Almost 40% of Russians reported satisfaction with medical care in the compulsory medical insurance system


In 2023, 39.7% of Russian citizens were satisfied to one degree or another with medical care in the compulsory medical insurance system (in 2022 – 41.6%). 21.9% of respondents are not satisfied, showed a survey by the Center for Humanitarian Technologies and Research “Social Mechanics” with the support of the All-Russian Union of Patients (VSP) (available at the “MV”).

Only 2% of patients reported that they did not experience any difficulties in receiving outpatient medical care under compulsory medical insurance. At the same time, almost 33% of respondents reported difficulties with this in hospitals.




The study was conducted in October 2023 using a survey method. The survey involved 1,718 respondents from 81 subjects who sought medical care under the compulsory medical insurance policy in the last three years. The quality and availability of medical services under the compulsory medical insurance policy and problems in organizing medical care were assessed.

“Overall satisfaction levels in 2023 are virtually identical to those in 2022,” the study concluded.

Only half of the patients (48.8%) are satisfied to one degree or another with the attitude of doctors, nurses, receptionists, and orderlies. Every fifth (18.4%) is not satisfied with the attitude of health workers towards him. In the segment of inpatient care, 32% of respondents complained about inappropriate behavior of medical staff in 2023. This is slightly lower than in 2022 (38%). 43.2% are satisfied with medical care in clinics to one degree or another, 24.4% are dissatisfied.

V TOP problems that citizens often encounter when visiting clinics include: waiting in line for a long time in front of the doctor’s office (85%); Olack of the necessary specialist in the clinic or inability to make an appointment with him (84.6%); inability to obtain all necessary services in one place (83.6%); long wait to see a specialist after making an appointment – more than 14 working days (79.1%); Withfalsehood of calling the clinic to make an examination, appointment or obtain background information (75.9%); dLong wait for instrumental studies (X-ray, MRI, CT, ultrasound) after their appointment – more than 14 working days (71%).

Somewhat less frequently mentioned were the inappropriate behavior of health workers (53%) and the difficulty of calling a doctor at home (48.5%).

Among problems, which citizens encounter when going to hospitals are in the lead Ppurchasing medications prescribed by a doctor at your own expense (39.4%); inappropriate behavior of health workers (32.1%); referral for paid examinations or tests before hospitalization (28.2%); additional expenses for paid services during your stay in the clinic (25.6%); purchasing consumables at your own expense (23%).

“Patient satisfaction with inpatient care in federal hospitals increased noticeably in 2023 – the increase was almost 13% compared to last year and + 18% compared to 2021. The hospital segment looks much better than the outpatient segment – this applies not only to federal institutions, but also to regional and municipal hospitals,” the researchers note.

“Despite the fact that overall patient satisfaction with medical care remained at last year’s level, there have been changes for the better in a number of areas. For example, in terms of ambulance work, this can be seen both from the assessments of patients and doctors. The system of state guarantees for compulsory medical insurance is changing, opportunities for rehabilitation are appearing, and tariffs have become more adaptive to the situation of patients. Innovations such as digital insurance and telemedicine contribute to increasing the availability of medical care. But for now, these services are largely the privilege of residents of the capital and large regional centers,” says the co-chairman of VSP Yuri Zhulev.

According to a study by the Central Research Institute of Organization and Informatization of Healthcare, in 2022 and 2023, patients were most often dissatisfied with “availability of an appointment,” “waiting for medical care,” and “waiting at the doctor’s office.” Only a little more than a third of respondents demonstrated satisfaction with these options. In September, the head of the Ministry of Health Mikhail Murashko reported a record increase in the population’s satisfaction with medical care, wrote MV. According to his information, almost half of citizens gave a positive assessment of the compulsory medical insurance system in June. At the end of last year, the Ministry of Health estimated this figure at 41.4%.



Source link