SD Zacharova M.A., MD, professor Fomichev V.A., Dergacheva M.A.

Novosibirsk State Medical University

 

SATISFACTION WITH THE QUALITY OF HEALTH SERVICE PROVIDED BY HEALTH CENTERS FOR CHILDREN IN THE NOVOSIBIRSK REGION


Centers for children's health began to be established in the Russian Federation since 2009. In this regard, quality control of their activities is the main component of optimizing the organization of their work.
          Purpose of the study. Evaluate the satisfaction with the work of health centers for children in the city of Novosibirsk and the region in 2016.
          Material and method. Method of research: questioning (continuous, correspondence, individual, distributing, semi-closed). In the group of children under the age of 15, 728 questionnaires filled by parents of children were evaluated: the boys were 358 (49.0%), girls - 370 (51.0%). The average age of children was 8.34 ± 0.71 years. Teenagers (15-17 years old) completed 272 questionnaires: boys - 135 questionnaires (49.7%), girls - 137 questionnaires (50.3%). The average age of the respondents was 16.1 ± 0.62. The urban and rural population is represented almost equally.
         The indicator of customer satisfaction was calculated using the formula:
CS =. B - importance.

È – The fulfiment of the factor of satisfaction.
50 - the maximum value of the product of the performance and importance.
          Execution of satisfaction factors (the degree of justification of expectations). It is estimated in points on the scale: 4 points - expectations are more than justified, 3 points - expectations are justified, 2 points - unjustified expectations, 1 point - no response.
           Importance (qualitative assessment of services, degree of importance of information). It is assessed in points on the scale: 1 point - no answer (complete indifference), 2 points - complete discrepancy to the expected result, 3 points - some dissatisfaction with quality, 4 points - average satisfaction, 5 points - high satisfaction.
           Interpretation. 1 - 075 - CS high, 0,74 - 0,51 - CS - above average, 0,50 - CS average, 0,49 - 0,25 - CS below average, 0,24 - 0 - CS is low. Negative values
​​in these ranges will indicate the degree of customer dissatisfaction.
           A special value is attached to the consumer loyalty criterion. Loyalty is the consumer's preference for a particular type of service. A loyal consumer regularly visits an institution, uses the full range of services, attracts the attention of other people, reacts with distrust to the proposals of competitors. Willingness to pay a second visit to the institution (question 4, tables 1, 2, page 3,4) - the type of loyalty commitment (habit). "Visit on recommendation" - type of loyalty - interest.
           Results. Table 1 (page 3) demonstrates questions, the answers to which help determine the satisfaction with the quality of health services provided by health centers to children under 15 years of age.
Table 2 (page 4) demonstrates the questions, the answers to which help determine the satisfaction with the quality of services provided by health centers to children aged 15-17.
          A natural criterion of loyalty to the service provider is trust in the information received and the willingness of the consumer to contact the same agency again for the same services (section 4, table 1.2)
           Compared with 2015, in 2016, there was an increase in satisfaction with the work of health centers for children. Growth of loyalty (interest) in the group of adolescents and "parents" is due to inclusion in the sample of the answer option - information about the health center was received at the educational institution, and this information also refers to category "visit on recommendation".

      Among visitors to children's health centers, the most frequent answer to the source of information about the institution was information from health workers - 53%, a visit on the recommendation of relatives and friends - 35%.
                                                                                              Table 1
The results of a survey of visitors to the health center for children (filled with parents)

 

¹

Issues

Variants of answers

Σ

%

Ì

%*

F

%*

1

What shortcomings in the work of the health center can be noted?

No shortcomings
Reception at reception
Recording Queue
Long waiting for reception
Attitude of medical staff
No answer

708

2

2

2

0

9

97,3

0,3

0,3

0,3

0

1,2

348

1

1

1

0

4

97,2

0,3

0,3

0,3

0

1,1

360

1

1

1

0

5

97,3

0,3

0,3

0,3

0

1,4

2

Satisfied
Do you qualify medical services in the center?

Completely satisfied
Rather satisfied
Rather dissatisfied
Completely dissatisfied
No answer

617

108

1

0

2

84,8

14,8

0,1

0

0,3

305

52

0

0

1

85,2

14,5

0

0

0,3

312

56

1

0

1

84,3

15,1

0,3

0

0,3

3

What state of your child's system did you get new information about?

Cardiovascular
Respiratory
Endocrine
Urogenital
Anthropometric data
Risk factors
Digestive
Information was not received
No answer

289

226

54

15

390

353

4

12

16

39,7

31,0

7,4

2,1

53,6

48,5

0,6

1,7

2,2

130

113

22

4

187

166

0

6

10

36,3

31,6

6,2

1,1

52,2

46,4

0

1,7

2,8

159

113

32

11

203

187

4

6

6

43,0

30,5

8,7

3,0

54,2

50,5

1,1

1,6

1,6

4

Are you planning to contact the health center again?

Yes, learn about health
Yes, learn about risk factors
No, the survey is enough
No, I will turn to another institution
No answer

573

 

262

13

 

0

9

78,7

 

36,0

1,8

 

0

1,2

273

 

127

7

 

0

7

76,3

 

35,5

2,0

 

0

2,0

300

 

135

6

 

0

2

81,1

 

36,5

1,6

 

0

0,5

5

Your expectations from the health center

More than justified
Justified
Did not materialize
No answer

292

415

0

21

40,1

57,0

0

2,9

143

205

0

10

40,0

57,3

0

2,8

143

210

0

11

40,3

56,8

0

3,0

• in the gender sample

         The trust in the received information in the health centers for children is registered. 78% of respondents are ready to continue to receive data on their health in these institutions, 38% - are willing to receive additional recommendations for the prevention of diseases.

 



                                                                                                                    Table 2
Survey results of visitors-teen health centers for children

 

 

¹

Issues

Variants of answers

Σ

%

Ì

%*

F

%*

1

What shortcomings in the work of the health center can be noted?

No shortcomings
Reception at reception
Recording Queue
Long waiting for reception
Attitude of medical staff
No answer

216

0

6

5

0

1

96,0

0

2,2

1,8

0

0,4

129

0

4

2

0

0

95,6

0

3,0

1,5

0

0

132

0

2

3

0

1

96,4

0

1,5

2,2

0

0,7

 

2

Satisfied
do you qualify medical services in the center?

Completely satisfied
Rather satisfied
Rather dissatisfied
Completely dissatisfied
No answer

232

39

1

0

0

85,3

14,3

0,4

0

0

117

17

1

0

0

86,7

12,6

0,7

0

0

115

22

0

0

0

83,9

16,1

0

0

0

3

What state of your system did you get new information about?

Cardiovascular
Respiratory
Endocrine
Urogenital
Anthropometric data
About risk factors
Information was not received
No answer

100

78

13

4

160

95

 

18

6

36,8

28,7

4,8

1,5

58,8

34.9

 

6,6

2,2

50

40
4

2

73

52

 

7

2

37,0

29,6

3,0

1,5

54,1

38.5

 

5,2

1,5

50

38

9

2

87

43

 

11

4

36,5

27,7

6,6

1,5

63,5

31.4

 

8,0

2,9

4

Do you plan to contact the health center?

Yes, learn about health
Yes, learn about risk factors
No, the survey is enough
No, I will turn to another institution
No answer

209

49

21

 

1

5

76,8

18,0

7,7

 

0,4

1,8

97

28

11

 

1

2

71,9

20,7

8,2

 

0,7

1,5

112

21

10

 

0

3

81,8

15,3

7,3

 

0

2,2

5

Your expectations from the health center

More than justified
Justified
Did not materialize
No answer

122

148

0

2

44,9

54,4

0

0,7

58

76

0

1

43,0

56,3

0

0,7

64

72

0

1

46,7

52,6

0

0,7

• in the gender sample

         Leading positions in the importance of the information received are anthropometric data (52%), the presence of risk factors for diseases (43%), the state of the cardiovascular system (38%), and the respiratory system (36%).
          In general, the majority of respondents were satisfied with the quality of medical services (99%) received in the health centers for children. About 0.4 per cent of respondents reported 0.4 per cent of the shortcomings in the work, another 0.6 per cent found it difficult to answer this question.
            Calculation of average consumer satisfaction indicators of health services provided by children's health centers.
Performance of satisfaction factors (max - 4, min -1) - 3,33 ± 0,20.
Importance (max - 5, min - 1) - 4.84 ± 0.46.
Customer satisfaction (max +1, min -1) - 0,69 ± 0,04.
Loyalty (commitment / habit) - 0,95 ± 0,01 ( Every twentieth patient is not ready to return to this institution).
Loyalty (interest) - 0,88 ± 0,01 ( 88 people out of 100 turned to the health center on the recommendation).
             Conclusion. Thus, data on satisfaction with the quality of health services provided by health centers for children indicate a degree of satisfaction "above average" with a "high loyalty ratio" close to the maximum.

 

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