Klaipėdos universitetas

The article presents the research that reveals the complexity of the patient hospital choice process and, in the context of the research data, enables the evaluation of the patient hospital choice factors influencing their decision. The problem of hospital choice is topical both in Lithuania and other EU and world countries. It is a complex process that requires the evaluation of the poly-functionality of the choice factors: the character of the patient disease and their state of health, the characteristics of the hospital, the interactive relationship between the hospital staff, the patient’s relatives, and Internet access. The research sample consisted of 477 participants aged between 18 and 89, treated in various hospitals throughout the country. Based on the results of the research presented in the article, one can argue that the factors having the greatest impact on patients’ choice of hospital include the advice of friends and significant others, personal experience, and the advice of their family doctor. The main prerequisites for choosing a hospital named by the patient respondents were the qualification of the medical staff, the quality of health care, communication between doctors and patients, the geographical location of the hospital, and its accessibility.

The aim of the article is to review the features of the management of the vaccination process during the Covid-19 pandemic, and the importance of the health care systems in different countries. This is one of the most relevant research topics in recent years in the context of the Covid-19 pandemic, and the number of scientific publications is increasing daily with geometric progression. The authors of the article analysed and summarised over 160 scientific publications. A detailed analysis of the development, clinical research, approval and registration procedures, reliability, safety and efficacy of the Covid-19 vaccine presented in the articles is presented. In this context, it was particularly important for the authors to present the doubts about the advantages of vaccination, and the reasons for refusing vaccination, evaluating the public information context. The role of the health care system is presented in the disclosure of the organisation of the vaccination process in the country, especially in the identification of priority groups of vaccinees, and in the monitoring of vaccinated people. The results of the research analysed in the articles suggest that all registered Covid-19 vaccines are sufficiently reliable, safe and effective, and timely public information is of great importance for vaccination coverage. The central role of the health care system in organising and managing the vaccination process has proven its worth. The vaccination process is managed and controlled in the country.

Straipsnyje nagrinėjamas pacientų sveikatos priežiūros tinkamumas ir kokybė, jų pasitenkinimas sveikatos priežiūra ir lūkesčių išsipildymas didelėje daugiaprofilinėje universitetinėje ligoninėje. Pateikiama individualių, institucinių ir sociodemografinių charakteristikų įtaka pacientų sveikatos priežiūros vertinimui bei jų elgsenai. Tyrimas vykdytas 2004–2015 m. anketinės apklausos metodu. Jis atskleidė, kad absoliuti dauguma (93,8 proc.) pacientų sveikatos priežiūra buvo patenkinti ir jos rezultatai atitiko ar viršijo daugumos (83,8 proc.) jų lūkesčius. Tyrimo rezultatų pagrindu suformuluotos motyvuotos išvados.

The article aims to reveal the medics’ approach to night shift work in multiprofile hospitals of Lithuania. The night shift medics’ work and it singularity was analysed in several related and summarized aspects: approach to night shift work as a phenomenon (1), the impact of night shift on the physiological needs, health and family (2), the interface of night shift work with the environment and work organization (3). The differences of approaches of doctors and nurses to night shift work were disclosed in the article.

In this article an emergency medical assistance and the inter hospital transfer problems are analysed in context of the restructurization of health care institutions and services, also of regionalization and centralization policy in Lithuania. Though the increased accessibility of health care services and improvement of the quality, also reduction of social exclusion and unevenness of provision of health care services are declared as the main objectives (purpose) of restructurization, however increased number of inter hospital transfers and crowding of the Emergency Departments indicate the possible negative tendencies. One of the substantial (fundamental) requirement of the inter hospital transfers is the continuous emergency care during transportation. The article provides a unified concept of second transportation between hospitals. The survey results contain the points of specialists and executives of emergency medical assistance on the current management situation of inter hospital patient flow and the ways how the management of patient flow can be improved. The study was made using questionnaire survey, the questions were divided into separate groups by the objectives of this study. Reasoned conclusions and the scheme of the emergency medical care patients flow are developed with reference to the results of this study.