Main Article Content

Светлана Ивановна Токмакова
Людмила Юрьевна Побединская
Ольга Владимировна Бондаренко
Юлия Васильевна Луницына
Елена Сергеевна Жукова
Юрий Юрьевич Гуревич
Елена Александровна Подзорова
Ирина Юрьевна Гатальская
Динар Минзагитович Гарафутдинов
Светлана Ивановна Елгина
Елена Владимировна Рудаева
Кира Борисовна Мозес
Яэль Центер

Abstract

Recently, lean manufacturing principles have been introduced into the healthcare system all over the world. Studying the degree of satisfaction with the quality of medical services provided, it was noted that depending on the region of residence, social status, level of medical institution and category of medical services, the opinion of patients may differ.

The purpose of the study is to assess the degree of satisfaction of patients who have applied for medical care, using the example of a dental polyclinic of a large administrative center, to identify the practical value of the implementation of the federal project "Lean Polyclinic" as a tool to improve the efficiency of the production system of dental services in the healthcare structures of the Altai Territory.

Material and methods. A questionnaire was developed and 360 patients were surveyed with subsequent statistical processing of the results.

Results. According to the results of the survey, it can be concluded that the objectives of the «Lean Polyclinic» project in the state dental clinic of the region were achieved: the registry became open, the waiting time in the queue did not exceed 3 inutes on average; most of the visitors noted good accessibility of dental care due to thoughtful navigation and informative stands, a high level of comfort, good sanitary condition of the polyclinic. The time spent in the clinic, according to the urvey, did not exceed 40 minutes, which on average did not contradict the expectations of visitors; the reception time at the dentist's office in excess of the ppointed time did not exceed 10 minutes; the quality of services provided was recognized by the majority as satisfactory; 93 % of respondents were satisfied with he attitude of the medical staff. At the same time, there are still problems unresolved through the implementation of this project.

Keywords

efficiency of healthcare, public health, lean polyclinic, dental polyclinic, questionnaire, federal project

Author Biographies

Светлана Ивановна Токмакова,
doctor of medical sciences, professor, head of the department of therapeutic dentistry
Людмила Юрьевна Побединская,
candidate of medical sciences, docent of the department of therapeutic dentistry
Ольга Владимировна Бондаренко,
candidate of medical sciences, docent of the department of therapeutic dentistry
Юлия Васильевна Луницына,
candidate of medical sciences, docent of the department of therapeutic dentistry
Елена Сергеевна Жукова,
candidate of medical sciences, docent of the department of therapeutic dentistry
Юрий Юрьевич Гуревич,
candidate of medical sciences, docent of the department of therapeutic dentistry
Елена Александровна Подзорова,
candidate of medical sciences, head of the department of pediatric dentistry
Ирина Юрьевна Гатальская,
candidate of medical sciences, head of the department of surgical dentistry and maxillofacial surgery
Динар Минзагитович Гарафутдинов,
doctor of medical sciences, chief physician
Светлана Ивановна Елгина,
doctor of medical sciences, docent, professor of the department of obstetrics and gynecology named after G.A. Ushakova
Елена Владимировна Рудаева,
candidate of medical sciences, docent, docent of the department of obstetrics and gynecology named after G.A. Ushakova
Кира Борисовна Мозес,
assistant, department of polyclinic therapy and nursing
Яэль Центер,
pathologist

Article Details

Information about financing and conflict of interests

The study had no sponsorship.
The authors declare that they have no apparent or potential conflicts of interest related to the publication of this article.

How to Cite

Токмакова, С. И., Побединская, Л. Ю., Бондаренко, О. В., Луницына, Ю. В., Жукова, Е. С., Гуревич, Ю. Ю., Подзорова, Е. А., Гатальская, И. Ю., Гарафутдинов, Д. М., Елгина, С. И., Рудаева, Е. В., Мозес, К. Б., & Центер, Я. (2023). ASSESSMENT OF THE PRACTICAL SIGNIFICANCE OF THE PROJECT "LEAN POLYCLINIC" IN OUTPATIENT DENTAL PRACTICE. Medicine in Kuzbass, 22(2), 91-95. https://doi.org/10.24412/2687-0053-2023-2-91-95

References

Avdeeva ZI, Soldatov AA, Bondarev VP, Mosyagin VD, Merkulov VA. Factor VIII products: key aspects of development, clinical research and use (part 2). BIOpreparations. Prevention, Diagnosis, Treatment. 2021; 21(2): 97-107.) Russian (Авдеева Ж.И., Солдатов А.А., Бондарев В.П., Мосягин В.Д., Меркулов В.А. Лекарственные препараты фактора VIII, актуальные вопросы разработки, клинического исследования и применения (часть 2) //БИОпрепараты. Профилактика, диагностика, лечение. 2021. Т. 21, № 2. С. 97-107.) DOI: 10.30895/2221-996X-2021-21-2-97-107

Zozulya NI, Dimitrieva OS. Unsolved issues of treatment of adult patients with hemophilia A. Terapevticheskii Arkhiv. 2022; 94(1): 77-82. Russian (Зозуля Н.И., Димитриева О.С. Нерешенные вопросы лечения взрослых пациентов с гемофилией А //Терапевтический архив. 2022. Т. 94, № 1. С. 77-82.) DOI: 10.26442/00403660.2022.01.201321

Levchenko OK, Polyanskaya TU, Zorenko VY, Galstian GM. Wound analgesia in a patient with hemophilia in a highly traumatic operation. Terapevticheskii arkhiv. 2018; 90(7): 82-85. Russian (Левченко О.К., Полянская Т.Ю., Зоренко В.Ю., Галстян Г.М. Раневая аналгезия у больного гемофилией при высокотравматичной операции //Терапевтический архив. 2018. Т. 90, № 7. С. 82-85.) DOI: 10.26442/terarkh201890782-85

Smirnova OA, Tarkovskaya LR, Soldatenkov VE, Burakov VV, Papayan LP. The modern approaches to laboratory support of infusion treatment of hemophilia. Transfuziologiya. 2021; 22(2): 143-152. Russian (Смирнова О.А., Тарковская Л.Р., Солдатенков В.Е., Бураков В.В., Папаян Л.П. Современные подходы к лабораторному сопровождению заместительной инфузионной терапии гемофилии //Трансфузиология. 2021. Т. 22, № 2. С. 143-152)

Tărniceriu CC, Delianu C, Tănase DM, Grădinaru I, Mitrea M, Hurjui I, et al. The multidisciplinary team approach to oral rehabilitation of patients with inherited coagulopathies. Roman J Oral Rehabil. 2020; 12(2): 137-144

El-Kholey KE. Anesthetic Efficacy of 4% Articaine During Extraction of the Mandibular Posterior Teeth by Using Inferior Alveolar Nerve Block and Buccal Infiltration Techniques. J Maxillofac Oral Surg. 2017; 16(1): 90-95. DOI: 10.1007/s12663-015-0877-z

Escobar MA, Larson J, Montanez N. Management of Hemophilia Carriers. Advances in Hemophilia Treatment: From Genetics to Joint Health. Cham: Springer International Publishing, 2022. P. 67-76. DOI: 10.1007/978-3-030-93990-8_9

Gao X, Meng K. Comparison of articaine, lidocaine and mepivacaine for buccal infiltration after inferior alveolar nerve block in mandibular posterior teeth with irreversible pulpitis. Br Dent J. 2020; 228(8): 605-608. DOI: 10.1038/s41415-020-1434-9

Greig A. Evaluation of a shortened course of tranexamic acid for patients with inherited bleeding disorders following dental procedures. J Haemoph Pract. 2018; 5(1): 42-49. DOI: 10.17225/jhp00110

Liras A, Romeu L. Dental management of patients with haemophilia in the era of recombinant treatments: increased efficacy and decreased clinical risk. BMJ Case Rep. 2019; 12(4): e227974. DOI: 10.1136/bcr-2018-227974

Nakar C, Shapiro A. Hemophilia A with inhibitor: Immune tolerance induction (ITI) in the mirror of time. Transfus Apher Sci. 2019; 58(5): 578-589. DOI: 10.1016/j.transci.2019.08.008

Othman NA, Sockalingam SN, Mahyuddin A. Oral health status in children and adolescents with haemophilia. Haemophilia. 2015; 21(5): 605-611. DOI: 10.1111/hae.12657

Shastry SP, Kaul R, Baroudi K, Umar D. Hemophilia A: Dental considerations and management. J Int Soc Prev Commun Dent. 2014; 4(Suppl 3): S147-152. DOI: 10.4103/2231-0762.149022

Srivastava A, Brewer AK, Mauser-Bunschoten EP, Key NS, Kitchen S, Llinas A, et al.; Treatment Guidelines Working Group on Behalf of The World Federation Of Hemophilia. Guidelines for the management of hemophilia. Haemophilia. 2013; 19(1): e1-47. DOI: 10.1111/j.1365-2516.2012.02909.x

Downloads

Download data is not yet available.

Most read articles by the same author(s)

<< < 3 4 5 6 7 8 9 10 > >>