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Background. Under current conditions, when a reduction in the birth rate in the Russian Federation becomes a problem of national security of the state, improving the quality of medical care for newborns becomes an important strategic task facing the healthcare service. Aim.This study aimed to assess the satisfaction of parents of newborns with the attitude of medical personnel to children in healthcare facilities in St. Petersburg. Materials and methods. An anonymous survey of 4467 mothers of newborns, who received medical care within the compulsory medical insurance in healthcare facilities in St. Petersburg in 2019, was conducted using a random sampling technique. The samples representativeness was tested by the method of Professor A.M. Merkova, and the error in the study did not exceed 3.5% in obstetric care institutions, 4% in childrens multi-specialty hospitals, and 3% in childrens polyclinics (departments). Results. In general, 74.1% of mothers were completely satisfied with the attitude of doctors toward newborns in obstetric care organizations, 78.2% of mothers in multi-specialty hospitals, and 70.5% of mothers in childrens polyclinics (departments). The proportion of mothers who were completely satisfied with the attitude of the nursing staff to newborns was 51.7% in obstetric care organizations, 52.4% in multi-specialty hospitals, and 76.0% in childrens polyclinics (departments). When assessing the human and professional qualities of doctors in the obstetric care organizations, the average score was 4.45 0.09, which in childrens multi-specialty hospitals was 4.53 0.10, and that of the doctors of childrens polyclinics (departments) was 4.61 0.08 points. The average score determined by mothers of the human and professional qualities of the nursing staff in obstetric care organizations was 4.22 0.08 that in multi-specialty hospitals was 4.16 0.09, and that of the nursing staff in childrens polyclinics (departments) was 4.63 0.09 points. Conclusion. The level of satisfaction with the attitude of medical personnel toward newborns was within the target value established by the Territorial program of state guarantees (70%), and the level of satisfaction with the attitude of the nursing staff corresponded to the target value only in childrens polyclinics (departments).
Background. Under current conditions, when a reduction in the birth rate in the Russian Federation becomes a problem of national security of the state, improving the quality of medical care for newborns becomes an important strategic task facing the healthcare service. Aim.This study aimed to assess the satisfaction of parents of newborns with the attitude of medical personnel to children in healthcare facilities in St. Petersburg. Materials and methods. An anonymous survey of 4467 mothers of newborns, who received medical care within the compulsory medical insurance in healthcare facilities in St. Petersburg in 2019, was conducted using a random sampling technique. The samples representativeness was tested by the method of Professor A.M. Merkova, and the error in the study did not exceed 3.5% in obstetric care institutions, 4% in childrens multi-specialty hospitals, and 3% in childrens polyclinics (departments). Results. In general, 74.1% of mothers were completely satisfied with the attitude of doctors toward newborns in obstetric care organizations, 78.2% of mothers in multi-specialty hospitals, and 70.5% of mothers in childrens polyclinics (departments). The proportion of mothers who were completely satisfied with the attitude of the nursing staff to newborns was 51.7% in obstetric care organizations, 52.4% in multi-specialty hospitals, and 76.0% in childrens polyclinics (departments). When assessing the human and professional qualities of doctors in the obstetric care organizations, the average score was 4.45 0.09, which in childrens multi-specialty hospitals was 4.53 0.10, and that of the doctors of childrens polyclinics (departments) was 4.61 0.08 points. The average score determined by mothers of the human and professional qualities of the nursing staff in obstetric care organizations was 4.22 0.08 that in multi-specialty hospitals was 4.16 0.09, and that of the nursing staff in childrens polyclinics (departments) was 4.63 0.09 points. Conclusion. The level of satisfaction with the attitude of medical personnel toward newborns was within the target value established by the Territorial program of state guarantees (70%), and the level of satisfaction with the attitude of the nursing staff corresponded to the target value only in childrens polyclinics (departments).
The present paper summarizes the available theoretical and empirical data of medical communication scientific research in the addresser-addressee aspect in Russian and foreign works. The information on the study of the psycholinguistic aspect of communication between the medical staff and the patient is systematized not only taking into account differences in the provision of medical services in Russia and abroad, but also depending on the age of communicants, the chosen communication strategies and the conditions of speakers’ effective interaction. The paper shows the scarcity of works dealing with the study of communication between a doctor and a child. The paper also considers some psychological aspects of child/adolescent communication with an adult, which is very important in doctors’ professional activity. It is pointed out that research on communication between a doctor and a parent/a legal representative of a minor patient is relevant, but also scarce. Foreign research is centered on communication of nurses and the patients/their relatives, as well as of patients with loss of voice. Russian scientists’ works, carried out on the basis of the communication analysis between the adult patient and the doctor, can be roughly divided into three types: 1) studies dealing with the strategies of the communicants. These are both communication strategies, conditioned by professional tasks of a doctor, and speech strategies implementing them; 2) works studying verbal, non-verbal and paraverbal means of communication between a doctor and a patient; 3) research describing and comparing effective communication conditions between a doctor and a patient. This study is grounded on the theoretical and methodological basis of psycholinguistics and takes into account the stipulations of communication theory. The methods of analysis, synthesis and systematization have been used to achieve the goal. The analysis and grouping of data confirmed the presence of theoretical and methodological flaws in the study of professional communication between a doctor and other participants of medical communication. The works revealed an unintentional blending of the concepts “professional communicative strategy” and “speech strategy”. The analysis of linguistic means that implement speech strategy tactics in medical communication is important for linguistic research in the future.
Introduction. Children’s preventive healthcare legislation in noncommunicable diseases strictly determines departments’ interaction: there is a distinction in responsibilities, functions, and work standards for public health services and educational institutions. However, it is hard to distinguish which department or institution is responsible for preventive healthcare implementation in practice. This topic shows a lack of understanding of how to segregate responsibilities, establish effective communication channels, and create audit standards for preventing noncommunicable diseases and health literacy. Our aim was to analyze the legal, practical, and social aspects of preventive healthcare. Materials and methods. We studied correspondences in legal regulations and real-life healthcare activities, examined morbidity cases and affecting factors, and evaluated parental attitudes towards Russia’s preventive healthcare system. We surveyed national, sectoral, and regional statutory regulations. Regarding current laws, we analyzed children physical examination data (form № 030-ПО/о-12 (2017), form № 030-ПО/о-17 (2018)). We also questioned parents about children’s preventive healthcare and healthy lifestyle (1320 participants). All empirical data was collected in the 2017-2018 years in Moscow. Results. As a result, inconsistencies in the legal regulations and practical realization of preventive healthcare activities have been found. The critical problem is that there were no adequate implementation mechanisms, no standard criteria, and control methods for specific healthcare events. There was a difference in statutory healthcare activities, treatment as it is, and parental expectations (the most noticeable discrepancies were in the healthcare sphere): there is a noticeable growth of children morbidity; parents mostly feel themselves dissatisfied with the healthcare system. Conclusion. It is vital to develop control and implementation mechanisms of national legal regulations, to adapt them in regional preventive healthcare programs, considering region peculiarities.
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