THE QUALITY OF RENDERING OF MEDICAL AID TO POPULATION OF RURAL AREAS

The analysis of the quality of medical care for the rural population has been taken in the «Ustinskaya Regional Hospital» of the Kalmyk Republic (further on referenced as «URH»). Analysis goal. To investigate the basic principles of medical care for the rural population and determine the major open issues regarding healthcare, considering URH as an example. Assessment methods. Two examination phases have been conducted: 1. Assessment of disease structure, equipment level, and overall work efficiency of URH 2. Analysis of the voluntary patient survey The investigation covered 653 respondents of both genders, aged between 20 and 70 with an average of 47,5 years [23,2; 68,1] Results - the principles of medical care at Ustinsky Region of Kalmyk Republic has been considered as satisfactory. The whole population of the Ustinsky Region makes 9958 people (including 8178 adults and 1780 kids). The population is divided into 3 therapeutic and 2 pediatric departments, according to the actual standards. From the nosology perspective, regional clinical examination covers 95.3% of the respiratory system diseases and 91% of cardiovascular system pathologies. In 2016 more than 95% of the survey respondents mentioned positive changes in the treatment level of URH. Own health level was considered as “good” by 96% of respondents. About 16% of patients were listed in the dispensary, but only 75% of them were screened annually. The complications with receiving preferential medicines were experienced by 46% of patients. The commute to the regional hospital takes 30 minutes for 58% of respondents, and over 60 minutes for 18% of them. Medical staff, conducting prophylactic measures has been spotted by 49% of respondents. Discussion. Dispensary observation has been properly focused on prophylaxis only in 2016. Conclusions. The overall level of medical care for the rural population of the assessed regional center has been considered as satisfactory.

the principles of medical care, healthcare indicators, rural population, health care organization, prophylaxis, health level