Assessment of patient care challenges at a hospital level from medical staff perspectives

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.

Aim. The study aimed to assess the challenges the patients face when receiving medical care at an inpatient gynecology department.

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.

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.

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.

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