RESULTS OF THE FIRST STAGE OF CLINICAL AUDIT IN THE UROLOGY DEPARTMENTS OF HEALTH CARE FACILITIES IN LVIV

Aim. The research aims at improving the quality of rendering medical care in the urology departments of health care facilities by conducting the clinical audit with advanced study of causes of dissatisfaction of patients with the medical service provided. Material and Methods. Sociological resear...

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Main Authors: Taras Gutor, Andriy Zimenkovsky
Format: Article
Language:English
Published: Danylo Halytsky Lviv National Medical University 2022-06-01
Series:Acta Medica Leopoliensia
Subjects:
Online Access:https://amljournal.com/index.php/journal/article/view/266
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author Taras Gutor
Andriy Zimenkovsky
author_facet Taras Gutor
Andriy Zimenkovsky
author_sort Taras Gutor
collection DOAJ
description Aim. The research aims at improving the quality of rendering medical care in the urology departments of health care facilities by conducting the clinical audit with advanced study of causes of dissatisfaction of patients with the medical service provided. Material and Methods. Sociological research included the questioning of 405 patients who were treated in the urology departments of the municipal nonprofit enterprise of the Lviv Regional Council "Clinical Emergency Hospital". The respondents estimated the quality of providing health care in the sphere of medical service, informational content, financing, the quality of diagnosis and treatment. Methods of structural-logical analysis, systemic approach and analysis, calculation of mean and relative values, calculation of satisfaction index with services provided are used in this work. Results and Discussion. The determination of the level of respondents' satisfaction with inpatient treatment showed that, in total, that the number of dissatisfied among the interviewed were 7.16±1.28 % persons. The focus-group of such persons was singled out: patients of active working age, financially - able, mainly with higher education, most often with diagnosis of urolithiasis, who suffered from pain syndrome, with late appealing for medical care (more than 24 hours), they were operated on and waited for the quick results of treatment, even despite the positive final result of treatment. These patients demanded more attention of a doctor, were dissatisfied with the work of paramedical personnel, conflicted with ward neighbors, had claims to availability and quality of medical equipment, sanitary state of premises of the department. Conclusions. The results of the clinical audit targeting the satisfaction of patients with medical services provided as one of the forms of receiving the patient feedback concerning the quality of medical aid, point out, on one hand, the appropriate level of availability of services, interpersonal attitudes, infrastructure, execution of technical demands as to quality and standard compliance by the staff of department. While, on the other hand, the audit results indicate the presence of dissatisfied with some certain services in the department. The focus-groups of dissatisfied make it possible to take into account the personal approaches in rendering medical aid to such categories of population, that in total will improve and increase the quality of providing medical services. Basing on the results of clinical audit, the recommendations as to the perfection of medical care management in the urology departments of health care facilities.
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spelling doaj-art-7b59712e8acf454d9a517d0f590a14ce2025-01-06T10:49:53ZengDanylo Halytsky Lviv National Medical UniversityActa Medica Leopoliensia1029-42442415-33032022-06-01281-292610.25040/aml2022.1-2.009266RESULTS OF THE FIRST STAGE OF CLINICAL AUDIT IN THE UROLOGY DEPARTMENTS OF HEALTH CARE FACILITIES IN LVIVTaras Gutor0Andriy Zimenkovsky1Danylo Halytsky National Medical University, Lviv, UkraineDanylo Halytsky National Medical University, Lviv, UkraineAim. The research aims at improving the quality of rendering medical care in the urology departments of health care facilities by conducting the clinical audit with advanced study of causes of dissatisfaction of patients with the medical service provided. Material and Methods. Sociological research included the questioning of 405 patients who were treated in the urology departments of the municipal nonprofit enterprise of the Lviv Regional Council "Clinical Emergency Hospital". The respondents estimated the quality of providing health care in the sphere of medical service, informational content, financing, the quality of diagnosis and treatment. Methods of structural-logical analysis, systemic approach and analysis, calculation of mean and relative values, calculation of satisfaction index with services provided are used in this work. Results and Discussion. The determination of the level of respondents' satisfaction with inpatient treatment showed that, in total, that the number of dissatisfied among the interviewed were 7.16±1.28 % persons. The focus-group of such persons was singled out: patients of active working age, financially - able, mainly with higher education, most often with diagnosis of urolithiasis, who suffered from pain syndrome, with late appealing for medical care (more than 24 hours), they were operated on and waited for the quick results of treatment, even despite the positive final result of treatment. These patients demanded more attention of a doctor, were dissatisfied with the work of paramedical personnel, conflicted with ward neighbors, had claims to availability and quality of medical equipment, sanitary state of premises of the department. Conclusions. The results of the clinical audit targeting the satisfaction of patients with medical services provided as one of the forms of receiving the patient feedback concerning the quality of medical aid, point out, on one hand, the appropriate level of availability of services, interpersonal attitudes, infrastructure, execution of technical demands as to quality and standard compliance by the staff of department. While, on the other hand, the audit results indicate the presence of dissatisfied with some certain services in the department. The focus-groups of dissatisfied make it possible to take into account the personal approaches in rendering medical aid to such categories of population, that in total will improve and increase the quality of providing medical services. Basing on the results of clinical audit, the recommendations as to the perfection of medical care management in the urology departments of health care facilities.https://amljournal.com/index.php/journal/article/view/266clinical auditquality of medical servicesociological researchsatisfaction indexfocus-group
spellingShingle Taras Gutor
Andriy Zimenkovsky
RESULTS OF THE FIRST STAGE OF CLINICAL AUDIT IN THE UROLOGY DEPARTMENTS OF HEALTH CARE FACILITIES IN LVIV
Acta Medica Leopoliensia
clinical audit
quality of medical service
sociological research
satisfaction index
focus-group
title RESULTS OF THE FIRST STAGE OF CLINICAL AUDIT IN THE UROLOGY DEPARTMENTS OF HEALTH CARE FACILITIES IN LVIV
title_full RESULTS OF THE FIRST STAGE OF CLINICAL AUDIT IN THE UROLOGY DEPARTMENTS OF HEALTH CARE FACILITIES IN LVIV
title_fullStr RESULTS OF THE FIRST STAGE OF CLINICAL AUDIT IN THE UROLOGY DEPARTMENTS OF HEALTH CARE FACILITIES IN LVIV
title_full_unstemmed RESULTS OF THE FIRST STAGE OF CLINICAL AUDIT IN THE UROLOGY DEPARTMENTS OF HEALTH CARE FACILITIES IN LVIV
title_short RESULTS OF THE FIRST STAGE OF CLINICAL AUDIT IN THE UROLOGY DEPARTMENTS OF HEALTH CARE FACILITIES IN LVIV
title_sort results of the first stage of clinical audit in the urology departments of health care facilities in lviv
topic clinical audit
quality of medical service
sociological research
satisfaction index
focus-group
url https://amljournal.com/index.php/journal/article/view/266
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