Medical Center of Chita was achieved only within the target values of pre-appointment, which indicates a decrease in the availability of primary health care for the child population.

About the Authors

E. V. Andreeva
Chita State Medical Academy
Russian Federation

39a Gorky Street, Chita, 672000



V. V. Bobrovich
Chita State Medical Academy
Russian Federation

39a Gorky Street, Chita, 672000



Y. V. Evstafeva
Chita State Medical Academy
Russian Federation

39a Gorky Street, Chita, 672000



References

1. Chigrina V.P., Khodakova O.V., Tyufilin D.S. i dr. Analysis of the dynamics of morbidity in the population of the Russian Federation, taking into account factors affecting the availability of primary health care. Healthcare of the Russian Federation. 2023. 67(4). 275-283. in Russian.

2. Passport of the federal project “Development of the primary health care system.”. URL: https://minzdrav.gov.ru/poleznye-resursy/natsproektzdravoohranenie/pervichka (date of the application: 1 Nov 2023). in Russian.

3. Passport of the priority project “Creation of a new model of a medical organization providing primary health care” (approved by the Presidium of the Council under the President of the Russian Federation for Strategic Development and Priority Projects dated July 26, 2017, protocol No. 8). URL: https://www.garant.ru/products/ipo/prime/doc/71635156/ (date of the application: 1 Nov 2023). in Russian.

4. Methodological recommendations (2nd edition with additions and clarifications). A new model of a medical organization providing primary health care (approved by the Ministry of Health of the Russian Federation on July 30, 2019) URL: https://base.garant.ru/72205018/ (date of the application: 1 Nov 2023). in Russian.

5. Kochergina E.A., Trefilov R.N., SHinkarik I.G., Minaeva N.V. O primenenii "berezhlivyh tekhnologij" v detskoj poliklinike. Permskij medicinskij zhurnal. Perm'. 2023. T. 40. № 2. S. 100-107. DOI: 10.17816/pmj402100-107. EDN DQDJBS.

6. Project. Methodology for assessing the achievement of the basic level criteria of the “New model of a medical organization providing primary health care” URL: http://bcgb05.ru/nmmo/metodicheskierekomendatsii/7.2.1-metodika-oczenki-dostizheniya-kriteriev-bazovogo-urovnya.pdf (date of the application: 1 Nov 2023). in Russian.

7. Karakulina E.V., Vvedenskiy G.G., Khodyreva I.N., Kroshka D.V. et al. A new model of a medical organization providing primary health care (3rd edition with additions and clarifications). Guidelines. M.: FGBU «NMITs TPM» Minzdrava Rossii, 2023. 146 p. doi: 10.15829/FPPMSP-NMMO2023. EDN WDYLXI» URL: https://static-0.minzdrav.gov.ru/system/attachments/attaches/000/062/352/original/%D0%9C%D0%A0_%D0%9A%D1%80%D0%B8%D1%82%D0%B5%D1%80%D0%B8%D0%B8_11.05.2023.pdf?1688539270 (date of the application: 1 Nov 2023). in Russian.

8. Bobrovich V.V., Evstaf'eva Yu.V., Romanova E.N., Andreeva E.V. Lean manufacturing technologies in the healthcare system. Zabaykal'skiy meditsinskiy vestnik. 2022. 1. 27-34. DOI: 10.52485/19986173_2022_1_27. in Russian.

9. Romanova E.N., Bobrovich V.V., Evstaf'eva Yu.V., Andreeva E.V. Lean Tools for Eliminating Waste in Healthcare. Zabaykal'skiy meditsinskiy vestnik. 2022. 2. 53-63. DOI: 10.52485/19986173_2022_2_53. in Russian.


Review

For citations:


Andreeva E.V., Bobrovich V.V., Evstafeva Y.V. Evaluation of the achievement of the criterion "ensuring outpatient admission of planned patients by doctors strictly on time and by appointment" on the example of a children's polyclinic. Transbaikalian Medical Bulletin. 2023;(4):1-7. (In Russ.) https://doi.org/10.52485/19986173_2023_4_1

Views: 224


Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.


ISSN 1998-6173 (Online)