ArticleOsong public health and research perspectives2020
Primary Healthcare Under Transformation in 3 Eastern European Countries: Quality Satisfaction as Rated by Students.
Article in Osong public health and research perspectives, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Authors and funding
8 authors at 4 institutions in 3 countries.
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Abstract
objectivesThis study aimed to determine the reasons for student dissatisfaction with the quality of primary healthcare (PHC) in countries under healthcare system transformation (Belarus, Poland, and Ukraine) to identify reserves and make improvements.
methodsA comparative multipopulation survey was translated, verified, and completed during face-to-face interviews during March 2019 to May 2019. There were 700 Humanities students included in this study to determine satisfaction with the quality of PHC provided by the family doctor. Satisfaction was assessed according to the availability of the doctor, the level of organization of the institution, the service process, the quality of the interaction with the doctor, adherence to the rights of patients, and any additional financial expense incurred by the patient.
resultsPoliteness and attentiveness of doctors were rated highly. Dissatisfaction was associated with the negative attitude of medical personnel towards the patient. One in 10 respondents replied that medical confidentiality was not observed. More than 65% of students had paid for diagnostic tests/or treatments, and some respondents from Poland and Ukraine were asked by the doctor to pay for services without a receipt.
conclusionDissatisfaction with the quality of PHC in countries under transformation of the health system was largely due to ethical aspects of the doctor-patient relationship. Therefore, ethical standards need to be upheld and patients need to be aware of these standards using medical education materials covering the moral aspects of the relationship between medical personnel and patient.
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