Patients’ satisfaction with the quality of medical care in the capital’s polyclinics
Research Article
How to Cite
Nazarova I.B. Patients’ satisfaction with the quality of medical care in the capital’s polyclinics. Population. 2025. Vol. 28. No. 2. P. 96-104. DOI: https://doi.org/10.24412/1561-7785-2025-2-96-104 (in Russ.).
Abstract
Cooperation between a medical professional and a patient is the main value of medical organization work and the key to improving the quality of specialists. Patient’s satisfaction with medical care received is an important indicator of the quality of work of state medical organizations in Moscow. The purpose of the study is to examine predictors of patient’s dissatisfaction with medical care, trust in medical organizations in general, which allow adjusting the work of medical organizations, building the interaction between a doctor and a patient in a positive way. The study is based on Rosstat data — Sample Health Monitoring Survey conducted in 2024 in all constituent entities of the Russian Federation. 98961 people aged 15 and older were surveyed, 41.8% of men and 58.2% of women. Residents of Moscow make up 6.8% (6743 people), Moscow Oblast — 4.2% (4114 people). In Moscow, 81% of those who applied to state medical organizations are satisfied with the medical care provided. Dissatisfaction is related to organizational and communication deficiencies. Organizational problems include long waiting times at clinic reception, appointments for examinations (62%), lack of necessary equipment and medicines (44%), uncomfortable conditions (24%), poor sanitary conditions (10%). Secondary analysis of the data from the Sample Health Monitoring Survey is connected with information limitations. The list of elements that affect patients’ satisfaction with the quality of medical care is not limited to those available in the specified database. Infrastructure deficiencies are the most significant predictors of patient dissatisfaction with medical care in general. Professionalism of doctors is also a significant factor, but it is only in third place in terms of contribution to overall patient satisfaction with medical care. Women and patients from older age groups are more often dissatisfied with the quality of medical care. However, in the presence of infrastructural or communication deficiencies, personal qualities of patients cease to matter.
Keywords:
quality of medical care, medical organization, clinic standard, patient-centered care, satisfaction with medical care
References
1. Korchagina I. I., Migranova L. A. Otsenka kachestva zhizni po rezul’tatam oprosa naseleniya [Estimation of the quality of life according to the population survey outcomes]. Narodonaselenie [Population]. 2017. Vol. No 75. P. 103–115. (in Russ.)
2. Nazarova I. B., Nesterov R. S. Tsennosti vo vzaimodejstvii vracha i patsienta: ponimanije i sotrudnichestvo [Values in the doctor-patient interaction: understanding and cooperation]. Zdravookhranenije Rossiiskoj Federatsii [Health Care of the Russian Federation]. 2024. Vol. 68. No. 4. P. 364–370. DOI: 10.47470/0044-197X-2024-68-5 (in Russ.)
3. Boudreaux E. D, Ary R. D, Mandry C. V, McCabe B. Determinants of patient satisfaction in a large, municipal ED: the role of demographic variables, visit characteristics, and patient perceptions. American Journal of Emergency Medicine. 2000. Vol. 18. No. 4. P. 394–400. DOI: 10.1053/ajem.2000.7316
4. Blenkiron P., Hammill C. A. What determines patients’ satisfaction with their mental health care and quality of life? Postgraduate Medical Journal. 2003. Vol. 79. Iss. 932. P. 337–340. DOI: 10.1136/pmj.79.932.337
5. Volnukhin A. V., Morozova T. E., Skvirskaya G. P., et. al Vliyanije kharakteristik patsienta na udovletvoryonnost’ meditsinskoj pomoshch’yu, okazyvajemoj vrachom obshchej praktiki i vrachom-terapevtom uchastkovym [The effect of characteristics of patient on satisfaction with medical care rendered by general practitioner and district therapist]. Problemy sotsialnoj gigieny, zdravookhranenija i istorii meditsiny [Problems of Social Hygiene, Public Health and History of Medicine]. 2023. Vol. 31. No. 6. P. 1353–1359. DOI: 10.32687/0869-866X-2023-31-6-1353-1359 (in Russ.)
6. Mezentseva T. A., Leontiev S. L., Kurmangulov A. A., et al. Udovletvoryonnost’ naseleniya meditsinskoj pomoshch’yu v Sverdlovskoj oblasti [Public satisfaction with medical care in the Sberdlovsk region]. Vestnik Ural’skoj meditsinskoj akademicheskoj nauki [Journal of Ural Medical Academic Science]. 2024. Vol. 21. No. 1. P. 86–100. DOI: 10.22138/2500-0918-2024-21-1-86-100 (in Russ.)
7. Tyufilin D. S., Chigrina V. P., Medvedev V. A., et. al. Udovletvoryonnost’ meditsinskoj pomoshch’yu v Rossijskoj Federatsii: faktory, vliyayushchije na otsenku [Satisfaction with medical care in the Russian Federation: factors influencing the assessment]. Menedzher Zdravookhranenija [Healthcare Manager]. 2023. No. 8. P. 68–80. DOI: 10.21045/1811-0185-2023-8-68-80 (in Russ.)
8. Lokosov V. V., Yarasheva A. V., Aleksandrova O. A. Faktory formirovaniya osnov samosokhranitel’nogo povedeniya naseleniya [Factors forming the foundations for self-preservation behavior of the population]. Narodonaselenie [Population]. 2024. Vol. 27. No. 1. P. 192–205. DOI: 10.24412/1561-7785-2024-1-192-205 (in Russ.)
9. Yarasheva A. V., Makar S. V., Alikperova N. V. Sovremennyye zdorov’yesberegayushchiye praktiki rossiyan [Modern health-saving practices of Russians]. Narodonaselenie [Population]. 2023. Vol. 26. No. 2. P. 127–138. (in Russ.)
10. Novoselova E. N. Zdorov’je kak tsennost’ i praktika: obshchestvo, sem’ya, lichnost’ [Health as a Value and Practice: Society, Family, Personality]. Moscow. MAKS Press [MAKS Press]. 2021. 360 p. (in Russ.)
11. Lokosov V. V., Nazarova I. B., Karpovа V. M., Lyalikova S. V. Spetsifika samosokhranitel’nogo povedeniya naseleniya stolichnogo regiona [Specificity of self-preservation behavior of the population of the capital region]. Problemy sotsialnoj gigieny, zdravookhranenija i istorii meditsiny [Problems of Social Hygiene, Public Health and History of Medicine]. 2024. Vol. 32. No. S2. P. 1130–1136 DOI: 10.32687/0869-866X-2024-32-s2-1130-1136 (in Russ.)
2. Nazarova I. B., Nesterov R. S. Tsennosti vo vzaimodejstvii vracha i patsienta: ponimanije i sotrudnichestvo [Values in the doctor-patient interaction: understanding and cooperation]. Zdravookhranenije Rossiiskoj Federatsii [Health Care of the Russian Federation]. 2024. Vol. 68. No. 4. P. 364–370. DOI: 10.47470/0044-197X-2024-68-5 (in Russ.)
3. Boudreaux E. D, Ary R. D, Mandry C. V, McCabe B. Determinants of patient satisfaction in a large, municipal ED: the role of demographic variables, visit characteristics, and patient perceptions. American Journal of Emergency Medicine. 2000. Vol. 18. No. 4. P. 394–400. DOI: 10.1053/ajem.2000.7316
4. Blenkiron P., Hammill C. A. What determines patients’ satisfaction with their mental health care and quality of life? Postgraduate Medical Journal. 2003. Vol. 79. Iss. 932. P. 337–340. DOI: 10.1136/pmj.79.932.337
5. Volnukhin A. V., Morozova T. E., Skvirskaya G. P., et. al Vliyanije kharakteristik patsienta na udovletvoryonnost’ meditsinskoj pomoshch’yu, okazyvajemoj vrachom obshchej praktiki i vrachom-terapevtom uchastkovym [The effect of characteristics of patient on satisfaction with medical care rendered by general practitioner and district therapist]. Problemy sotsialnoj gigieny, zdravookhranenija i istorii meditsiny [Problems of Social Hygiene, Public Health and History of Medicine]. 2023. Vol. 31. No. 6. P. 1353–1359. DOI: 10.32687/0869-866X-2023-31-6-1353-1359 (in Russ.)
6. Mezentseva T. A., Leontiev S. L., Kurmangulov A. A., et al. Udovletvoryonnost’ naseleniya meditsinskoj pomoshch’yu v Sverdlovskoj oblasti [Public satisfaction with medical care in the Sberdlovsk region]. Vestnik Ural’skoj meditsinskoj akademicheskoj nauki [Journal of Ural Medical Academic Science]. 2024. Vol. 21. No. 1. P. 86–100. DOI: 10.22138/2500-0918-2024-21-1-86-100 (in Russ.)
7. Tyufilin D. S., Chigrina V. P., Medvedev V. A., et. al. Udovletvoryonnost’ meditsinskoj pomoshch’yu v Rossijskoj Federatsii: faktory, vliyayushchije na otsenku [Satisfaction with medical care in the Russian Federation: factors influencing the assessment]. Menedzher Zdravookhranenija [Healthcare Manager]. 2023. No. 8. P. 68–80. DOI: 10.21045/1811-0185-2023-8-68-80 (in Russ.)
8. Lokosov V. V., Yarasheva A. V., Aleksandrova O. A. Faktory formirovaniya osnov samosokhranitel’nogo povedeniya naseleniya [Factors forming the foundations for self-preservation behavior of the population]. Narodonaselenie [Population]. 2024. Vol. 27. No. 1. P. 192–205. DOI: 10.24412/1561-7785-2024-1-192-205 (in Russ.)
9. Yarasheva A. V., Makar S. V., Alikperova N. V. Sovremennyye zdorov’yesberegayushchiye praktiki rossiyan [Modern health-saving practices of Russians]. Narodonaselenie [Population]. 2023. Vol. 26. No. 2. P. 127–138. (in Russ.)
10. Novoselova E. N. Zdorov’je kak tsennost’ i praktika: obshchestvo, sem’ya, lichnost’ [Health as a Value and Practice: Society, Family, Personality]. Moscow. MAKS Press [MAKS Press]. 2021. 360 p. (in Russ.)
11. Lokosov V. V., Nazarova I. B., Karpovа V. M., Lyalikova S. V. Spetsifika samosokhranitel’nogo povedeniya naseleniya stolichnogo regiona [Specificity of self-preservation behavior of the population of the capital region]. Problemy sotsialnoj gigieny, zdravookhranenija i istorii meditsiny [Problems of Social Hygiene, Public Health and History of Medicine]. 2024. Vol. 32. No. S2. P. 1130–1136 DOI: 10.32687/0869-866X-2024-32-s2-1130-1136 (in Russ.)
Article
Received: 27.12.2024
Accepted: 11.06.2025
Citation Formats
Other cite formats:
APA
Nazarova, I. B. (2025). Patients’ satisfaction with the quality of medical care in the capital’s polyclinics. Population, 28(2), 96-104. https://doi.org/10.24412/1561-7785-2025-2-96-104
Section
QUALITY AND CONDITIONS OF LIFE OF POPULATION
