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<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">medinfo</journal-id><journal-title-group><journal-title xml:lang="ru">Актуальные проблемы теоретической и клинической медицины</journal-title><trans-title-group xml:lang="en"><trans-title>Actual Problems of Theoretical and Clinical Medicine</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">2790-1289</issn><issn pub-type="epub">2790-1297</issn><publisher><publisher-name>Казахстанско-Российский медицинский университет</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.24412/2790-1289-2025-1-23-35</article-id><article-id custom-type="elpub" pub-id-type="custom">medinfo-606</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>ОРИГИНАЛЬНЫЕ ИССЛЕДОВАНИЯ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>ORIGINAL ARTICLES</subject></subj-group></article-categories><title-group><article-title>ОЦЕНКА ПРОБЛЕМ УХОДА ЗА ПАЦИЕНТАМИ НА УРОВНЕ БОЛЬНИЦЫ С ТОЧКИ ЗРЕНИЯ МЕДИЦИНСКОГО ПЕРСОНАЛА</article-title><trans-title-group xml:lang="en"><trans-title>ASSESSMENT OF PATIENT CARE CHALLENGES AT A HOSPITAL LEVEL FROM MEDICAL STAFF PERSPECTIVES</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-5751-1678</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Алекенова</surname><given-names>Н.</given-names></name><name name-style="western" xml:lang="en"><surname>Alekenova</surname><given-names>N.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Алекенова Нургул – PhD, кафедра доказательной медицины и научного менеджмента</p><p>Актобе</p></bio><bio xml:lang="en"><p>Alekenova Nurgul – PhD, Departament evidence based medicine</p><p>Aktobe</p></bio><email xlink:type="simple">alekenova@zkmu.kz</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0009-0007-9935-7243</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Султанбекова</surname><given-names>Б.</given-names></name><name name-style="western" xml:lang="en"><surname>Sultanbekova</surname><given-names>B.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Султанбекова Бахыт – Докторант PhD 3 курса образовательной программы «Общественное здравоохранение»</p><p>Алматы</p></bio><bio xml:lang="en"><p>Sultanbekova Bakhyt – 3st year PhD student in the educational program «Public Health»</p><p>Almaty</p></bio><email xlink:type="simple">dr_sultanbekova@mail.ru</email><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-4568-6002</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Сейпенова</surname><given-names>А.</given-names></name><name name-style="western" xml:lang="en"><surname>Seipenova</surname><given-names>A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Сейпенова Ания – руководитель кафедры врач общей практики</p><p>Актобе</p></bio><bio xml:lang="en"><p>Seipenova Aniya – Heard of the department General practice</p><p>Aktobe</p></bio><email xlink:type="simple">aniya_seipenova@mail.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0009-0007-8988-2749</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Хайруллина</surname><given-names>А.</given-names></name><name name-style="western" xml:lang="en"><surname>Khairullina</surname><given-names>A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Хайруллина Айнагуль – ассистент кафедры врач общей практики</p><p>Актобе</p></bio><bio xml:lang="en"><p>Khairullina Ainagul – assistant of the department of General practice</p><p>Aktobe</p></bio><email xlink:type="simple">ainakok@mail.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0009-0003-8244-6929</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Калбагаева</surname><given-names>Г.</given-names></name><name name-style="western" xml:lang="en"><surname>Kalbagayeva</surname><given-names>G.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Қалбагаева Гүлнар – кафедра доказательной медицины и научного менеджмента</p><p>Актобе</p></bio><bio xml:lang="en"><p>Kalbagayeva Gulnura – assistant of the department evidence based medicine</p><p>Aktobe</p></bio><email xlink:type="simple">k.g.h@mail.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-5619-9114</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Мукушева</surname><given-names>Г.</given-names></name><name name-style="western" xml:lang="en"><surname>Mukyshova</surname><given-names>G.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Мукишева Гүлбану – ассистент кафедры патологической анатомии</p><p>Актобе</p></bio><bio xml:lang="en"><p>Mukyshova Gulbanu – assistant of the department pathological anatomy</p><p>Aktobe</p></bio><email xlink:type="simple">Mukishova13@mail.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0009-0006-9317-8060</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Изгалиева</surname><given-names>Н.</given-names></name><name name-style="western" xml:lang="en"><surname>Izgaliyeva</surname><given-names>N.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Изгалиева Назгул – ассистент кафедры акушерии и гинекологии №1</p><p>Актобе</p></bio><bio xml:lang="en"><p>Izgaliyeva Nazgul – assistant of the department of Obstetrics and Gynecology №1</p><p>Aktobe</p></bio><email xlink:type="simple">Izgaliyeva_nazgul@mail.ru</email><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru">НАО «Западно-Казахстанский медицинский университет имени Марата Оспанова»<country>Казахстан</country></aff><aff xml:lang="en">Marat Ospanov West-Kazakhstan Medical University<country>Kazakhstan</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru">НАО «Казахский национальный университет имени Аль-Фараби»<country>Казахстан</country></aff><aff xml:lang="en">Al-Farabi Kazakh National University<country>Kazakhstan</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2025</year></pub-date><pub-date pub-type="epub"><day>05</day><month>04</month><year>2025</year></pub-date><volume>0</volume><issue>1</issue><fpage>23</fpage><lpage>35</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Алекенова Н., Султанбекова Б., Сейпенова А., Хайруллина А., Калбагаева Г., Мукушева Г., Изгалиева Н., 2025</copyright-statement><copyright-year>2025</copyright-year><copyright-holder xml:lang="ru">Алекенова Н., Султанбекова Б., Сейпенова А., Хайруллина А., Калбагаева Г., Мукушева Г., Изгалиева Н.</copyright-holder><copyright-holder xml:lang="en">Alekenova N., Sultanbekova B., Seipenova A., Khairullina A., Kalbagayeva G., Mukyshova G., Izgaliyeva N.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://kazrosmedjournal.krmu.edu.kz/jour/article/view/606">https://kazrosmedjournal.krmu.edu.kz/jour/article/view/606</self-uri><abstract><sec><title>Актуальность</title><p>Актуальность. Оценка проблем с уходом за пациентками и удовлетворенности ими на уровне больницы, основанная на мнении медицинского персонала, имеет решающее значение в контексте Казахстана. В нем рассматриваются ключевые вопросы, связанные с качеством и доступностью медицинской помощи, особенно в таких специализированных областях, как гинекология, которые оказывают непосредственное влияние на результаты лечения пациентов и общую эффективность системы здравоохранения.</p><p>Целью данного исследования является оценка проблем, с которыми сталкиваются пациентки при получении медицинской помощи в гинекологическом отделении больницы.</p></sec><sec><title>Материалы и методы</title><p>Материалы и методы. Перекрестное исследование было проведено в первой половине 2024 года, опрос был специально разработан для гинекологов больниц. Исследование проводилось при поддержке управления здравоохранения города Алматы и руководства медицинских организаций. Участие было добровольным и анонимным, и респонденты имели возможность заполнить анкету в удобное для них время.</p></sec><sec><title>Результаты</title><p>Результаты. Опрос выявил ключевые проблемы, включая нехватку персонала (36,1 % на уровне первичной медико-санитарной помощи и 29,6 % на уровне больниц), недостаточное количество диагностических обследований (25,9 %) и недостаточное оснащение (38,1 % гинекологов). Несмотря на эти проблемы, 66,7 % респондентов оценили медицинскую помощь как доступную, а 40,7 % – как квалифицированную, при этом треть врачей и половина медсестер отметили увеличение объема предоставляемых услуг за прошедший год. Кроме того, 38,9 % опрошенных оценили систему обратной связи как отличную, а 63,0 % рекомендовали бы больницу, что отражает в целом позитивный взгляд на медицинское обслуживание.</p></sec><sec><title>Выводы</title><p>Выводы. Опрос выявил такие проблемы, как нехватка персонала, недостаточное количество диагностических услуг и высокие затраты, которые влияют на обслуживание пациентов в больнице. Несмотря на эти проблемы, большинство респондентов положительно оценивают спектр услуг и их доступность, и многие готовы рекомендовать больницу другим.</p></sec></abstract><trans-abstract xml:lang="en"><p>The assessment of patient care challenges and satisfaction at the hospital level, based on the opinions of medical staﬀ, is crucial in Kazakhstan. It addresses key issues related to healthcare quality and accessibility, particularly within specialized ﬁelds like gynecology, which directly impact patient outcomes and the overall eﬃciency of the healthcare system.</p><sec><title>Aim</title><p>Aim. The study aimed to assess the challenges the patients face when receiving medical care at an inpatient gynecology department.</p></sec><sec><title>Materials and methods</title><p>Materials and methods. The cross-sectional study was conducted in the ﬁrst half of 2024, with a survey speciﬁcally developed for hospital gynecologists. The research was conducted with the support of the Almaty City Health Department and the leadership of medical organizations. Participation was voluntary and anonymous, and respondents had the ﬂexibility to complete the survey at their convenience.</p></sec><sec><title>Results</title><p>Results. The survey identiﬁes key challenges, including personnel shortages (36.1% at the primary healthcare level and 29.6 % at the hospital level), insuﬃcient diagnostic examinations (25.9 %), and inadequate equipment (38.1 % of gynecologists). Despite these issues, 66.7 % of respondents rated medical care as accessible, and 40.7 % qualiﬁed, with a third of doctors and half of nurses noting increased services over the past year. Additionally, 38.9 % rated the feedback system excellent, and 63.0 % would recommend this hospital, reﬂecting a generally positive care assessment.</p></sec><sec><title>Conclusion</title><p>Conclusion. The survey reveals challenges such as personnel shortages, insuﬃcient diagnostic services, and high costs, which aﬀect patient care at the hospital. Despite these issues, most respondents view the range of services and accessibility positively, with many willing to recommend the hospital to others.</p></sec></trans-abstract><kwd-group xml:lang="ru"><kwd>гинекология</kwd><kwd>женское здоровье</kwd><kwd>медицинская помощь</kwd><kwd>больница</kwd></kwd-group><kwd-group xml:lang="en"><kwd>gynecology</kwd><kwd>women’s health</kwd><kwd>medical care</kwd><kwd>hospital</kwd></kwd-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Health Topics/Universal Health Coverage [Electronic source] // World Health Organization (WHO). – 2021. URL: https://www.who.int/health-topics/universal-health-coverage (Accessed: 08.01.2025).</mixed-citation><mixed-citation xml:lang="en">World Health Organization. (2021). Universal health coverage. 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