Trends in availability and quality of palliative medical care in Russia in 2021

Close metadata

OBJECTIVE

To study the trends in the subjective perception of satisfaction with the provided palliative medical care.

MATERIAL AND METHODS

The material for analysis was the results of sociological polls of palliative medical care users conducted in 2021, 2022, and 2023.

RESULTS

The total assessment of the quality of palliative care remains quite high. According to the subjective assessments of most patients from all three groups and their immediate environment, the palliative care provided in the hospital and at home improves their physical and psychological condition and makes them feel like real members of society. The subjective assessment of satisfaction with the speed of assistance increased over 3 years by 31.7% to reach 90%. The subjective assessment of satisfaction with the availability of palliative medical care, medical equipment, and the quality of nutrition amounted to 92.0% of the maximum possible positive score.

CONCLUSION

The highest satisfaction with the quality of palliative care was reported for the groups of complex indicators such as availability, speed of assistance, nutrition, and informing of patients and their immediate environment by medical workers. The results of this study will help specialists develop measures to improve the organization and provision of palliative medical care in Russia.

Keywords:

palliative medical care

sociological research

poll

subjective condition

subjective assessment

Authors:

Buzin V.N.

Federal Research Institute for Health Organization and Informatics

ORCID: 0000-0001-6833-7214

Received:

04.04.2024

Accepted:

04.04.2024

List of references:

Clark D, Baur N, Clelland D, et al. Mapping Levels of Palliative Care Development in 198 countries: The Situation in 2017. Journal of Pain and Symptom Management. 2020;59(4):794-807. https://doi.org/10.1016/j.jpainsymman.2019.11.009
Wright M, Wood J, Lynch T, Clark D. Mapping levels of palliative care development: a global view. Journal of Pain and Symptom Management. 2008; 35(5):469-485.
Zadvornaya OL, Rachimova OYu. Medico-social aspects of development of palliative. Vestnik Roszdravnadzora. 2020;(2):47-56. (In Russ.).
Donika AD. Social’no-psixologicheskaya kompetentnost’ medicinskix specialistov v kontekste okazaniya palliativnoj pomoshhi. Aktual’ny’e voprosy’ gigieny’. Sbornik nauchny’x trudov VI Vserossijskoj nauchno-prakticheskoj konferencii s mezhdunarodny’m uchastiem. Pod red Alikbaevoj LA. SPb.: Izd-vo FGBOU VO SZGMU im. I.I. Mechnikova Minzdrava Rossii; 2021;112-117. (In Russ.).
Cherchintseva EA, Konopatskova OM, Evdokimov GM. Development of a system for providing palliative care to cancer patients in the Saratov region. Palliativnaja medicina i reabilitacija. 2022;(1):5-8. (In Russ.).
Polevichenko EV. Help parents remain parents. Pallium: palliativnaja i hospisnaja pomoshh’. 2020;4(9):18-20. (In Russ.).
Plan meropriyatiy («dorozhnaya karta») «Povyshenie kachestva i dostupnosti palliativnoy meditsinskoy pomoshchi» do 2024 goda» ot 28 iyulya 2020 g. №6551p-P12. Accessed May 27, 2024. (In Russ.). https://bazanpa.ru/pravitelstvo-rf-plan-ot28072020-h4834258/
Nevzorova DV, Shershakova LV. Teamwork: upshots of measures for increasing the availability and quality of pain relief in the Russian Federation for the 1st half of 2022. Pallium: palliativnaja i hospisnaja pomoshh’. 2022;16(3):4-5. (In Russ.).
Nevzorova DV, Ustinova AI. Organization of palliative medical care in the constituent entities of the Russian Federation during the spread of coronavirus infection. Pallium: palliativnaja i hospisnaja pomoshh’. 2020;(S1):11-14. (In Russ.).
Sathyamurthy PS, Madhavan S, Pandurangan V. Prevalence, Pattern and Functional Outcome of Post COVID-19 Syndrome in Older Adults. Cureus. 2021;13(8):e17189. https://doi.org/10.7759/cureus.17189
Tripathy S. The COVID-19 pandemic and the elderly patient: review of current literature and knowledgebase. Journal of Geriatric Care and Research. 2020;7:79-83.
Rashid MA, Novikov GA, Kharakh YaN, et al. Practical aspects of personalized doctor-patient communication in palliative medicine. Palliativnaja medicina i reabilitacija. 2023;(1):5-14. (In Russ.).
Buzin VN, Buzina TS. The relationship between doctor and patient in the information society. Russian Journal of Preventive Medicine. 2020;23(5):111-116. (In Russ.). https://doi.org/10.17116/profmed202023051111
Buzina TS, Buzin VN. Sociopsychological aspects of the treatment process. Russian Journal of Preventive Medicine. 2018;21(4):20-24. (In Russ.). https://doi.org/10.17116/profmed201821420
Buzina TS, Buzin VN, Lanskoy IL. Doctor and patient: interpersonal ommunication. Medicinskaja psihologija v Rossii. 2020;12(4):2. (In Russ.). https://doi.org/10.24412/2219-8245-2020-4-2
Novikov GA, Vvedenskaya ES, Zelenova OV, et al. Epidemiological study of cancer patients’ need for palliative care in Russia. Palliativnaja medicina i reabilitacija. 2018;(1):5-9. (In Russ.).
Novikov GA, Rashid MA, Vaisman MA, et al. The problem of personalized doctor-patient communication in palliative medicine. Palliativnaja medicina i reabilitacija. 2022;(4):5-11. (In Russ.).
Davidov DR, Moskvicheva AS, Shubina LB, Shikina IB. Issues related to doctor-patient communication. Social’nye aspekty zdorov’a naselenia [serial online]. 2023;3(69):2. (In Russ.). https://doi.org/10.21045/2071-5021-2023-69-3-2
Voskanyan Y, Shikina I, Davidov D, Kidalov F. Medical care safety — problems and perspectives. Lecture Notes in Networks and Systems. 2020;78: 291-304.
Buzin VN, Nevzorova DV, Mikhailova EA, Buzina TS. Dynamics of complex indicators of assessment of palliative care provided: a study of 2021—2022. Obshhestvennoe zdorov’e. 2023;3(4):4-15. (In Russ.). https://doi.org/10.21045/2782-1676-2023-3-4-4-15
Sandsdalen T, Rystedt I, Grøndahl VA, et al. Patients’ perceptions of palliative care: adaptation of the Quality from the Patient’s Perspective instrument for use in palliative care, and description of patients’ perceptions of care received. BMC Palliative Care. 2015;14(1):14-54. https://doi.org/10.1186/s12904-015-0049-4

Close metadata