| Abstract [eng] |
The aim of the research - to analyze decision-making in health care organizations. Methodology of investigation. To achieve the goal, the analysis of scientific literature was performed, the method of comparative analysis, the method of data analysis, the method of data summarization, and the quantitative research method (questionnaire) were applied. The choice of private and public treatment facilities for the study may influence where decisions are made in order to compare or decide. The link of the questionnaire for health care professionals was sent to the doctors working in the private and public medical institution of the district by e-mail specified on the website of the medical institution. The link to the patient questionnaire was distributed through various social networks - district communities, groups. The survey was conducted in 2022. January 2 until 2022 February 4. The study involved 35 healthcare professionals and 317 patients. The data obtained during the study were processed using SPSS (version 20). The data are presented in tables and figures. The research was conducted in accordance with ethical principles. Results and conclusions of the study. The study revealed that health care professionals in district, both private and public, in many cases make decisions based on clinical efficacy / safety and often consult with other professionals when making clinical decisions. It has been found that the analyzed treatment facilities agree that treatment options need to be discussed with the patient, and that both treatment and medication decisions should be made by both the doctor and the patient, as patient participation would increase customer satisfaction and trust. in their practice, but most often patients do not participate in decision-making because of their beliefs, beliefs, values, as well as lack of information. Patients want to be involved in decision-making, agree that treatment options are being discussed with them, but, as healthcare professionals surveyed, have indicated that there is too little time for consultation. Empirical research has revealed that private healthcare professionals are more likely than public healthcare professionals to agree that treatment decisions should be made by both (physician and patient) - that patients should be involved in decision-making about both medication and treatment. The opportunity to participate in treatment decisions and they listen to and take into account the patient’s wishes so that patient participation in decision making increases customer satisfaction and trust. |
