Email this article 
Results of a sociological study of the opinions of medical workers on the implemented organizational technology of internal patient routing in the provision of medical care using radiation therapy and diagnostic methods
- Authors: Ishutin S.V.1,2
- Affiliations:
- N. A. Semashko National Research Institute of Public Health, 105064, Moscow, Russian Federation
- Joint Stock Company «European Medical Center» — Moscow International Oncology Center, st. Durova, 26 building 4, Moscow, Russian Federation, 129090
- Issue: No 1 (2026)
- Pages: 125-130
- Section: Articles
- URL: https://bulleten-nriph.ru/journal/article/view/3142
- DOI: https://doi.org/10.69541/NRIPH.2026.01.019
- Cite item
Abstract
The aim of this study was to conduct a sociological survey of healthcare workers' opinions on the implemented organizational technology for internal patient routing in the provision of medical care using radiation therapy and diagnostic methods. A total of 90 healthcare workers (specialist physicians and nursing staff) from a private medical organization participating in the implementation of a territorial program of state guarantees for radiation therapy and diagnostics in the provision of medical care to patients with oncological diseases took part in the sociological survey. The average length of medical experience of the surveyed healthcare workers was 9.67 years. The average length of work experience at the current place of work was 2.94 years. To assess the opinion of healthcare workers on the implemented organizational technology, a special questionnaire was developed, including six questions focused on key aspects of the routing system. Data was collected using a questionnaire survey using 5-point ordinal Likert scales. The highest average score was recorded in relation to the availability of innovative equipment (M = 4.50), which allows us to consider this aspect as the most favorable. The adequacy of standard equipment and consumables is also highly rated (M = 4.32). Overall satisfaction with working conditions in the new organizational environment is also high (M = 4.31). A Cronbach's alpha coefficient (α) assessment of the developed questionnaire yielded a reliability value of 0.870, demonstrating high internal consistency and reliability. Thus, the technology has successfully passed the implementation stage in terms of technical, organizational, and resource readiness, receiving high expert assessments in this regard from end users—healthcare workers. The identified dispersion of opinions and the relatively lower staff well-being score indicate that technological optimization has created a new configuration of workloads and requirements.
About the authors
Stanislav Valerievich Ishutin
N. A. Semashko National Research Institute of Public Health, 105064, Moscow, Russian Federation; Joint Stock Company «European Medical Center» — Moscow International Oncology Center, st. Durova, 26 building 4, Moscow, Russian Federation, 129090
Email: isst@list.ru
References
- Wells S. A.J., Asa S. L., Dralle H., Elisei R., Evans D. B., Gagel R. F., et al. Revised American Thyroid Association guidelines for the management of medullary thyroid carcinoma. Thyroid. 2015;(25):567—610. doi: 10.1089/thy.2014.0335
- Likhacheva A., Awan M., Barker C. A., Bhatnagar A., Bradfield L., Brady M. S., et al. Definitive and Postoperative Radiation Therapy for Basal and Squamous Cell Cancers of the Skin: Executive Summary of an American Society for Radiation Oncology Clinical Practice Guideline. Pract. Radiat. Oncol. 2020;(10):8—20. doi: 10.1016/j.prro.2019.10.014
- Raghunath A., Desai K., Ahluwalia M. S. Current Treatment Options for Breast Cancer Brain Metastases. Curr. Treat. Options Oncol. 2019;(20):19. doi: 10.1007/s11864-019-0618-5
- Lim-Reinders S., Keller B. M., Al-Ward S., Sahgal A., Kim A. Online Adaptive Radiation Therapy. Int. J. Radiat. Oncol. Biol. Phys. 2017;(99):994—1003. doi: 10.1016/j.ijrobp.2017.04.023
- Elsayad K., Guenova E., Fournier B., Fernandes C., Clementel E., Papadavid E., et al. Real-World Pattern-of-Care Analysis of Primary Cutaneous Lymphomas Radiation Therapy Among European Organisation for Research and Treatment of Cancer Members. Int. J. Radiat. Oncol. Biol. Phys. 2025;(121):1006—10. doi: 10.1016/j.ijrobp.2024.11.011
- Coleman C. N., Buchsbaum J. C., Prasanna P. G.S., Capala J., Obcemea C., Espey M. G., et al. Moving Forward in the Next Decade: Radiation Oncology Sciences for Patient-Centered Cancer Care. JNCI cancer Spectr. 2021;5. doi: 10.1093/jncics/pkab046
- O'Neill A., Hughes C., McClure P., Rainey C., McLaughlin L., McFadden S. Patient engagement with radiation therapists: Patient perspectives, challenges, and opportunities. A systematic review. Radiogr. (London, Engl. 1995). 2023;29(Suppl 1):128—36. doi: 10.1016/j.radi.2023.02.022
- Schröder C., Engenhart-Cabillic R., Vorwerk H., Schmidt M., Huhnt W., Blank E., et al. Patient's quality of life after high-dose radiation therapy for thoracic carcinomas: Changes over time and influence on clinical outcome. Strahlentherapie und Onkol. Organ der Dtsch. Rontgengesellschaft. 2017;193:132—40. doi: 10.1007/s00066-016-1068-7
- Howell C., Tracton G., Amos A., Chera B., Marks L. B., Mazur L. M. Predicting Radiation Therapy Process Reliability Using Voluntary Incident Learning System Data. Pract. Radiat. Oncol. 2019;9:e210—7. doi: 10.1016/j.prro.2018.11.012
- Abdel-Wahab M., Zubizarreta E., Polo A., Meghzifene A. Improving Quality and Access to Radiation Therapy-An IAEA Perspective. Semin. Radiat. Oncol. 2017;(27):109—17. doi: 10.1016/j.semradonc.2016.11.001
