THE APPENDIX
The questionnaire for interrogation of the patient with a maxillofacial pathology in a hospital reception
The dear patient!
The questionnaire purpose: to define a degree of quality of rendering of medical aid to patients with pyoinflammatory diseases cheljustnoyolitsevoj areas in a megacity / a large city.
We ask you to answer questions of the questionnaire developed by chair of maxillofacial surgery and surgical stomatology GBOU VPO RNIMU of N.I.Pirogova of Ministry of Health of Russia.
Convincingly we ask you to express the personal opinion. All results will be used in the generalised kind.
The questionnaire consists of 55 questions. For the answer to a question it is necessary to lead round the corresponding digit, to put a tick or a dagger if it is the table, or to enter the variants in free lines. On the majority of questions it is necessary to choose one variant of the answer if differently it is not stipulated in brackets or answers are not parted by a sign «/».
№ | Questions | Answers | |||
1. | Age (number of full years) | ||||
2. | Floor | ||||
3. | Residence (specify a city/settlement, the country) | ||||
4. | Whether you live in a residence permit place? | Yes | No | ||
5. | If you are not the radical Muscovite, specify the purpose of arrival/moving to Moscow | ||||
6. | Formation | ||||
7. | The marital status | 1. It is not married/not married 2. It is married/married 3. It is dissolved () 4. Another | |||
8. | Trade | ||||
9. | Work place | ||||
10. | Whether your work is bound to professional harmfulnesses, if yes, with what | ||||
11. | Whether you have chronic diseases, if yes specify what? | 1. 2. 3. 4. | |||
12. | If you were ill, in what terms address for medical aid? | On the first Day? | On the second Day? | On the third Day? | After a week ? |
13. | Whether you carry out references of the doctor? | Yes, at once? In the beginning I try as a rule, I carry out to be treated badly? Independently? | |||
14. | If you have chosen the third variant of the answer, explain why: | ||||
15. | Whether your relation has changed to | Yes, in Moscow the relation not I became more rare than me | |||
To treatment after moving to Moscow if you have replaced a residing place? | Arranges quality and rendering assistance ? | Has changed, quality of the help the identical? | To address? | |
16. | If you have chosen the third variant of the answer, explain why? | 1. 2. 3 | ||
17. | Estimate availability of medical aid in Moscow: | In Moscow kvalifitsirova other help is accessible? | It is accessible not always? | Medical aid is accessible only if there is a familiar doctor or money? |
18. | If you have chosen the third variant of the answer, why? | |||
19. | Whether you are attached to an out-patient department in a residing place? | Yes is not present | ||
20. | Disease in which occasion you have addressed now has arisen: | For the first time? | Repeatedly? | For a long time I suffer? |
21. | In what medical institutions you addressed concerning your present disease: | 1. 2. 3. 4. | ||
22. | In what medical institution you have addressed originally concerning the present disease? | 1. An out-patient department? 2. A fracture clinic? 3. Private medical cent? 4. Other hospital? 5. The familiar doctor? | ||
23. | Explain why? | 1. 2. | ||
24. | Whether quickly you have got to the medical institution necessary to you? | Yes, it has not caused difficulties ^ | Has found the necessary doctor not from the first attempt ^ | It has caused appreciable to difficulties |
25. | If you have chosen the third variant of the answer, explain why? | 1. 2. | ||
26. | You have been referred by what medical institution in GKB №1? | Independently? | In a direction from an out-patient department? Or a fracture clinic? | The first help ^ |
27. | If have addressed independently, explain why? | |||
28. | If in a direction from an out-patient department how you estimate the medical assistance rendered in an out-patient department? | Well? | The satisfactory | Not Well? |
29. | If it is not satisfactory, explain why? | 1. 2. 3. | ||
30. | If in a direction from an out-patient department how you estimate work of nurses of an out-patient department? | Well ^ | The satisfactory | Not Well? |
31. | If it is not satisfactory, explain why? | 1. 2. 3. 4. | ||
32. | How you estimate a conditions of life of stay in an out-patient department? | Well? The satisfactory | Not Well? | |
33. | If it is not satisfactory, explain why? | 1. 2. 3. |
4. | |||||||||
34. | How often you take alcohol? | Less often than an once in a month | Less often than an once in a week | Other answer | |||||
35. | How you estimate the living conditions? | Udovletvor itelnye | Not The satisfactory | The bad | |||||
36. | How you estimate equipment of an out-patient department the equipment? | horoshop | The satisfactory | Not Well? | |||||
37. | If it is not satisfactory, explain why? | 1. 2. 3. 4 | |||||||
38. | If you are hospitalised by a brigade of the first help, estimate its work? | Well? | Not the satisfactory | ||||||
39. | If it is not satisfactory, explain why? | 1. 2. 3. 4. | |||||||
40. | How you estimate work of doctors of the given hospital? | Satisfy telnop | Not so Well? | Not Well ? | |||||
41. | If it is not satisfactory, explain why? | 1. 2. 3. 4 | |||||||
42. | Whether you try to be treated at the familiar doctor? | Yes, only at the acquaintance, I apply on it much usilijp | If there is such possibility? | Is not present? | |||||
43. | Explain the answer: | 1. 2. 3 | |||||||
44. | What personal qualities the doctor should possess? | ||||||||
45. | When last time you were at the stomatologist? | It is less than month back | About half a year Back | More one year ago | Another | ||||
46. | What is the time you spend for road before work? | ||||||||
47. | Whether you smoke? If yes, specify how many years? | Yes | No | ||||||
48. | What do you think of necessity of annual routine inspections at the stomatologist? | It is necessary | It is necessary to pass | Time waste | |||||
49. | Whether you pass annual routine inspection at the stomatologist? | Yes | Not every year | No | |||||
50. | If "yes", explain | Refers establishment where you are worked/study | The doctor - the therapist on a residence refers | I pass under own initiative | |||||
51. | How you estimate a conditions of life in hospital? | udovletvoriteln op | Not so udovletvoriteln op | Not udovletvoritel no ^ | |||||
52. | If it is not satisfactory, explain why? | ||||||||
53. | How you estimate equipment equipment GKB №1? | Will satisfy elno ^ | Not so Well? | Not Well ? |
54. | Whether you are satisfied by level of diagnostics of your disease? | Yes? | Is not present? | |
55. | Whether you are satisfied by level of rendering of medical aid GKB №1? | Yes? | Is not present? |
The questionnaire for interrogation of patients in unit of maxillofacial surgery the Dear patient!
The purpose: to define a degree of quality of rendering of medical aid to patients with pyoinflammatory diseases of maxillofacial area in a megacity / a large city.
We ask you to answer questions of the questionnaire developed by chair of maxillofacial surgery and surgical stomatology GBOU VPO RNIMU by it. N.I. Pies of Ministry of Health of Russia.
Convincingly we ask you to express the personal opinion. All results will be used in the generalised kind.
The questionnaire contains 45 questions. For the answer to a question it is necessary to lead round the corresponding digit, to put a tick or a dagger if it is the table, or to enter the variants in free lines. On the majority of questions it is necessary to choose one variant of the answer if differently it is not stipulated in brackets. If you have chosen an answer variant after which costs strelochka (=>) it is necessary to pass to a question at that number which is specified after strelochki.
№ | Question | |
1. | Whether you are observed regularly at the doctor with a view of diagnostics and preventive maintenance? | |
Yes | No | |
2. | Whether you are attached to an out-patient department in a residence permit place? | |
Yes | No | |
3. | How often you visit an out-patient department? | |
Extremely seldom, 1 time in some years | ||
Seldom enough. 1 - 2 times a year | ||
On the average once a month | ||
Often enough, some times in a month | ||
Very often, some times in a week | ||
4. | As a rule, at disease you address at once for medical aid? | |
For the first day | ||
On the second - the third day | ||
After a week | ||
I do not address «to the last» | ||
5. | Whether always at treatment you carry out references of the doctor? | |
Yes, at once | ||
In the beginning I try to be treated independently | ||
As a rule, I do not carry out (write why) | ||
6. | Estimate, please, as for last 5 years following indicators have changed? (Put down a tick in each line in a corresponding cell) |
Indicators | Has improved | In something it is better, in what Is worse | Not Has changed | Has worsened | I am at a loss to answer | ||||
Quality of rendering of medical services | |||||||||
The organisation of medical services | |||||||||
The relation between the doctor and the patient | |||||||||
Quality of rendering of medical services | |||||||||
7. | Present, that you could choose a hospital for hospitalisation. You would choose 1st town hospital? | ||||||||
Yes | No | I am at a loss to answer | |||||||
8. | You have addressed in 1st town hospital: | ||||||||
In a direction from an out-patient department | Are delivered SMP | Independently | |||||||
9. | Explain the answer from point 7 (why you have chosen this kind of hospitalisation)?: | ||||||||
10. | Where it would be convenient to you to pass the period of a posthospital after-care? | ||||||||
11. | On a residence in an out-patient department | At the familiar doctor | In 1st town | ||||||
12. | Whether there are at you the bad habits influencing your health? | ||||||||
Yes | No | I am at a loss to answer | |||||||
13. | What do you think of visiting of the doctor-stomatologist? | ||||||||
Easy | A little I am afraid | Very much I am afraid | |||||||
14. | Estimate, please, on a five-point scale following indicators of 1st town hospital (put down points in corresponding cells: the 5-higher point, the 1-lowest point) | ||||||||
Diagnostic procedures (ultrasonic, a X-ray, a spectrum of analyses) | |||||||||
Medical - diagnostic procedures | |||||||||
A variety of experts (the therapist-stomatologist, the surgeon - the stomatologist, the stomatologist-orthopedist, ortodont, paradontolog) | |||||||||
Level of sanitary-and-hygienic conditions | |||||||||
Equipment technics | |||||||||
Work of doctors | |||||||||
Work of medical sisters | |||
15. | Tell, you would take advantage of the right of a choice/change of the attending physician? | ||
1.да 2.хотел (). But could not | Z.net => pass to a question 22 | ||
16. | Why you have changed, or would like to change the doctor? | ||
The doctor had been rendered poor-quality medical aid | |||
The doctor had been divulged the confidential information on a state of health | |||
The doctor has not prescribed necessary diagnostic procedures | |||
The doctor tried to receive money for services which should render free of charge | |||
Another (write) | |||
17. | What to you has prevented? | ||
Did not know () where to address | |||
Has solved (). That it is useless | |||
Was afraid (las) publicities | |||
It would not be desirable to spoil relations with the doctor | |||
There was no necessity | |||
To me have given up (write the reason) | |||
Another (write the reason) | |||
18. | What would you wish to change in work of 1st town hospital and unit of maxillofacial surgery? (Write) | ||
19. | Whether led with you discussion concerning signing of the informed consent to medical aid rendering? | ||
1. Yes | 2. No | 3. I am at a loss to answer => pass to a question 27 | |
20. | Who explained you the text of the informed consent to a medical intervention? | ||
The doctor-surgeon | |||
The younger doctor | |||
Medical sister | |||
Anybody | |||
21. | Whether you are satisfied by conversation concerning signing of the informed consent to medical aid rendering? | ||
1. Yes | 2. Is not present (write, why) | ||
22. | Whether there are at you claims to work of the doctor and/or medical sisters of a reception of 1st town hospital? | ||
1. Yes | 2. Is not present => pass to a question 33 | |
23. | What was a principal cause of your claims? | |
Poor-quality medical aid | ||
Disclosure of the confidential information on a state of health | ||
Refusal of appointment of necessary diagnostic procedures | ||
Work sluggishness | ||
The demand of money for those services. Which should be given free of charge | ||
Bad sanitary-and-hygienic working conditions | ||
Another (Write) | ||
24. | Whether there are at you claims to work of the doctor and/or medical sisters of unit of maxillofacial surgery of 1st town hospital? | |
1. Yes | 2. Is not present => pass to a question 33 | |
25. | What was a principal cause of your claims? | |
Poor-quality medical aid | ||
Disclosure of the confidential information on a state of health | ||
Refusal of appointment of necessary diagnostic procedures | ||
The bad and rasping relation | ||
The demand of money for those services. Which should be given free of charge | ||
Bad sanitary-and-hygienic working conditions | ||
Another (write) | ||
26. | Whether you addressed with claims in corresponding instances? | |
In public health services department | ||
In a hospital administration | ||
To managing unit | ||
In law enforcement bodies | ||
27. | Whether your claims as a result of the reference in the specified instances have been satisfied? | |
Yes, have been completely satisfied | ||
Yes, have been satisfied, but not completely generally have not been satisfied | ||
No, are not satisfied absolutely not | ||
I am at a loss to answer | ||
28. | Whether it is good you are informed on your disease, tactics of treatment and the forecast? | |
Yes, completely | ||
It is informed (), but not completely | ||
Practically it is not informed () | ||
I am at a loss to answer | ||
29. | Write, what you would wish to know about the disease? | |
30. | When you last time were at the doctor-stomatologist? |
About one month ago | Nearby about one year back another Half a year back | |
31. | Whether you smoke? | |
No | Yes How many years? | |
32. | How often you take alcohol? | |
Less often than an once Another is more rare than an once in a month In a week | ||
33. | Whether you are going to pass aftertreatment after hospitalisation in an office of an after-care of 1 th town hospital? | |
Yes, because I am satisfied () by quality of the rendered hospitalisation | ||
No, I accept the help rendered in my out-patient department more | ||
Not, it is not convenient to me to reach | ||
Yes, because I live near to 1 th town hospital | ||
Yes. Because only here can assist the qualified help concerning my disease | ||
I am at a loss to answer | ||
34. | Your floor | |
The man's female | ||
35. | Age | |
To 19 inclusive | ||
From 20 to 29 | ||
From 30 to 39 | ||
From 40 to 49 | ||
From 50 to 59 | ||
From 60 to 69 | ||
From 70 years also is more senior | ||
36. | Formation | |
The initial | ||
Not finished average | ||
Average | ||
Average special | ||
Not finished the higher | ||
The higher | ||
There is a scientific degree | ||
37. | The social status | |
The pupil, idle | ||
The pupil working | ||
The worker | ||
The employee | ||
The idle pensioner | ||
The working pensioner | ||
The unemployed | ||
The housewife |
The private businessman | ||
Another (write) | ||
38. | The marital status | |
It is married (married) | ||
Canvas (not married) | ||
It is dissolved () | ||
The widower/widow | ||
Civil marriage | ||
39. | What monthly average income on one member of your family? | |
1. To 3000 rbl. | ||
2. 3000-5900 rbl. | ||
3. 6000-9999 rbl. | ||
4. 10000-14999 rbl. | ||
5. 15000-19999 rbl. | ||
6. Over 20000 rbl. | ||
40. | Where you live? 1. Moscow 2. Zelenograd 3. The Moscow area 4. Another (write) | |
41. | Whether you live in a residence permit place? | |
Yes is not present | ||
42. | Whether there are in your work professional harmfulnesses? 1. Yes (write) | |
2. No | ||
43. | How many you spend time from the house before work? | |
44. | Whether has you chronic diseases? 1. Yes (write) | |
2. No | ||
45. | Estimate your living conditions? | |
Satisfactory not the satisfactory bad |
The questionnaire for doctors (doctor's assistants) of first aid Dear colleagues!
The purpose: studying of opinion of the personnel of the first help concerning quality of rendering of medical aid by the patient and level of knowledge of pyoinflammatory diseases of maxillofacial area.
We offer you the questionnaire developed by chair of maxillofacial surgery and stomatology GBOU VPO RNIMU of N.I.Pirogova of Ministry of Health of Russia. We ask you to mean, that your opinion will not be announced. Results of questioning I will be used in the generalised kind. Your answers will allow to improve quality of rendering of medical aid to patients with pyoinflammatory diseases of maxillofacial area in a megacity and a large city.
The questionnaire contains 20 questions. Convincingly we ask you to express the personal opinion. For the answer to a question it is necessary to lead round the corresponding digit, to put a tick or a dagger if it is the table, or to enter the variants in free lines.
№ | Question | The answer | |
1 | Your age | ||
2 | Your floor | ||
3 | Your formation (an educational institution, year of the termination) | ||
4 | The work experience | ||
5 | Additional specialities | ||
6 | Presence of a medical category | ||
7 | Academic status presence | ||
8 | Questions | Yes | No |
9 | Whether often you face inflammatory diseases of maxillofacial area? | ||
11 | Whether it is good you are familiar with this pathology? Explain the answer: | ||
13 | Whether there are at you difficulties with statement of the diagnosis at patients to inflammatory diseases cheljustno - facial area If "yes", specify, what: | ||
15 | Whether there are at you difficulties at medical aid rendering «on a place» to patients with gnojnoyovospalitelnymi diseases cheljustno - facial area If "yes", specify, what: | ||
16 | Whether there are at you complexities with hospitalisation of patients with traumatic damages cheljustno - facial area? |
If "yes", specify, what: | |||
17 | Whether enough you are equipped by the equipment for medical aid rendering to such patients? | ||
18 | Whether always you know, to what doctor in an out-patient department to refer the patient with inflammatory disease of maxillofacial area if it does not require hospitalisation? | ||
19 | Whether there are at you complexities with hospitalisation of patients with inflammatory diseases cheljustno - facial area? If "yes", specify, what: | ||
20 | Whether there is a necessity for the additional information on diseases of maxillofacial area? If "yes", specify, in what kind: 1. The methodical grant 2. A curriculum 3. Introduction of separate lectures in the general courses of improvement of qualification |
The questionnaire for interrogation of doctors of unit of maxillofacial surgery the Dear colleague!
The purpose: studying of opinion of doctors about quality of rendering of medical aid to patients with pyoinflammatory diseases cheljustnoyolitsevoj areas.
We offer you the questionnaire developed by chair of maxillofacial surgery and surgical stomatology GBOU VPO RNIMU of N.I.Pirogova of Ministry of Health of Russia. We ask you to mean, that your opinion will not be announced. Results will be used in the generalised kind. Your answers will promote improvement of quality of rendering of medical aid to patients with pyoinflammatory diseases cheljustnoyolitsevoj to area in a megacity / a large city.
The questionnaire contains 40 questions. For the answer to a question it is necessary to lead round the corresponding digit, to put a tick or a dagger if it is the table, or to enter the variants in free lines. On the majority of questions it is necessary to choose one variant of the answer if differently it is not stipulated in brackets. If you have chosen an answer variant after which costs strelochka (=>) it is necessary to pass to a question at that number which is specified after
st | relochki. | ||||
№ | Question | The answer | |||
1. | Age | ||||
2. | Floor | M? | ? | ||
3. | Specify the marital status | It is married/married? | It is not married \not Married ^ | ||
4. | Whether you have children | Yes? | Is not present? | ||
5. | Specify your general medical experience (Quantity of years) | ||||
6. | The work experience on a speciality maxillofacial surgery (Quantity of years) | ||||
7. | How many years you work in the given hospital | ||||
8. | Specify the name establishment The higher medical education which you finished | ||||
9. | What poslediplomnoe formation you have received and how you estimate it? | udovletvo ritelno | Not so udovletvor itelno | Not udovletvor itelno | |
Internship | ? | ? | ? | ||
Internship | ? | ? | ? | ||
Postgraduate study | ? | ? | ? | ||
10. | If an estimation not satisfactory, explain, to what it is bound? | 1. 2. 3. 4. | |||
11. | On what advanced training courses of doctors you were trained? | 1. 2. 3. |
4 | |||||
12. | How you estimate each courses? | Satisfy lno | Not so Well | Not udovletvoriteln about | |
1.? 2.? 3.? 4.? | 1.? 2.? 3.? 4.? | 1.? 2.? 3.? 4.? | |||
13. | If an estimation not satisfactory, explain, to what it is bound? | 1. 2. 3. 4. | |||
14. | What form of training on advanced training courses of doctors you consider comprehensible? | With an abruption from work ^ | On the worker of revenges | ||
15. | Scientific degree | ||||
16. | Medical category | ||||
17. | Other specialities | ||||
18. | Formation on another To specialities | ||||
19. | Whether you in practical work use an additional education? | Yes, it helps me with work | Not always it is possible to apply knowledge | No, unfortunately | |
20. | If the answer negative, explain why? | ||||
21. | Your relation to work with urgentnoj a pathology | It is pleasant ^ | Just as to any another ^ | It is not pleasant, I test stress ^ | |
22. | Whether you face in the to work with socially unsuccessful Patients? | The frequent | Sometimes ^ | I do not face ^ | |
23. | What do you think of socially unsuccessful patients? | I feel compassion, is ready to help ^ | Just as to any another ^ | «It is necessary - I treat»? | |
24. | Whether you face in work with sick of virus hematite, a tuberculosis. A HIV? | The frequent | Sometimes ^ | I do not face ^ | |
25. | What do you think of work with sick of virus hematite, a tuberculosis. A HIV? | I feel compassion, is ready to help ^ | Easy I work, since I know protection methods ^ | I am nervous at work with these patients? | |
26. | The stress is integral Making work in skoropomoshchnoj to hospital? | Yes ^ | As at any profession of a physician ^ | Is not present ^ | |
27. | What do you think of work in "command"? | The best form of the organisation of work of surgeons ^ | It not always the convenient | The negative | |
28. | Whether there is a necessity for creation of constant surgical brigades (invariable within a year)? | Yes, it would be convenient - I get used to people ' | There is no difference, all the same quality of work will not change ^ | No, it would be not convenient | ||||||||
29. | What qualities the surgeon working with you in a brigade should possess? | 1. 2. 3. 4. 5. | ||||||||||
30. | As you estimate coordination of work between sick-lists Services? | The high | Not so high | Coordination plohajae | ||||||||
31. | What interfacing specialities, in your opinion, should master (or in more details to study) the maxillofacial surgeon, Working in skoropomoshchnoj To hospital? | 1. 2. 3. 4. | ||||||||||
32. | Whether are inherent in you more low The listed qualities? Estimate them on 10 mark scale. | Points | ||||||||||
1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 | |||
33. | Responsibility | |||||||||||
34. | sistemnost in work | |||||||||||
35. | Self-trust | |||||||||||
36. | Skill to communicate | |||||||||||
37. | Initiative | |||||||||||
38. | Discipline | |||||||||||
39. | Participation in the public Actions | |||||||||||
40. | Whether is, in your opinion, necessity for intensifying Coordination of work the medical Sisterly brigades on watch? | Yes, now there is no uniform motivation trudap | vrachebnoyosestrinskie brigades work effective enough | No, all the same quality of work will not change e | ||||||||
The questionnaire for interrogation of the average medical personnel of unit of maxillofacial surgery Dear medical sisters!
The purpose: studying of opinion of the average medical personnel about quality of rendering of medical aid to patients with pyoinflammatory diseases of maxillofacial area.
We offer you the questionnaire developed by chair of maxillofacial surgery and surgical stomatology GBOU VPO RNIMU of N.I.Pirogova of Ministry of Health of Russia. We ask you to mean, that your opinion will not be announced, results I will be used in the generalised kind. Your answers will promote improvement of quality of rendering of medical aid to patients with pyoinflammatory diseases cheljustnoyolitsevoj to area of the inhabitant in a megacity / a large city.
The questionnaire contains 22 questions. For the answer to a question it is necessary to lead round the corresponding digit, to put a tick or a dagger if it is the table, or to enter the variants in free lines. On the majority of questions it is necessary to choose one variant of the answer if differently it is not stipulated in brackets. If you have chosen an answer variant after which costs strelochka (=>) it is necessary to pass to a question at that number which is specified after strelochki.
№ | Question | The answer | ||
1. | Age | |||
2. | Floor | mp zhp | ||
3. | The general medical experience (quantity of years) | |||
4. | The work experience on a speciality in skoropomoshchnoj to hospital (quantity of years) | |||
5. | Specify the name establishment srednespetsialnogo the medical Formations which you finished | |||
6. | The work experience on a speciality in unit the maxillofacial Surgeries (quantity of years) | |||
7. | Sisterly category | |||
8. | Additional specialities | |||
9. | Formation on another To specialities | |||
10. | How many years you work in skoropomoshchnoj to hospital? | |||
11. | Your relation to work with urgentnoj a pathology | nravitsjae | Just as to any drugoje | It is not pleasant, I test stress |
12. | Whether you face in the to work with socially unsuccessful Patients? | Often Є | inogdae | Not stalkivajuse |
13. | What do you think of socially unsuccessful patients? | I test Compassion, it is ready pomoche | Just as to any drugime | «It is necessary - I treat »e |
14. | Whether you face in work with sick of virus hematite, Tuberculosis. A HIV? | Often? | Sometimes ^ | I do not face ^ | |||||||
15. | What do you think of work with sick of virus hematite, Tuberculosis. A HIV? | I test Compassion, is ready to help ^ | Easy I work, since I know protection methods ^ | I am nervous at work with these patients | |||||||
16. | «The stress is integral Making work in skoropomoshchnoj to hospital » | w? | As at any profession of a physician | Is not present ^ | |||||||
17. | What do you think of work in "command"? | The best form of the organisation of work of surgeons ^ | It not always the convenient | Negatively? | |||||||
18. | Whether is, in your opinion, necessity for intensifying Coordination of work medical - sisterly brigades on watch? | Yes, now there is no uniform motivation to works | vrachebnoyosestrinskie brigades work enough e (|) (|) ektivno ' | No, all the same quality of work not Will change? | |||||||
19. | What qualities the colleague working with you in a sisterly brigade should possess? | 1. 2. 3. 4. | |||||||||
20. | What additional courses and skills need to be mastered, in your opinion, should master (or in more details to study) average The medical personnel working in skoropomoshchnoj to hospital? | 1. 2. 3. 4. | |||||||||
21. | What poslediplomnoe formation you have received? How you estimate it? | The name of courses usovershenstv ovanija | udovletvor itelno | Not so udovletvor itelno | Not udov letv orit eln about | ||||||
? | ? | ? | |||||||||
? | ? | ? | |||||||||
? | ? | ? | |||||||||
? | ? | ? | |||||||||
22. | Whether more low listed qualities are inherent in you? Estimate them on 10 mark scale. | Points | |||||||||
1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 | ||
Responsibility | |||||||||||
sistemnost in work | |||||||||||
Self-trust | |||||||||||
Skill to communicate | |||||||||||
Initiative | |||||||||||
Discipline | |||||||||||
Participation in the public Actions |
Statistical dossier of a hospital of maxillofacial surgery
№ case histories | |||
FIRST NAME, MIDDLE INITIAL, LAST NAME | |||
Age | |||
Floor | |||
The marital status | |||
Physical inability | |||
Residence | |||
Constant I Time | |||
Works | the pensioner does not work | | |||
Work place | |||
Presence of professional harmfulnesses | 1. 2. | ||
The hospitalisation channel | SMP | The out-patient department dress | samotek |
Addition to the hospitalisation channel | |||
For what day from the disease beginning it is hospitalised | |||
Whether it was treated before hospitalisation in other medical institution (to specify LPU) | |||
What medical help has been rendered | |||
The diagnosis of the referred establishment of the SMP/OUT-PATIENT DEPARTMENT | |||
The diagnosis clinical: | |||
Basic disease | |||
Accompanying disease | |||
HIV I hepatitis In | a hepatitis With | Tvs | a syphilis | |||
Another | |||
Consultations of experts | |||
The adviser | The diagnosis (conclusion) | ||
1. | |||
2. | |||
3. | |||
Quantity kojkoyodnej | CHLH | Other units | In total |
Laboratory methods of research | Research kind | Frequency rate 1. 2. | |
Tool methods of research | Research kind | Frequency rate 1. 2. | |
Radiological methods of research | Research kind | Frequency rate 1. 2. | |
Manipulations | 1. 2. 3. | ||
Whether it was observed sick aftertreatment in an office | |||
The manipulations spent in an office to aftertreatment/polyclinic on a residence | 1. 2. 3. | ||
Consultations of other experts in an office to aftertreatment/polyclinic on a residence | 1. 2. 3. |
Other medical related information THE APPENDIX:
- THE APPENDIX 1
- the Appendix 2 Diary
- THE APPENDIX 1
- the Appendix № 1 Informed consent to participation in psychological research
- the Appendix № 2 Projective technique «the Magic country of feelings» on Zinkevich-Evstigneevoj
- the Appendix № 3 Projective technique «the Nonexistent animal»
- the Appendix № 4 Projective technique «the Kinetic drawing of a family»
- the Appendix № 5 Scale of definition of obvious uneasiness for children (CMAS)
- the Appendix № 6 Scale of definition of personal uneasiness A.M. Parishioners
- the Appendix № 7 Technique of an estimation of uneasiness on Spilbergeru in JU.L.Khanin's adaptation
- the Appendix № 8 Technique of research of a self-rating on Dembo-Rubinshtejn in updating A.M. Parishioners
- the Appendix № 9 Technique of diagnostics of the parent relation to the child on Varga-Stolinu
- THE APPENDIX