Quality of preventive consulting on cardiovascular risk factors at primary healthcare level

Abstract

Aim. To assess the quality of preventive consulting (PC) on non-communicable disease (NCD) risk factors (RF) at primary healthcare level, on the basis of medico-sociologic survey among working6age visitors of territorial ambulatory and out-patient departments.
Material and methods. The study was performed as a part of multi-center marketing survey of demand for doctoral PC on main NCD and their RF at two centers – territorial polyclinics in Moscow and Ivanovo. A special questionnaire was used for the survey of representative working-age patients of these polyclinics (men aged 20-59 years, women aged 20-54 years). In total, 641 subjects were included in the study.
Results. Four quantitative PC quality parameters were proposed and assessed in the real-practice settings – indicators of preventive service quality (availability, accessibility, satisfaction) – RF awareness, demand for, reach of, and satisfaction by PC. The patients were inadequately aware on their own RF, with high demand and readiness for doctoral PC recommendations, and low PC reach: in every fifth case only, the already formed motivation and
demand for lifestyle modification could be satisfied.
Conclusion. The study demonstrated inadequate PC quality and use of primary healthcare resources (direct patient-doctor contacts) for complex PC on main NCD RF.