Assessment of Conditions for Rendering Rehabilitation Medical Care in a 24-Hour Hospital from Positions of Medical Workers

INTRODUCTION: Modern trends in the development of Russian healthcare indicate the need to construct a patient-oriented healthcare model. The components of patient-oriented model can be comfortable environment, accessibility and efficiency of procedures, quality of medical care, and the culture of a medical organization in which medical workers understand the ‘pains’ of patients and share their values. AIM: Analysis of the conditions for rendering rehabilitation medical care from the point of view of medical workers and assessment of the patient-centeredness of a medical organization. MATERIALS AND METHODS: An analysis of patient satisfaction with the organization and conditions of medical care in the 24-hour hospital of the medical rehabilitation department of the Private Healthcare Institution ‘Clinical Hospital RZhD-Medicine of Murom’ was carried out from the point of view of a medical worker. For this, an anonymous survey was carried out among 64 medical workers, including 7 doctors, 45 nurses, 12 junior medical personnel, using a questionnaire developed by the authors. RESULTS: The survey showed that the majority of medical workers believe that when choosing a medical organization, patients are guided by the conditions of stay, the comfortable environment, the quality of treatment, trust in medical workers and the accessibility of the medical institution. Besides, it is important to inform the patient and his relatives about the aim and planned results of treatment, as well as to involve them in participation in the treatment process, in joint decision-making concerning their health. CONCLUSIONS: Factors influencing the patient’s choice of a medical organization for medical rehabilitation have been identified. It has been established that medical worker accept the principles of patient-centeredness and believe that involving patients in the treatment process, creating partnerships, and accepting joint responsibility for decisions made together with medical staff will increase the effectiveness of medical rehabilitation.