How Different Medical Practices Are Associated with Types of Patient Complaints in Russian Clinics

The type of medical practice systematically shapes what patients complain about. Technical specialties draw criticism on clinical quality; communicative specialties draw criticism on how care is organized. Long-term care faces challenges rooted more in administrative friction than in clinical competence. These findings show that PREMs, when analyzed through a practice-based lens, can support targeted quality improvement-moving from simply tracking complaints to acting on them in specialty-specific ways.