Analysis of X-Ray Diagnostic Service Activities in Lviv Region for the Period of 2015-2020 Years

Abstract

The aim of this work was to assess the current state of the X-ray diagnostic service in the Lviv region, namely, to identify existing problems and elaboration of ways to solve them.
 Material and Methods. A retrospective analysis of the current state of the X-ray diagnostic service in the Lviv region was carried out in comparison with the data throughout Ukraine for 2015-2020 years. The information was received according to the data of the State Statistics Service of Ukraine.
 Results and Discussion. Analysis of changes in the total number of X-ray diagnostic apparatuses in the Lviv region for 2015-2020 years showed a slight downward trend in their number. Thus, as of the end of 2020 year, the total number of such apparatuses on the balance of regional health care institutions was equal to 452 units, which is 7,38% less than in 2015year. In the Lviv region and in Ukraine as a whole, there was a decrease in the number of devices of X-ray image amplifiers (X-ray IA) ((by -10,96% and -5,28%) and fluorographs (by -23,08% and - 17,49% respectively). At the same time, there was a significant increase of angiographic apparatuses (by +66,67% and +81,54%), CT scanners (by+40,00% and +26,32%), and mammography machines (by +33,33% and +12,46% respectively). The number of carried-out diagnostic fluorograms for 1 operating apparatus in the Lviv region during the studied period was decreasing, and the same trend persisted in 2020 year as well: Тgrowth2018/2015=-5,07%, Тgrowth2020/2019=-7,64%, just like the quantity of diagnostic fluorograms for one position of a radiologist: Тgrowth2018/2015=-11,76%, Тgrowth2020/2019=-20,78%. While the number of CT per one operating device and on one position of a radiologist in the Lviv region for the last 5 years significantly increased and in 2020 year was equal to 10605 studies /1 device and 220 studies/1 physician, but only in the last year, the growth was by +29,16% and +41,03%, although the number of operating tomographs remained unchanged for the last 5 years (n=5). Such a significant positive trend is explained by intensive work of the X-ray diagnostic service during the Cоvid-19 pandemic.
 Conclusions. The decreased frequency of the fluorographic and radiological studies and the increase of the number of diagnostic CT scanners in the Lviv region have been determined. A number of problems in the work of the X-ray diagnostic service have been identified, the most important of which are the significant overload of radiologists, particularly, during the Cоvid-19 pandemic and lack of modern equipment. Modern healthcare is competitive and therefore, in the conditions of today's needs, the development of the most modern visualization technologies is very important, the key of which are computed tomography and magnetic resonance imaging in the field of radiation diagnostics.

Medical and Psychological Portrait of Patients Dissatisfied With the Level of Diagnostic Radiological Care During the Covid-19 Pandemic

“…ãîâóâàííÿ, íåâ³ä'ºìíèì êîìïîíåíòîì ÿêîãî º ìåäè÷íà ä³àãíîñòèêà [3,4]. Àíàë³ç îö³íêè çà-äîâîëåíîñò³ àáî íåçàäîâîëåíîñò³ ïàö³ºíò³â ìຠáóòè âðàõîâàíèì ïðè ïðèéíÿòò³ óïðàâ-ë³íñüêèõ ð³øåíü ïðè ôîðìóâàíí³ ìåäè÷íî¿ ïîñëóãè ó êîaeíîìó ÇÎÇ, ùî äîçâîëèòü äîòðèìóâàòèñü ïàö³ºíò-îð³ºíòîâàíîãî ï³äõîäó â êë³í³÷í³é ïðàêòèö³ [5,6].…”

“…An important role is given to the opinion of patients about various aspects of medical care, an integral component of which is medical diagnosis [3,4]. The analysis of the assessment of patient satisfaction or dissatisfaction should be taken into account when making management decisions when forming a medical service in each health care facility, which will allow adherence to a patient-oriented approach in clinical practice [5,6].…”

Impact of the Covid-19 Pandemic and Martial Law on the Satisfaction of the Lviv Region Residents With the Diagnostic Radiology Service (Based on the Results of a Sociological Survey)

“…Âîäíî÷àñ, ç'ÿñóâàííÿ ñòóïåíÿ çàäîâîëå-íîñò³ ïàö³ºíò³â øëÿõîì ïðîâåäåííÿ ñîö³îëîã³÷íîãî îïèòóâàííÿ º îäí³ºþ ³ç ôîðì îòðèìàííÿ çâîðîòíîãî çâ'ÿçêó (patient feedback) [1,4]. Îö³íêà çàäîâîëåíîñò³ ïàö³ºíò³â âïëèâຠíà ïðèéíÿòòÿ çâàaeåíèõ óïðàâë³íñüêèõ ð³øåíü â ìåíåäaeìåíò³ çàêëàäó îõîðîíè çäîðîâ'ÿ äëÿ ïîêðàùåííÿ ÿêîñò³ ìåäè÷íèõ ïîñëóã [8], à òàêîae äîòðèìàííÿ ïðèíöèïó ïàö³ºíò-îð³ºíòîâàíîãî ï³äõîäó â êë³í³÷í³é ïðàêòèö³ [11].…”

“…At the same time, determining the degree of patient satisfaction by conducting a sociological survey is one of the forms of receiving feedback (patient feedback) [1,4]. Assessment of patient satisfaction affects the adoption of balanced decisions in the management of a healthcare facility to improve the quality of medical services [8], as well as adherence to the principle of a patient-oriented approach in clinical practice [11]. The aim of the study is to assess the satisfaction of the population of the Lviv region with the work of the diagnostic radiology service, to identify problems and ways to solve them.…”

“…), íåìîaeëèâ³ñòü àáî ñêëàäí³ñòü çàïèñó íà ïðèéîì (11,25% [8,37-14,49]), ñêëàäí³ñòü îòðèìàòè ñêåðóâàííÿ íà îáñòåaeåííÿ (12,71% [9,67-16,11]), ïñèõîëîã³÷í³ ïðîáëåìè (ñòðàõ, òðèâîãà çà ðåçóëüòàò îáñòåaeåííÿ) -15,16% [11,79], â³ääàëåí³ñòü íåîáõ³äíîãî ä³àãíîñòè÷íîãî çàêëàäó â³ä ì³ñöÿ ïðîaeèâàííÿ (15,40% [12,[7][8][9][10][11][12][13][14][15][16][17][18][19]06]). Íàòîì³ñòü, ìåíøå òóðáóâàòè ïàö³ºíò³â ñòàëè äîâã³ ÷åðãè (12,96% [9,88-16,38]), íåîáõ³äí³ñòü ìàòè îñî-áèñò³ äîìîâëåíîñò³ òà êîíòàêòè ç ë³êàðÿìè-ðàä³îëîãàìè (4,16% [2,30]), íåçðó÷í³ñòü ì³ñöÿ î÷³êóâàííÿ (3,42% [1,40]), à òàêîae äîâãîòðèâàë³ñòü ñàìîãî îáñòåaeåííÿ (2,69% [1,48]).…”