BACKGROUND: One of the leading indicators of the social effectiveness of healthcare is the assessment, monitoring, and analysis of the social satisfaction of patients with medical care, which reflect the degree of implementation of a personalized approach of medical care. Patients satisfaction with their interaction with the healthcare system is a result of the main characteristics of the quality of medical care, established by the professional community. AIM: To analyze the satisfaction of consumers of medical services in terms of the accessibility and quality of medical care in regional healthcare facilities. MATERIALS AND METHODS: The study involved 218 doctors from primary healthcare medical organizations in Saratov and 312 doctors from primary healthcare medical organizations in districts of the Saratov region. RESULTS: From the results of the research, we determined negative phenomena in the activity of medical organizations in which the respondents received medical care. Despite the limitation of medical care accessibility for the majority of respondents in the regional healthcare (the absence of the necessary specialists, insufficient technical equipment in the medical organizations, the high cost of medicines unaffordable by patients, and queues), while assessing the satisfaction with medical care in the medical organizations of the region the majority of the respondents (63.8% of respondents in the medical organizations of Saratov and 64.9% in medical organizations of Saratov region) evaluated their satisfaction with medical care positively. CONCLUSION: The explanation of the results obtained is possible in the context of the description by Academician of RAS A.V. Reshetnikov the phenomenon of paradoxical medicine, which appeared in the Russian healthcare literature at the end of the twentieth century.

The task of improving the quality of medical care for patients with chronic diseases is considered a priority for the healthcare system, which requires a personalized model of medical and social care focused on the needs of patients with chronic pathology. The article aims to conceptualize the continuum of interdisciplinary care for patients with chronic diseases in disease conditions. The levels of integrated medical and social care for patients with chronic diseases are determined, according to the authors, by the dynamics of the patients quality of life mediated by the relevant condition of the disease. This article presents the practice of multilevel integration of medical and social care for patients with chronic diseases in disease conditions. The authors believe that prospective studies of the content of integrated care related to the study of the optimal ratio of medical and social components of the continuum in disease conditions will help solve the complex problem of improving the quality of medical care for patients with chronic diseases.