Results of medical specialists' survey regarding the quality of endoscopic examinations

• Evgeniy l. Nikonov
• Maksimov V. Gorelov
• Roman O. Kuvaev

Abstract

Because of ongoing advances in endoscopic technologies, the quality issues of endoscopy are now becoming very important. The aim of this study was to assess the level of awareness of the physicians about the criteria and quality standards for healthcare delivery relating to the preparation and conduct of endoscopic examinations. A questionnaire survey of 580 medical specialists of various specialties in Moscow's medical organizations regarding the quality of endoscopic examinations in medical settings was conducted. 550 questionnaires of respondents (gastroenterologists, endoscopists, surgeons, pediatricians, general practitioners and highly specialized doctors) were analyzed. The analysis of the polling results revealed answers to the main questions regarding the level of supplying institutions with medical equipment, annual number of studies, key quality indicators for endoscopic procedures, features of study protocol design and photo documentation of the study, appliance of validated classifications, implementation of standard biopsy protocols and compliance with the time requirements for the dynamic monitoring of patients at high risk for cancer. On the ground of data analysis, the major limitations of quality attributes implementation in clinical practice were formulated and ways of solving this urgent problem were proposed.

Keywords:endoscopy, quality of medical care, Moscow healthcare, endoscopy service

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