Results of the First Stage of Clinical Audit in the Urology Departments of Health Care Facilities in Lviv

Abstract

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.

Statistical Methods to Improve the Quality Assessment of Clinical Audit Results

“…While reasoning the extension of the spectrum of statistical methods, we selected the results of sociological research of the CA for evaluation purposes of the QHC from the patients' point of view [3]. This study included a survey method (personal structured face-to-face interviews of 405 patients who were undergoing treatment in the urology departments of the communal non-commercial enterprise of the Lviv regional council "Lviv regional clinical hospital" (CNonCE LRC LRCH) and communal non-commercial enterprise "Emergency medical care hospital" (CNonCE EMCH), (names of the HCF are used as they were at the time the study was completed).…”

“…Êðà¿íîþ, ÿêà âïåðøå çàïðîâàäèëà ÊÀ â ïðàêòèêó êë³í³÷íîãî ìåíåäaeìåíòó, º Âåëè-êîáðèòàí³ÿ. ³ä 1990 ðîêó ³ äî ñüîãîäí³ ÊÀ íàáóâ çíà÷íîãî ïîøèðåííÿ ³ âèêîðèñòîâóºòüñÿ ÿê çàãàëüíîïðèéíÿòèé ³íñòðóìåíò äëÿ îö³íêè ßÌÄ [1][2][3]5] ó áàãàòüîõ êðà¿íàõ ñâ³òó. Results and Discussion.…”

“…Great Britain was the first country that introduced the CA into practice of clinical management. From 1990 and until today, the CA has gained significant distribution and is used as a commonly accepted assessment tool of QHC [1][2][3]5] in many countries worldwide.…”

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].…”