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Evaluarea calităţii serviciilor spitaliceşti acordate populaţiei rurale


Author: Vicol Corina
Degree:doctor of medicine
Speciality: 14.00.33 - Social Medicine and Management
Year:2009
Scientific adviser: Dumitru Tintiuc
doctor habilitat, professor, State University of Medicine and Pharmacy "Nicolae Testemitanu"
Institution:
Scientific council:

Status

The thesis was presented on the 1 April, 2009
Approved by NCAA on the 18 June, 2009

Abstract

Adobe PDF document0.32 Mb / in romanian

Thesis

CZU 614.2+614.253

Adobe PDF document 1.18 Mb / in romanian
121 pages


Keywords

hospital, hospital assistance, hospital medical assistance quality, rural population opinion, obligatory ensurance of medical assistance

Summary

Today the hospital represents a place which includes the modern technologies, abilities and access of medical assistance for all of us. The XXI century medical assistance system needs the hospital organization changes. They include the size and number decrease, out – patient departement establishment, home and primary assistance integrity for the patient ensurance.

Accoding to above – mentioned the medical assistance quality became a urgent problem and it is necessary for the administration form improvement, both norm establishment ant qualitative hospital medical assistance development in the rural population.

The actual scientific research is a discriptive study. Integral and selective study accoding to sample volume has been performed. The expert examination and the following medical criteria: the structure, process and result one for the hospital medical assistance establishment in the rural population has been used.

The analysis of the scientific research show many regularities, which are linked with the lost year changes in the hospital institution structure, hospital bed number, population ensurance with hospital beds and activity indicators in the rural hospitals. The districts there were classified accoding to bed population assurance before and after obligatory ensurance implementation of medical assistance (2003 – 2007 years).

The study of the hospital medical assistance in the district hospitals and activity indicator evaluation permits to determined the population ensurance with hospital medical assistance at the district level. The hospital medical assistance quality for rural population ensurance with the qualitative hospital medical assistance in the optimization purpose the necessity of the hospital service evaluation in rural population by experts examination methodes has been established.

The repeated hospital cause structure comparative evaluation of 82,8±1,9% motivated cases and 17,2±4,7% unmotivated ones, recommended institution structure by experts in the unjustified hospitalization has been observed.

The scientific research results permit the diagnosis and investigation quality process establishment quality treatment reasaning in the rural population and health situation of the pacients who were discharged from the hospital. In 72,6±1,2% cases – satisfactory results, in 25,5±2,0% - good and 2,0±2,3% unsatisfactory. The study about hospital medical assistance quality accoding to major role and waiting of the pacients has been performed.

The quality of hospital medical assistance determined by the rural population opinion permits to determine, that 80,00,8% from population, positivly appreciate the hospital service quality in the district hospitals.

The conclusion and practical recommendation which are included in this research can be considered as a base of the establishment measures in the hospital medical assistance quality level in the rural population.

KEY WORDS: hospital, hospital assistance, hospital medical assistance quality, rural population opinion, obligatory ensurance of medical assistance.