THE INFLUENCE OF MEDICAL AND ORGANIZATIONAL FACTORS ON THE RISK OF REDUCING THE AVAILABILITY OF OTORHINOLARYNGOLOGICAL CARE FOR CHILDREN AND ADOLESCENTS

Abstract

Introduction. The article presents the results of a study conducted to develop new technologies for managing medical organizations to prevent unwanted risks of reducing the availability of otorhinolaryngological care for children and adolescents. Based on the fact that expert assessments and a sociological survey among patients (their representatives) make it possible to characterize the frequency, nature, direction and structure of the influence of medical, organizational and consumer factors on the quality and accessibility of medical care, we applied this approach to predict risk factors for reducing availability of this type of assistance. Purpose — to determine the prognostic significance of the influence of medical and organizational factors on the risk of decreased availability of otorhinolaryngological care for children and adolescents. Materials and methods: analytical, sociological, statistical methods, as well as the method of expert assessments were used. Results. Based on expert assessments, an analysis of the state of preparedness of the healthcare system to ensure the availability of otolaryngological care for children and adolescents was conducted, which, in turn, became the basis for an analysis of 10 medical and organizational factors. Conclusions. It was revealed that in the structure of the conditionality of the availability of otolaryngological care for children and adolescents, all medical and organizational factors are controllable. The five most significant of them included: low staffing of ENT doctors, a high level of conflict among staff, the lack of implementation of “lean technologies” and the “New Medical Organization” model in medical organizations, low communicative competence of personnel, low level of provision of equipment to perform the volumes of assistance.