ABSTRACT
The aim: To study medical and pharmaceutical specialists’ approaches to outpatient injection treatment and their impact on the quality of medical care.
Materials and methods: The object of the study was the answers of health care professionals (n=1408) to the questions on the use of injectable pharmacotherapy in personal treatment, listed in a specially designed questionnaire on a single protocol. System analysis, questionnaire survey, statistical, comparative-and-analytical methods were used.
Results: The quality of outpatient injectable pharmacotherapy, according to the results of a survey of medical and pharmaceutical specialist, can be considered inappropriate, as in 52.9% of respondents the local adverse reaction were significantly more likely to develop compared to the respondents who did not have any local adverse reaction (χ2=21.7819, p<0.05). Most often, the following complications of injectable pharmacotherapy occurred in the analyzed respondents: pain – 45.8%; hardening – 28.3% and reddening – 21.7%. When conducting home-based treatment, 42.8% of the respondents involved persons without medical education for the execution of procedures, which is significantly more frequent (χ2=26.5556, p<0.05) in comparison with the respondents who invited medical personnel (27.0%) and used the method of self-injection (30.2%).
Conclusions: The results of a survey of medical and pharmaceutical specialists revealed that home-based injectable treatment, based mainly on their own experience, is common in the occupational environment of health care professionals.
The aim. To establish the prevalence of PMS symptoms and evaluate the medication management of this disorder in Lviv.Materials and methods. The objects of the study were: scientific publications related to the problem of PMS; the results (n=105) of the survey. Methods applied: systematization, generalization, comparison, questionnaire. The statistical analyses (descriptive statistics, univariable analysis using simple logistic regression, multiple logistic regression) were performed with SPSS Trial.Results. The prevalence of PMS among the surveyed was high (83.8 %). The most common complaints are abdom-inal and/or low back pain (46.6 %) and increased irritability/aggression (43.2 %). Almost half (46.6 %) of women who experienced PMS consult a pharmacist, and only 23.9 % seek medical advice. At the same time, 87.5 % (n=77) of women (among those suffering from PMS) use medicines to alleviate/eliminate the symptoms of PMS. Nonste-roidal anti-inflammatory drugs (77.6 %), sedatives (36.8 %), and complex herbal remedies that affect the genital system (18.4 %) are the most common drugs for PMS.Choosing the way of PMS management, 44.8 % of women would prefer herbal medicines to synthetic ones. Both previous using of synthetic drugs for PMS and adverse drug reactions to synthetic drugs have a statistically signif-icant contribution to a positive attitude towards herbal remedies (p=0.004 and p=0.026, respectively).Conclusion. PMS is a common medical and social issue. Achieving effective and safe medication management of PMS requires the joint participation of a physician, pharmacist, and the patient in terms of compliance and lifestyle adjustments.
Abstract
Aim. The research aims at improving the quality of rendering medical care in the urology departments of health care facilities by conducting the clinical audit with advanced study of causes of dissatisfaction of patients with the medical service provided.
Material and Methods. Sociological research included the questioning of 405 patients who were treated in the urology departments of the municipal nonprofit enterprise of the Lviv Regional Council "Clinical Emergency Hospital". The respondents estimated the quality of providing health care in the sphere of medical service, informational content, financing, the quality of diagnosis and treatment. Methods of structural-logical analysis, systemic approach and analysis, calculation of mean and relative values, calculation of satisfaction index with services provided are used in this work.
Results and Discussion. The determination of the level of respondents' satisfaction with inpatient treatment showed that, in total, that the number of dissatisfied among the interviewed were 7.16±1.28 % persons. The focus-group of such persons was singled out: patients of active working age, financially - able, mainly with higher education, most often with diagnosis of urolithiasis, who suffered from pain syndrome, with late appealing for medical care (more than 24 hours), they were operated on and waited for the quick results of treatment, even despite the positive final result of treatment. These patients demanded more attention of a doctor, were dissatisfied with the work of paramedical personnel, conflicted with ward neighbors, had claims to availability and quality of medical equipment, sanitary state of premises of the department.
Conclusions. The results of the clinical audit targeting the satisfaction of patients with medical services provided as one of the forms of receiving the patient feedback concerning the quality of medical aid, point out, on one hand, the appropriate level of availability of services, interpersonal attitudes, infrastructure, execution of technical demands as to quality and standard compliance by the staff of department. While, on the other hand, the audit results indicate the presence of dissatisfied with some certain services in the department. The focus-groups of dissatisfied make it possible to take into account the personal approaches in rendering medical aid to such categories of population, that in total will improve and increase the quality of providing medical services. Basing on the results of clinical audit, the recommendations as to the perfection of medical care management in the urology departments of health care facilities.