NARCOLOGISTS ABOUT THE PROBLEMS OF NARCOLOGICAL CARE SERVICES
Abstract
The article presents the results of a questionnaire of psychiatrists-narcologists aimed at revealing the main problems in the activities of narcological service. Based on an anonymous survey
of 258 narcologists who work in state medical organizations providing narcological treatment in the subjects of the Russian Federation that are part of the North-Western, Southern, North Caucasian and Volga federal districts, analysis of problems in the sphere of organization of provision of appropriate medical care was made. Extensive and intensive coefficients were used to describe the results. In addition, Fisher’s one-sided exact test was used to compare the obtained relative values. The results of the survey made it possible to single out five main groups of problems. The most significant turned out to be connected with that of organization of the provision of drug treatment and issues associated with low level of funding the service. Doctors note a wide range of issues, including those related to the operation of the medical information system, staff shortages, insufficient drug provision, functioning of «medical sobering-up stations» and others. More frequently respondents noted that the solution of the above mentioned problems is undoubted responsibility of the administration of various levels — starting with the administration of medical organizations up to executive authorities in the field of healthcare. The presented results indicate the urgent necessity to make managerial decisions that correspond to the content of these problems. An important aspect is to increase the amount of staffing of the service, as well as the necessity to draw attention to the problems of the narcological service both from the society and authorities.
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