[THE ESTIMATE OF LEVEL OF POPULATION SATISFACTION WITH MEDICAL CARE QUALITY: ANALYSIS OF ORGANIZATIONAL TECHNOLOGICAL...

The primary health care implements critically important function role not only in maintaining and improving individual health, but also in shaping positive perception of health care system as a whole. The established relationship between regular observation by general practitioners (family doctors), validity of medical decisions and achievement of positive clinical outcomes confirms system-forming role of primary health care in improving integral indicators of population health. The purpose of the study is to determine level of satisfaction of patients with quality of medical care in general practice and to assess risk of low evaluation results. The study used primary data from survey of patients (n=394) using the European questionnaire, carried out in May-November 2022 in medical organizations of Moscow. The statistical analysis of data was performed using machine data processing from database of electronic resources of the N. A. Semashko National Research Institute of Public Health, using the Statistica 10 and SPSS software. On the basis of evaluating results of survey with low values, 6 indicators reliably contributing to development of low patient satisfaction with quality of medical care in 50.3% of all respondents were identified. The study was limited by data and assessment of satisfaction of patients in general practice of Moscow primary health care. The analysis revealed complex system of relationships between key aspects of medical care and satisfaction of patients. The results demonstrate that each studied factor significantly contributes to overall assessment of medical care quality by patients. The factor Doctor-Patient Interaction has the strongest influence (r=0.88, plt;0.0001), highlighting critical importance of efficient communication, empathy and mutual understanding in the system of doctor-patient relationship for achieving high levels of satisfaction.