Satisfaction of parents (legal representatives) with the quality of medical care provided to their disabled children
https://doi.org/10.46563/1560-9561-2021-24-2-106-111
EDN: bslyab
Abstract
The aim is to identify parents’ (legal representatives’) satisfaction with the quality of medical care provided to their disabled children to improve this type of service further.
Materials and methods. A sociological survey was conducted of 506 legal representatives of minors (aged from birth to 17 years) with the status of a disabled child. The study design is single-center, non-randomized, uncontrolled.
Results. An analysis of the living conditions of a disabled child in the family, the parents’ assessment of his health status, the problems arising in the registration of disability, in the provision of medical and rehabilitation assistance, and issues of medical and social support made it possible to determine the position of this part of the child population in current legal and medical and social conditions. The main problems were the collection of a large number of documents when registering a disability, a long wait for the day of examination, the remoteness of the medical and social examination bureau, the lack of specialist doctors, problems with obtaining subsidized drugs, the lack of consideration of the individual needs of the child when conducting unique rehabilitation programs, the need to apply at the same time to various organizations and departments, violation of rights in the provision of medical services to a disabled child.
Conclusion. The obtained information is very significant for further improving the provision of medical and social assistance to disabled children and children with disabilities. The main task today is to develop mechanisms for implementing the declared rights and freedoms of persons with disabilities, the obligations assumed by the State concerning them.
Contribution:
Fisenko A.P., Terletskaya R.N. — concept and design of the study;
Alexeeva E.I., Basargina E.N., Kazakova K.A., Murashkin N.N., Surkov A.N., Tsygin A.N., Chomahidze A.M., Opryatin L.A. — collection and processing of material;
Chernikov V.V. — statistical processing;
Terletskaya R.N., Vinyarskaya I.V. — writing of the text;
Antonova E.V. — editing.
All co-authors — approval of the final version of the article, responsibility for the integrity of all parts of the article.
Acknowledgment. The study had no sponsorship.
Conflict of interest. The authors declare no conflict of interest.
Received: March 26, 2021
Accepted: April 22, 2021
Published: May 14, 2021
About the Authors
Andrey P. FisenkoRussian Federation
Rimma N. Terletskaya
Russian Federation
MD, PhD, DSci, Professor, Project Leader of the Project of the laboratory of social paediatrics and quality of life of the National Medical Research Center for Children’s Health, Moscow
e-mail: rterletskaya@mail.ru
Irina V. Vinyarskaya
Russian Federation
Elena V. Antonova
Russian Federation
Vladislav V. Chernikov
Russian Federation
Ekkaterina I. Alexeeva
Russian Federation
Elena N. Basargina
Russian Federation
Klavdiya A. Kazakova
Russian Federation
Nikolay N. Murashkin
Russian Federation
Andrey N. Surkov
Russian Federation
Aleksey N. Tsygin
Russian Federation
Aleksandra M. Chomahidze
Russian Federation
Leonid A. Opryatin
Russian Federation
References
1. Zelinskaya D.I., Terletskaya R.N. Disability of the Children ‘s Population of Russia (Modern Legal and Medical-Social Processes). Monograph [Invalidnost’ detskogo naseleniya Rossii (sovremennye pravovye i mediko-sotsial’nye protsessy). Monografiya]. Moscow: Yurayt; 2019. (in Russian)
2. Paniotto V.I., Maksimenko V.S. Statistical Analysis of Sociological Data [Statisticheskiy analiz sotsiologicheskikh dannykh]. Kiev: KM Akademiya; 2004. (in Russian)
3. Lipodaeva E.V., Bezrukova E.E., Avakyan M.G. General questions of children medico-social examination. In: Proceedings of the International Interdisciplinary Scientific and Practical Conference «Actual Problems of Education in the Educational Environment» [Materialy mezhdunarodnoy mezhdistsiplinarnoy nauchno-prakticheskoy konferentsii «Aktual’nye problemy vospitaniya v obrazovatel’noy srede»]. Novocherkassk: Lik; 2017: 77–81. (in Russian)
4. Terletskaya R.N., Fisenko A.P., Antonova E.V., Vinyarskaya I.V. Impact of socio-economic factors on the formation of disability in children of Russia. Rossiyskiy pediatricheskiy zhurnal. 2020; 23(6): 365–71. http://doi.org/10.18821/1560-9561-2020-23-6-365-371 (in Russian)
5. Vinyarskaya I.V., Terletskaya R.N., Chernikov V.V., Antonova E.V., Alekseeva E.I., Fetisova A.N., et al. Modern approaches to the assessment of the disorder of functioning in disabled children in terms of the quality of life. Rossiyskiy pediatricheskiy zhurnal. 2019; 22(3): 176–81. http://doi.org/10.18821/1560-9561-2019-22-3-176-181 (in Russian)
6. Kamaev I.A., Pozdnyakova M.A. Disabled Child: Medical and Social Welfare Organization [Rebenok-invalid: organizatsiya mediko-sotsial’nogo obespecheniya]. Nizhniy Novgorod; 2004. (in Russian)
7. Kosova S.A., Modestov A.A., Namazova L.S. Rehabilitation activity of families as an efficiency criterion of the medical and social assistance to the disabled children. Pediatricheskaya farmakologiya. 2007; 4(6): 34–7. (in Russian)
8. Memetov S.S., Sharkunov N.P. Some aspects of implementation of individual programs of rehabilitation and habilitation of disabled (disabled children) at the present stage. Vestnik Vserossiyskogo obshchestva spetsialistov po mediko-sotsial’noy ekspertize, reabilitatsii i reabilitatsionnoy industrii. 2018; (4): 45–50. http://doi.org/10.17238/issn1999-2351.2018.4.45-50 (in Russian)
Review
For citations:
Fisenko A.P., Terletskaya R.N., Vinyarskaya I.V., Antonova E.V., Chernikov V.V., Alexeeva E.I., Basargina E.N., Kazakova K.A., Murashkin N.N., Surkov A.N., Tsygin A.N., Chomahidze A.M., Opryatin L.A. Satisfaction of parents (legal representatives) with the quality of medical care provided to their disabled children. Russian Pediatric Journal. 2021;24(2):106-111. (In Russ.) https://doi.org/10.46563/1560-9561-2021-24-2-106-111. EDN: bslyab