Quality of Primary Health Care for Chuvash Rural Population: A Survey-Based Analysis
DOI:
https://doi.org/10.52575/2712-7443-2025-49-3-589-600Keywords:
sociological survey, primary health care, municipal district, population satisfaction, Chuvash RepublicAbstract
The study is aimed at assessing the satisfaction of the rural population in the Chuvash Republic with the quality and availability of primary health care. The objectives of the work are to assess the level of satisfaction with medical care, identify key problems in obtaining medical care and determine the correlation between the availability of services and patient satisfaction. To achieve the objectives, a sociological survey of the population was conducted using the interview method in the municipal districts of Chuvashia. The sample was formed taking into account the age and gender structure, and the population size of each district. The study assessed the following indicators: quality and availability of primary health care at the place of residence and in republican medical centers, staff sufficiency, as well as the main difficulties that patients face when receiving care. In addition, a correlation analysis was performed between the indicators of medical care accessibility and satisfaction level. According to the study findings, most respondents assess the quality of medical care as satisfactory, but almost everywhere there is a shortage of specialists. The key problems are the shortage of medical personnel in rural areas, difficulties with making appointments, and an indifferent and negligent attitude to the treatment of diseases.
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Архипов Ю.Р., Никонорова И.В., Харитонов Ал.Ю., Харитонов Ан.Ю. 2024. Анализ доступности первичной медицинской помощи для сельского населения Чувашской Республики. Региональные геосистемы, 48(4): 481–493. https://doi.org/10.52575/2712-7443-2024-48-4-481-493
Архипов Ю.Р., Харитонов А.Ю. 2019. Территориальный анализ доступности первичной медицинской помощи населению муниципального района (на примере Чувашской Республики). В кн.: Геопростанственные исследования общественных и природных систем: теория и практика. Чебоксары, ЧГУ им И.Н. Ульянова: 13–17.
Архипов Ю.Р., Харитонов А.Ю. 2020. Территориальный анализ доступности медицинской помощи населению Чувашской Республики. В кн.: Науки о Земле: от теории к практике (Арчиковские чтения – 2020). Материалы Всероссийской научно-практической конференции с международным участием, Чебоксары, 05–08 ноября 2020. Чебоксары, «Издательский дом «Среда»: 275–280.
Гржибовский А.М. 2008. Выбор статистического критерия для проверки гипотез. Экология человека, 11: 48–57.
Зеленюк Ю.М. 2019. Пространственный фактор в организации медицинского обслуживания населения Иркутской области. Известия Иркутского государственного университета. Серия: Науки о Земле, 28: 48–61. https://doi.org/10.26516/2073-3402.2019.28.48.
Койчубеков Б.К., Сорокина М.А., Мхитарян К.Э. 2014. Определение размера выборки при планировании научного исследования. Международный журнал прикладных и фундаментальных исследований, 4: 71–74.
Кошевой О.С., Карпова М.К. 2011. Определение объема выборочной совокупности при проведении региональных социологических исследований. Известия высших учебных заведений. Поволжский регион. Общественные науки, 2(18): 98–104.
Курдалин Н.И. 2023. Методики определения оптимального объема выборки для медицинских исследований. Молодой инновационный вестник, 12(2S): 498–501.
Линденбратен А.Л., Коломийченко М.Е. 2021. Анализ результатов социологических исследований качества и доступности медицинского обслуживания. Медико-фармацевтический журнал Пульс, 23(6): 224–231. https://doi.org/10.26787/nydha-2686-6838-2021-23-6-225-231.
Москвичева М.Г., Полинов М.М. 2021. Анализ состояния первичной медико-санитарной помощи сельскому населению на региональном уровне. Уральский медицинский журнал, 20(1): 50–57. https://doi.org/10.52420/2071-5943-2021-20-1-50-57
Наркевич А.Н., Виноградов К.А. 2019. Методы определения минимально необходимого объема выборки в медицинских исследованиях. Социальные аспекты здоровья населения, 65(6): 10.
Татарников М.А. 2013. Зачем нужна стандартизованная методика социологического опроса в здравоохранении? Социология медицины, 2(23): 11–22.
Утеулин М., Ошибаева А.Е., Уалиева А.Е., Нурбакыт А.Н. 2018. Оценка удовлетворенности пациентов и медицинских работников качеством оказываемых услуг. Вестник Казахского национального медицинского университета, 3: 344–347.
Шерешева М.Ю., Оборин М.С., Костанян А.А. 2017. Особенности оценки качества жизни населения малых городов. Ars Administrandi (Искусство управления), 9(2): 289–311. https://doi.org/10.17072/2218-9173-2017-2-289-311.
Brown T., McLafferty S., Moon G.A. 2009. Companion to Health and Medical Geography. Chichester, Wiley-Blackwell, 640 p.
Franco C.M., Lima J.G., Giovanella L. 2021. Primary Healthcare in Rural Areas: Access, Organization, and Health Workforce in an Integrative Literature Review. Cadernos de Saude Publica, 37(7): e00310520. https://doi.org/10.1590/0102-311X00310520.
Gellert G.A. 1993. The Importance of Quality of Life Research for Health Care Reform in the USA and the Future of Public Health. Quality of Life Research, 2: 357–361. https://doi.org/10.1007/BF00449431.
Gizaw Z., Astale T., Kassie G.M. 2022. What Improves Access to Primary Healthcare Services in Rural Communities? A Systematic Review. BMC Prim Care, 23: 313. https://doi.org/10.1186/s12875- 022-01919-0
Meade M.S. 2010. Medical Geography. New York, Guilford, 498 p.
Oshkordina A., Goncharova N., Makarova E., Esina E. 2024. Organization of primary health care as a factor in the effective development of rural areas. E3S Web of Conferences, 537: 09006. https://doi.org/10.1051/e3sconf/202453709006537
References
Arkhipov Yu.R., Nikonorova I.V., Kharitonov Al.Yu., Kharitonov An.Yu. 2024. Analysis of Primary Health Care Availability for the Rural Population of the Chuvash Republic. Regional Geosystems, 48(4): 481–493 (in Russian). https://doi.org/10.52575/2712-7443-2024-48-4-481-493
Arkhipov Yu.R., Kharitonov A.Yu. 2019. Territorial'nyj analiz dostupnosti pervichnoj medicinskoj pomoshhi naseleniju municipal'nogo rajona (na primere Chuvashskoj Respubliki) [Territorial Analysis of the Availability of Primary Health Care to the Population of a Municipal District (Using the Chuvash Republic as an Example)]. In: Geoprostanstvennye issledovanija obshhestvennyh i prirodnyh sistem: teorija i praktika [Geospatial Studies of Social and Natural Systems: Theory and Practice]. Cheboksary, Pabl. Chuvash State University named after
I.N. Ulyanov: 13–17.
Arhipov J.R., Kharitonov A.J. 2020. Territorial Analysis of Access to Medical Care for the Population of the Chuvash Republic. In: Earth Sciences: From Theory to Practice (Archikov Readings – 2020). Proceedings of the All-Russian Scientific and Practical Conference with International Participation, Cheboksary, 5–8 November 2020. Cheboksary, Pabl. Sreda: 275–280.
Grjibovski A.M. 2008. Choosing a Statistical Test for Hypothesis Testing. Human Ecology, 11: 48–57 (in Russian).
Zelenyuk Ju.M. 2019. Spatial Factor in the Organization of Medical Services Sphere of the Population of Irkutsk Region. The Bulletin of Irkutsk State University. Series Earth Sciences, 28: 48–61 (in Russian). https://doi.org/10.26516/2073-3402.2019.28.48
Koichubekov B.K., Sorokina M.A., Mkhitaryan X.E. 2014. Sample Size Determination in Planning of Scientific Research. International journal of applied and fundamental research, 4: 71–74 (in Russian).
Koshevoi O.S., Karpova M.K. 2011. Opredelenie ob"ema vyborochnoj sovokupnosti pri provedenii regional'nyh sociologicheskih issledovanij [Determining the Size of the Sample Population in Conducting Regional Sociological Research]. Izvestiya vysshih uchebnyh zavedenij. Povolzhskij region. Obshchestvennye nauki, 2(18): 98–104.
Kurdalin N.I. 2023. Metodiki opredeleniya optimal'nogo ob"ema vyborki dlya medicinskih issledovanij [Methods for Determining the Optimal Sample Size for Medical Research]. Molodoj innovacionnyj vestnik, 12(2S): 498–501.
Lindenbraten A.L., Kolomiychenko M.E. 2021. Analysis of the Results of Sociological Studies of the Quality and Availability of Health Care. Medical & Pharmaceutical Journal «Pulse», 23(6): 224–231 (in Russian). https://doi.org/10.26787/nydha-2686-6838-2021-23-6-225-231.
Moskvicheva M.G., Polinov M.M. 2021. Analysis of the primary health care state for the rural population at the regional level. Ural Medical Journal, 20(1): 50–57 (in Russian). https://doi.org/10.52420/2071-5943-2021-20-1-50-57
Narkevich A.N., Vinogradov K.A. 2019. Methods for Determining the Minimum Required Sample Size in Medical Research. Social Aspects of Population Health, 65(6): 10 (in Russian).
Tatarnikov M.A. 2013. Why the Standardized Technique of Sociological Survey is Needed in Public Health? Sociology of Medicine, 2(23): 11–22 (in Russian).
Uteulin M., Oshibaeva A.E., Ualieva A.E., Nurbakyt A.N. 2018. Satisfaction Scores Patients and Healthcare Professionals the Quality of Services. Vestnik KazNMU, 3: 344–347 (in Russian).
Sheresheva M.Yu., Oborin M.S., Kostanyan A.A. 2017. Osobennosti ocenki kachestva zhizni naseleniya malyh gorodov [Features of Assessing the Quality of Life of the Population of Small Towns]. Ars Administrandi (Iskusstvo upravleniya), 9(2): 289–311. https://doi.org/10.17072/2218-9173-2017-2-289-311.
Brown T., McLafferty S., Moon G.A. 2009. Companion to Health and Medical Geography. Chichester, Wiley-Blackwell, 640 p.
Franco C.M., Lima J.G., Giovanella L. 2021. Primary Healthcare in Rural Areas: Access, Organization, and Health Workforce in an Integrative Literature Review. Cadernos de Saude Publica, 37(7): e00310520. https://doi.org/10.1590/0102-311X00310520.
Gellert G.A. 1993. The Importance of Quality of Life Research for Health Care Reform in the USA and the Future of Public Health. Quality of Life Research, 2: 357–361. https://doi.org/10.1007/BF00449431.
Gizaw Z., Astale T., Kassie G.M. 2022. What Improves Access to Primary Healthcare Services in Rural Communities? A Systematic Review. BMC Prim Care, 23: 313. https://doi.org/10.1186/s12875-022-01919-0
Meade M.S. 2010. Medical Geography. New York, Guilford, 498 p.
Oshkordina A., Goncharova N., Makarova E., Esina E. 2024. Organization of primary health care as a factor in the effective development of rural areas. E3S Web of Conferences, 537: 09006. https://doi.org/10.1051/e3sconf/202453709006537
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