Satisfaction of the population with the quality of medical care at the level of the Primary Health and Social Assistance provided by the multidisciplinary team
In this article, the author analyzes the primary health care (PHC) activities in the Republic of Kazakhstan to improve the implementation of the quality of medical services to the population. Emphasis is placed on one of the main tasks of PHC: the ability to manage the whole spectrum of problems, from primary prevention to the development of treatment tactics and management of patients with severe chronic diseases in partnership with other health sectors. Since PHC is the first-level medical organization (MI) that carries out the first contact with the population, it can be viewed from different angles: as an autonomous and independent subject in the health care system and the first stage of medical care to a wider range of health resources. In this connection, the author of the article offers an alternative solution - cooperation of various specialists in the field of public health, i.e. the creation of a multidisciplinary team, a group of specialists who are united by the solution of one task on jointly agreed principles. This approach proved its advantage in countries of Western Europe, North America and Australia and Great Britain.In order to improve the quality and accessibility of medical care to the territorial population, multidisciplinary teams are still working in four areas: oncology, pediatrics, phthisiatric and cardiology. Each team includes - a general practitioner, an expert doctor, a specialist in a narrow profile, more often an assistant at the department of the university. Nurses are key members of the team, providing many services and supplementing the care provided by doctors and other health professionals. Thus, the multidisciplinary teamwork of СP No. 10 in Almaty facilitates more effective access to primary health care for the population. The introduction of new forms of patient care at the outpatient level leads to an improvement in the quality, efficiency and timeliness of the medical care provided, increasing the level of trust and satisfaction of the population with the work of the polyclinic link. In addition, the participation of medical professionals in advisory and educational activities is an important element that contributes to improving outcomes. An important role is played by the training of all team members in general basic skills of evaluation and interaction, which ensures good quality of work and effective interdisciplinary communication within the team. The very work of a multidisciplinary team increases the knowledge of medical personnel, in particular, young general practitioners. For PHC patients, the importance of personal communication and attention on the part of medical personnel, as well as an explanation of the need and validity of the assigned studies and treatment procedures, which solves the issue of informed consent and the patient's joint responsibility.