The importance of the level of education as a social characteristic of the patient in the formation of his attitude to the organization of outpatient medical care

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Abstract

The significance of a patient’s level of education as a social characteristic in shaping their attitude toward the provision of medical care in outpatient settings has been scientifically supported. This analysis is based on primary data obtained from interviews conducted with 502 patients seeking outpatient medical care in Moscow. The main group consisted of 185 patients with secondary or specialized secondary education, while the control group comprised 273 patients with incomplete higher, higher or multiple higher education. Various approaches have been employed to assess the management system of medical care in patients with different educational backgrounds. The data reveals a correlation between the frequency of patient visits and their evaluation of the medical care system, with distinct trends observed. Patients with lower levels of education, who make more frequent visits to medical facilities, tend to provide more critical assessments of the administrative structures. The data reveals a correlation between the frequency of patient visits and their evaluation of the medical care system, with distinct trends observed. Patients with lower levels of education, who make more frequent visits to medical facilities, tend to provide more critical assessments of the administrative structures. On the contrary, patients with higher levels of education, who also visit medical organizations frequently, tend to hold a more positive view of the administrative structures. Despite both groups assigning similar overall ratings to the medical organizations providing outpatient care, patients with higher education levels tend to file more complaints specifically concerning the organization of certain departments within the polyclinic. These complaints are predominantly related to the functioning of the laboratory service, specialized specialists, and senior management within the polyclinic’s staff. Consequently, a patient’s social characteristics significantly influence their behavior and attitude toward the health care system. It should be noted that the list of social characteristics that can impact an individual’s behavior and their perception of the healthcare system is extensive.

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About the authors

Aram V. Martirosov

Institute of Control Sciences of the Russian Academy of Sciences; Medical University "Reaviz"

Email: dr.martirosov@mail.ru
ORCID iD: 0000-0001-5240-8372
SPIN-code: 1500-8468

MD, Cand. Sci. (Med.)

Russian Federation, Moscow; Moscow

Sergey N. Cherkasov

Institute of Control Sciences of the Russian Academy of Sciences

Email: cherkasovsn@mail.ru
ORCID iD: 0000-0003-1664-6802
SPIN-code: 5392-9889

MD, Dr. Sci. (Med.)

Russian Federation, Moscow

Anna V. Fedyaeva

Institute of Control Sciences of the Russian Academy of Sciences

Email: orgzdravotdel@gmail.com
ORCID iD: 0000-0002-8874-0921
SPIN-code: 4383-7594

MD, Cand. Sci. (Med.)

Russian Federation, Moscow

Mikhail G. Karailanov

Kirov Military Medical Academy

Author for correspondence.
Email: karaylanov@mail.ru
ORCID iD: 0000-0001-6584-9492
SPIN-code: 7110-9788
Scopus Author ID: 23473000300
ResearcherId: J-1471-2016

MD, Dr. Sci. (Med.)

Russian Federation, Saint Petersburg

Grigoriy B. Arutyunyan

4 The Russian National Research Medical University named after N.I. Pirogov

Email: arutyunyan.g82@mail.ru
ORCID iD: 0000-0002-9454-0854
SPIN-code: 5406-5431

applicant

Russian Federation, Moscow

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Supplementary files

Supplementary Files
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1. JATS XML
2. Fig. Proportion of patients with complaints about clinic organization and subdivisions, based on education level: 1 — mode of operation of the polyclinic; 2 — organization of the registry; 3 — organization of the work of district doctors; 4 — organization of the work of narrow specialists; 5 — organization of the work of the laboratory; 6 — organization of the work of the management of the clinic

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