Bulletin of Social Hygiene and Health Protection Organization of Ukraine
type: channel
description: The journal publishes articles which highlights the issue of public health policy, the theoretical foundations of health; conceptual foundations reform, the issue of prevention in public health, medical, demographic, medical and social research, study and prediction of health, development of models health management. ISSN 2414-9470 (Online), ISSN 1681-2786 (Print)
publisher: Ternopil National Medical University
language: uk-UA
publication name: Bulletin of Social Hygiene and Health Protection Organization of Ukraine
issn: 1681-2786
copyright: Authors who publish in this journal agree to the following terms: <img src="[binary]" alt="" width="114" height="40"> 1. The authors reserve the right to authorship of the work and pass the journal right of first publication of this work is licensed under a Creative Commons Attribution License, which allows others to freely distribute the work published with reference to the authors of the original work and the first publication of this magazine. 2. Authors are entitled to enter into a separate agreement on additional non-exclusive distribution of work in the form in which it was published in the magazine (eg work place in the electronic repository institution or publish monographs in part), provided that the reference to the first publication of this magazine. 3. Policy magazine allows and encourages authors placement on the Internet (eg, in storage facilities or on personal websites) manuscript of how to submit the manuscript to the editor and during his editorial processing, since it contributes to productive scientific discussion and positive impact on the efficiency and dynamics of citing published work (see. The Effect of Open Access).
items: TEACHING METHODS IN PUBLIC HEALTH: MODERN APPROACHES AND PERSPECTIVES
items: MENTAL HEALTH OF MILITARY PERSONNEL IN WAR CONDITIONS: CHRONIC STRESS, RISKS AND WAYS OF REHABILITATION
items: DRUG-RESISTANT TUBERCULOSIS IN CHILDREN IN UKRAINIAN REALITIES: MAIN PROBLEMS AND RESEARCH DIRECTIONS
items: CONCEPTUAL APPROACHES TO THE FORMATION OF ADOLESCENTS’ BELIEFS ABOUT A HEALTHY LIFESTYLE
items: ANALYSIS OF PATIENTS' KNOWLEDGE OF DENTAL ILLNESS AND THEIR PREVENTION ACCORDING TO DATA OF SOCIOLOGICAL EXPERIENCE
items: EPIDEMIC FORECASTING AS A DIRECTION OF USING ARTIFICIAL INTELLIGENCE IN PUBLIC HEALTH
items: THYROID CANCER INCIDENCE AND MORTALITY IN UKRAINE
items: ASSESSMENT OF THE QUALITY OF LIFE AND SOCIAL ENGAGEMENT OF WOMEN OF CLIMACTERIC AGE IN THE CONTEXT OF UNCERTAINTY
items: BURDEN OF HEPATITIS B AND C AND COMPLICATIONS OF THE UPPER GASTROINTESTINAL TRACT: ANALYSIS OF EPIDEMIOLOGICAL TRENDS FOR PUBLIC HEALTH POLICY FORMATION
items: DRUG ADDICTION: GLOBAL TRENDS IN THE MOST COMMON DRUGS OF OUR TIME
items: MENTAL HEALTH IN CONDITIONS OF WAR: KEY MENTAL AND PSYCHOSOCIAL CHALLENGES AND PRINCIPLES OF ASSISTANCE
items: EVALUATION OF SOCIO-ECONOMIC AND OCCUPATIONAL RISK FACTORS ASSOCIATED WITH SEXUAL DYSFUNCTION IN MEN
items: PREVALENCE OF VITAMIN D DEFICIENCY AND RELATED FACTORS IN ADOLESCENTS WITH OBESITY
items: PLANNING THE ACTIVITIES OF A PRIMARY MEDICAL CARE INSTITUTION STRATEGY AND TACTICS FOR A FIVE-YEAR PERSPECTIVE IN THE MODERN CONDITIONS OF UKRAINE
items: ANALYSIS OF COMPLIANCE OF UKRAINIAN DIAGNOSTIC GUIDELINES FOR PSEUDOEXFOLIATION SYNDROME WITH WORLD HEALTH ORGANIZATION RECOMMENDATIONS
items: PSYCHOLOGІCAL PECULІARІTІES OF PROFESSІONAL BURNOUT AMONG DOCTORS ІN WARTІME
items: BUDGETING IN HEALTHCARE INSTITUTIONS IN THE CONDITIONS OF MEDICAL REFORM IN UKRAINE
items: HEALTH SYSTEM AS A STRATEGIC FACTOR OF HUMAN POTENTIAL DEVELOPMENT IN UKRAINE: SOCIO-MEDICAL AND SOCIO-ECONOMIC CONTEXT
items: ANTIMICROBIAL DRUG MANAGEMENT MODEL AT THE PRIMARY HEALTH CARE LEVEL
items: CONVERSATIONAL ARTIFICIAL INTELLIGENCE IN HEALTHCARE: ADVANTAGES AND APPLICATIONS
items: INVESTIGATION OF THE EFFECT OF RUSSIAN MILLITARY FORCES INVASION IN UKRAINE ON THE ORGANISATION OF MEDICAL CARE FOR PATIENTS WITH OPEN-ANGLE GLAUCOMA
items: INSTRUMENTS FOR ASSESSING THE VIEWS OF HEALTHCARE MANAGERS ON QUALITY ASSURANCE IN OBSTETRIC AND GYNECOLOGICAL FACILITIES
items: CONDITIONS FOR PROVIDING THE POPULATION OF THE TERRITORIAL COMMUNITY OF THE MOUNTAINOUS GEOGRAPHICAL ZONE WITH MEDICAL CARE
items: MODERN MARKETING TECHNOLOGIES IN THE PHARMACY BUSINESS: CHALLENGES AND PROSPECTS
items: https://ojs.tdmu.edu.ua/index.php/visnyk-gigieny/article/view/15662
items: HUMAN RESOURCE SUPPORT FOR THE PUBLIC HEALTH SYSTEM IN THE CONTEXT OF OVERCOMING THE CONSEQUENCES OF MILITARY ACTIONS
items: DENTAL SUPPORT FOR DEFENDERS: FREE TREATMENT AND PROSTHETICS
items: SCIENTIFIC ANALYTICAL SEARCH OF RESEARCH ON THE USE OF BIOSENSORS IN PUBLIC HEALTH
items: METHODS FOR THE TECHNICAL REGISTRATION OF SUSPECTED INFECTIOUS DISEASE OUTBREAKS REQUIRING INVESTIGATION
items: HEALTHCARE QUALITY MANAGEMENT MODELS: GLOBAL EXPERIENCE AND LESSONS FOR UKRAINE

TEACHING METHODS IN PUBLIC HEALTH: MODERN APPROACHES AND PERSPECTIVES
type: item
description: Purpose: to analyze and identify the most effective teaching methods in the field of public health for training learners in both formal and non-formal education. Materials and Methods. The study applied an analysis of scientific literature, synthesis of educational practices, and comparison of traditional and innovative pedagogical approaches. The research materials included publications in peer-reviewed journals addressing teaching methods in public health education. Bibliosemantic and information-analytical methods were used. Results. The study analyzed current teaching methods in public health. It was found that the most effective approaches include active, flipped, experiential, and collaborative learning, as well as the use of digital technologies, personalized approaches, and innovative tools, particularly artificial intelligence. These methods contribute to the development of professional competencies, critical thinking, communication, and leadership skills. The integration of innovative technologies enhances learners’ motivation and knowledge acquisition. At the same time, the need for further research on the long-term effectiveness of personalized and technology-enhanced approaches was identified. The findings confirm the importance of combining different teaching methods to develop practice-oriented skills in future professionals. Conclusions. The combination of traditional and innovative educational technologies creates a flexible and effective learning environment that ensures the training of highly qualified public health professionals capable of responding to the challenges of modern society. The systematic integration of these methods into educational programs can significantly enhance the quality of professional preparation and strengthen the resilience of the healthcare system as a whole.
creator: V. V. Brych
rights: Copyright (c) 2025 https://creativecommons.org/licenses/by/4.0
license: https://creativecommons.org/licenses/by/4.0
date: 2025-10-20
publication date: 2025-10-20
number: 3
starting page: 6
ending page: 11
doi: 10.11603/1681-2786.2025.3.15631

MENTAL HEALTH OF MILITARY PERSONNEL IN WAR CONDITIONS: CHRONIC STRESS, RISKS AND WAYS OF REHABILITATION
type: item
description: Purpose: The aim of this study was to determine the impact of prolonged exposure to combat on the mental health of servicemen and to outline effective approaches for psychological rehabilitation and social reintegration. Materials and Methods. The study applied bibliosemantic, medical-sociological, and medical-statistical methods, along with focused and free interviews. The sample included 106 participants: 71 experienced long-term combat exposure, 22 were undergoing recovery after intensive battles, and 13 were veterans. The research was conducted in 2024–2025 in compliance with international and national ethical standards. Results. Findings revealed insufficient psychological training: more than half of respondents did not receive stress-resilience training, which correlated with a high prevalence of psychological disorders. The most common symptoms were insomnia, anxiety, apathy, and helplessness. Only 13.3% had ever sought psychological assistance, reflecting a lack of trust in the support system. Physical health deterioration manifested through chronic fatigue, back and joint pain, and cardiovascular and endocrine disorders. Social aspects were marked by tendencies toward self-isolation alongside strong peer support. A comparison with international practices (Israel, USA, NATO) highlighted the effectiveness of systemic psychological support models integrating testing, group programs, and post-combat rehabilitation. The Ukrainian context revealed additional challenges – mass traumatic experiences and the urgent need to establish a unified national system of psychological care. Conclusion. The development of a comprehensive multisectoral model that integrates governmental, community, and international resources is essential to ensure sustainable support, rehabilitation, and social reintegration of servicemen and veterans.
creator: S. V. GORDIICHUK
creator: V. Y. SHATYLO
creator: O. O. VIRCHENKO
creator: O. M. SEREBRYAKOV
creator: A. A. MOZHARIVSKA
rights: Copyright (c) 2025 https://creativecommons.org/licenses/by/4.0
license: https://creativecommons.org/licenses/by/4.0
date: 2025-10-20
publication date: 2025-10-20
number: 3
starting page: 12
ending page: 17
doi: 10.11603/1681-2786.2025.3.15632

DRUG-RESISTANT TUBERCULOSIS IN CHILDREN IN UKRAINIAN REALITIES: MAIN PROBLEMS AND RESEARCH DIRECTIONS
type: item
description: Purpose: to summarize the main trends, problematic issues regarding drug-resistant tuberculosis in children in Ukraine and to analyze the possibilities of counteracting the spread of this disease. Results. More than 60 sources of information on the subject of the study, published over the past few years, were processed and analyzed – theses, articles and abstracts of articles in domestic and foreign scientific journals, documents of WHO and other organizations related to public health. More than 40 sources of information were selected for citation, which highlight the depth of the problems and various aspects of combating the spread of tuberculosis in general and resistant tuberculosis in children in particular. A detailed analysis of modern approaches to the diagnosis of drug-resistant TB, as well as the possibilities of treating the disease with the use of new anti-TB drugs and the use of short-term chemotherapy regimens, was conducted. Materials and Methods. Publications in scientific journals and on Internet resources, WHO documents, official statistics. Conclusions. In Ukraine, extremely difficult conditions for TB control have developed, associated with military operations. Significant spread of MR TB is occurring all over the world, in Ukraine the incidence of drug-resistant forms of TB is increasing in adults and children. The most modern methods of TB diagnostics are being implemented in Ukrainian laboratories and clinics, and new improved therapy regimens using newly developed anti-TB drugs are also being used.
creator: Ya. I. Dotsenko
creator: O. Ye. Sivachenko
creator: I. Ye. Shekhter
rights: Copyright (c) 2025 https://creativecommons.org/licenses/by/4.0
license: https://creativecommons.org/licenses/by/4.0
date: 2025-10-20
publication date: 2025-10-20
number: 3
starting page: 18
ending page: 26
doi: 10.11603/1681-2786.2025.3.15633

CONCEPTUAL APPROACHES TO THE FORMATION OF ADOLESCENTS’ BELIEFS ABOUT A HEALTHY LIFESTYLE
type: item
description: Purpose: To identify key conceptual approaches to promoting healthy lifestyles among adolescents, with consideration of current scientific and practical aspects. Materials and Methods. To achieve this goal, the following research methods were applied: systematic approach and analysis, bibliosemantic method, and conceptual and descriptive modelling. Results. Adolescence is a critical period for developing behaviours that influence lifelong health. The main challenges are adolescents’ reluctance to accept health-related information and the lack of adapted educational programmes. An effective model of behaviour change consists of three components: informational (knowledge of health and healthy lifestyles), emotional–motivational (attitudes towards health, motivation to act), and behavioural (practical skills). Active learning methods – such as games, training sessions and discussions – encourage critical thinking and safe behaviour, while digital technologies allow for personalised programmes to support healthy lifestyles. A framework of conceptual approaches has been developed, grounded in health promotion strategies and tailored to adolescents’ needs. The integration of influencing factors – family, school, social environment and digital resources – ensures a more sustainable development of adolescents’ health-related beliefs. Conclusions. Shaping healthy lifestyle beliefs among adolescents is a relevant and complex task that requires a systematic approach aligned with their developmental characteristics. The effectiveness of health promotion depends largely on the integration of different domains. Influencing factors should be viewed as an interconnected system, where each component plays a vital role in forming adolescents’ values, knowledge and skills for maintaining health.
creator: H. V. DUDASH
creator: V. V. BRYCH
rights: Copyright (c) 2025 https://creativecommons.org/licenses/by/4.0
license: https://creativecommons.org/licenses/by/4.0
date: 2025-10-20
publication date: 2025-10-20
number: 3
starting page: 27
ending page: 32
doi: 10.11603/1681-2786.2025.3.15635

ANALYSIS OF PATIENTS' KNOWLEDGE OF DENTAL ILLNESS AND THEIR PREVENTION ACCORDING TO DATA OF SOCIOLOGICAL EXPERIENCE
type: item
description: Purpose: this study aimed to assess patients’ awareness of dental diseases and preventive measures, as well as dentists’ perceptions of the factors contributing to the high prevalence of dental pathology and the level of patients’ preventive skills. Materials and Methods. A cross-sectional questionnaire-based survey was conducted among 368 patients attending public and private dental facilities and 413 dentists from Kyiv and various regions of Ukraine. Bibliographic analysis, descriptive statistics, graphical visualization, and analytical methods were employed to process the data. Results. The findings indicate that 20–30% of patients are unaware of whether they have any oral diseases. Among patients attending public dental facilities, 50% visit a dentist for preventive purposes less than once per year. In contrast, patients from private clinics demonstrate higher adherence to preventive dental visits and undergo professional oral hygiene procedures more frequently. However, 10–15% of respondents do not consider dental visits for children under 18 years necessary for disease prevention. Regarding dentists’ perspectives, 27% reported being unaware of how often their patients brush their teeth, and 12% did not know how frequently patients attend preventive dental check-ups. Additionally, 10% of dentists indicated that their patients never utilize professional oral hygiene services, while 24% identified insufficient patient knowledge regarding oral disease prevention and hygiene as a major contributor to the high prevalence of dental pathology. Conclusions. There is a considerable lack of patient awareness concerning the prevention of oral diseases, accompanied by notable gaps in the preventive activities performed by dentists. Enhancing the preventive component of dental care requires integrated collaboration between dentists, general practitioners/family physicians, and dental hygienists, alongside strengthening patients’ responsibility for maintaining proper oral hy…
creator: V. Yu. Yelenskyi
rights: Copyright (c) 2025 https://creativecommons.org/licenses/by/4.0
license: https://creativecommons.org/licenses/by/4.0
date: 2025-10-20
publication date: 2025-10-20
number: 3
starting page: 33
ending page: 39
doi: 10.11603/1681-2786.2025.3.15636

EPIDEMIC FORECASTING AS A DIRECTION OF USING ARTIFICIAL INTELLIGENCE IN PUBLIC HEALTH
type: item
description: Purpose: analysis of modern methods of epidemic forecasting using artificial intelligence, assessment of their effectiveness and determination of development prospects. Materials and Methods. the analysis used data from peer-reviewed articles, reports of international organizations and company cases for the period 2020–2025. The results are supplemented by a comparison with traditional methods, an assessment of ethical and technical challenges, as well as a discussion of their significance for public health. Results. It was found that artificial intelligence methods showed high efficiency in short-term forecasts (1–4 weeks), where recurrent neural network models and long short-term memory achieved 85–90% accuracy in predicting morbidity and hospitalizations. Spatio-temporal models based on convolutional neural networks and hybrid architectures allowed to determine the risk areas of the spread of infections with an accuracy of up to 90%. At the same time, the accuracy of long-term forecasts (more than 1 month) was lower – 60–75% due to the influence of unpredictable factors, such as changes in population behavior and mutation of pathogens. Conclusions. The use of artificial intelligence in 2020–2025 significantly increased the effectiveness of epidemiological forecasting, ensuring the accuracy of short-term models at the level of 85–90%, the possibility of early detection of outbreaks and exceeding the results of traditional approaches. The best results were demonstrated by hybrid models that combine artificial intelligence with classical epidemiological methods, ensuring a balance between accuracy and interpretation. The use of the latest models of epidemic processes allows developing effective, scientifically sound and effective strategies for preventing morbidity and controlling the spread of epidemics.
creator: V. G. Kyi-Kokarieva
rights: Copyright (c) 2025 https://creativecommons.org/licenses/by/4.0
license: https://creativecommons.org/licenses/by/4.0
date: 2025-10-20
publication date: 2025-10-20
number: 3
starting page: 40
ending page: 44
doi: 10.11603/1681-2786.2025.3.15637

THYROID CANCER INCIDENCE AND MORTALITY IN UKRAINE
type: item
description: Purpose: to analyze the incidence and death rate from thyroid cancer in Ukraine over the last decade. Materials and Methods. According to data from the National Cancer Registry of Ukraine for 2014–2023, the incidence and death rate of the Ukrainian population from thyroid cancer were analyzed. Results. It has been established that standardized incidence rates and death rates from thyroid cancer in Ukraine are practically the same as global rates. The incidence rate among women is 3.5–4.5 times higher than among men, and mortality is 1.5–2.5 times higher. It has been found that the peak of female incidence occurs at working age 50–59 (21.6–26.2 cases per 100,000 of the corresponding population), while for men it is between the ages of 55 and 69 (7.8–8.5 per 100,000 population). The highest death rates for women are between the ages of 65 and 79 (2.9–3.0 per 100,000 population), and for men between the ages of 60 and 79 (2.1–2.7 per 100,000 population). It has been revealed that after an increasing trend in indicators, especially in the female incidence rate, during 2014–2019, there was a decrease in the incidence and death rate from thyroid cancer during the COVID-19 pandemic, and with the start of full-scale war in 2022, it is not possible to calculate the indicators. Significant regional differences in the incidence rate of thyroid cancer are shown, with maximum levels in central Ukraine (11.7–12.1 per 100,000 population, including 17.9–19.2 in Kyiv) and minimum levels in the West (4.2–5.7 per 100,000 population), which, against the backdrop of significantly smaller regional fluctuations in death rate from thyroid cancer (0.4–0.8 per 100,000 population), leads to significant inequity in the mortality-to-incidence ratio (from the most unfavorable 0.11–0.17 in the West to acceptable 0.04–0.06 in the South and 0.06–0.07 in the Center). Conclusions. The data obtained in the study confirms the impact of medical services availability on thyroid cancer detection, registra…
creator: N. Ya. Kobrynska
creator: Yu. V. Voronenko
creator: O. Z. Detsyk
rights: Copyright (c) 2025 https://creativecommons.org/licenses/by/4.0
license: https://creativecommons.org/licenses/by/4.0
date: 2025-10-20
publication date: 2025-10-20
number: 3
starting page: 45
ending page: 50
doi: 10.11603/1681-2786.2025.3.15638

ASSESSMENT OF THE QUALITY OF LIFE AND SOCIAL ENGAGEMENT OF WOMEN OF CLIMACTERIC AGE IN THE CONTEXT OF UNCERTAINTY
type: item
description: Purpose: to assess the quality of life and social activity of women of climacteric age under conditions of uncertainty by conducting a survey and implementing health education activities among the population. Materials and Methods. To assess the quality of life and social activity of post-reproductive-age women in the current context, we applied the Greene Climacteric Scale and the Kupperman Menopausal Index. The survey was conducted anonymously using a Google Form among 150 women in the perimenopausal period. The following research methods were employed: sociological, statistical, and systems analysis. Results. The mean age of respondents was 58 ± 2.5 years, with the onset of menopause reported at 50 ± 1.33 years. It was found that 72% of respondents were employed in governmental institutions, while 28% were either unemployed or retired. Regarding place of residence, 67% lived in rural areas and 33% in urban areas. Cardiovascular disorders, specifically arterial hypertension, were present in 40% of participants. Endocrine system disorders included type 2 diabetes mellitus in 7% and thyroid diseases in 13% of respondents. A positive family history of climacteric syndrome was observed in 10% of women. According to the Greene Climacteric Scale, 55% of respondents exhibited signs of anxiety or depression. Analysis using the Kupperman Menopausal Index revealed that 66% of participants experienced mild climacteric symptoms, whereas 15% presented with moderate symptoms. Conclusions. The study demonstrates that women of climacteric age experience a range of mild to moderate symptoms affecting both their physical and psychological well-being. Anxiety and depressive symptoms were reported by more than half of the respondents, highlighting the significant impact of the climacteric period on mental health. Cardiovascular and endocrine disorders were prevalent among participants, emphasizing the importance of comprehensive health monitoring in this population.
creator: V. M. Martyniuk
creator: L. M. Malanchuk
creator: I. M. Malanchuk
creator: U. Ya.
rights: Copyright (c) 2025 https://creativecommons.org/licenses/by/4.0
license: https://creativecommons.org/licenses/by/4.0
date: 2025-10-20
publication date: 2025-10-20
number: 3
starting page: 51
ending page: 54
doi: 10.11603/1681-2786.2025.3.15639

BURDEN OF HEPATITIS B AND C AND COMPLICATIONS OF THE UPPER GASTROINTESTINAL TRACT: ANALYSIS OF EPIDEMIOLOGICAL TRENDS FOR PUBLIC HEALTH POLICY FORMATION
type: item
description: Purpose: to identify the patterns of hepatitis B and C prevalence and associated upper gastrointestinal complications in order to quantitatively assess the disease burden and to develop evidence-based approaches for optimizing public health policy. Materials and Methods. This study is a retrospective descriptive-analytical investigation based on the analysis of hepatitis B and C incidence rates, as well as associated upper gastrointestinal complications, over the period 2015–2024. Information sources included official reporting data from the Ministry of Health of Ukraine (MoH), the World Health Organization (WHO), the European Centre for Disease Prevention and Control (ECDC), statistical materials from the Public Health Center of the MoH of Ukraine, and scientific publications reflecting current trends in diagnostics, treatment methods, recommendations, and the clinical course of chronic viral hepatitis. For statistical analysis, descriptive statistics, comparative analysis, and correlation analysis were used to identify associations between viral hepatitis, the resulting public health burden, and the frequency of gastroenterological complications of the upper gastrointestinal tract. Results. The study results demonstrated an increasing trend in chronic hepatitis B and C, the frequency of upper gastrointestinal complications, and mortality from bleeding due to esophageal varices, with examples of incidence and mortality indicators in Ukraine and worldwide. Conclusions. To effectively reduce the burden of hepatitis B and C and associated upper gastrointestinal complications, it is necessary to improve screening, early detection of viral carriage, integration of gastroenterological, infectious disease, and social care, conduct audits, and incorporate the obtained data into national programs. Expanding hepatitis B vaccination coverage and ensuring access to antiviral therapy for chronic hepatitis C are also essential. Comprehensive national programs aligned with the WH…
creator: V. V. Marchak
creator: V. S. Kopcha
rights: Copyright (c) 2025 https://creativecommons.org/licenses/by/4.0
license: https://creativecommons.org/licenses/by/4.0
date: 2025-10-20
publication date: 2025-10-20
number: 3
starting page: 55
ending page: 60
doi: 10.11603/1681-2786.2025.3.15640

DRUG ADDICTION: GLOBAL TRENDS IN THE MOST COMMON DRUGS OF OUR TIME
type: item
description: Рurpose: to study global trends in drug addiction, in particular, the use of the most common drugs, their impact on human physiology and psyche. Materials and Methods. Relevant scientific publications and reports of international organizations such as the World Health Organization (WHO) and the United Nations Office on Drugs and Crime (UNODC) were analyzed. Results. Drug addiction is a complex problem that covers medical, economic, criminal and social aspects of society. It causes significant damage to states and citizens, leading to degradation of human capital, increased crime and the destruction of social ties. In 2022, almost 292 million people (every 18th person) used drugs, which is 20% more than 10 years ago. In 2022, 64 million people (every 81st person in the world) were addicted to drugs, an increase of 3% compared to 2018. Today, the most commonly abused drugs in the world are cannabis, cocaine, amphetamines, ecstasy, and opioids, including fentanyl. In addition, the proliferation of new psychoactive substances, such as synthetic cannabinoids, poses a new threat due to their toxicity, lack of control, and unknown long-term health effects. Cannabis is the most commonly used drug in the world, with 49% of countries reporting that the largest number of drug use disorders are related to cannabis, and 38% indicating that it is the main reason for seeking treatment. Conclusions. Drug addiction is one of the most serious global problems of modern society, which has a devastating impact on all aspects of life of both individuals and humanity as a whole. The most commonly used drugs are synthetic cannabinoids and ketamine. At the same time, more and more dangerous substances are appearing on the market, including nitazenes. The growing demand for ketamine and nitazenes poses serious health risks that require enhanced monitoring and preventive measures.
creator: V. L. Smirnova
creator: Yu. Yu. Kharkhalis
creator: N. Yа. Panchyshyn
rights: Copyright (c) 2025 https://creativecommons.org/licenses/by/4.0
license: https://creativecommons.org/licenses/by/4.0
date: 2025-10-20
publication date: 2025-10-20
number: 3
starting page: 61
ending page: 65
doi: 10.11603/1681-2786.2025.3.15641

MENTAL HEALTH IN CONDITIONS OF WAR: KEY MENTAL AND PSYCHOSOCIAL CHALLENGES AND PRINCIPLES OF ASSISTANCE
type: item
description: Purpose: to analyze the main mental and psychosocial challenges associated with war and to develop key principles for providing effective psychosocial support. Materials and Methods. The study materials included publications from international and Ukrainian scientific journals, reports from WHO, UNICEF, the Ministry of Health of Ukraine, and other open sources published between 2015 and 2025, as well as the authors’ practical experience. Methods used included literature and regulatory document analysis, content analysis of epidemiological data and official reports, qualitative analysis of clinical observations described in scientific and practical sources with systematization of key symptoms and consequences, and comparative analysis of literary and practical data on mental states. Results. War is a powerful psychotraumatic factor significantly affecting the population's mental health. The most vulnerable groups are military personnel, families of the deceased, and internally displaced persons (IDPs). Military personnel exhibit symptoms of post-traumatic stress disorder (PTSD) and anxiety-depressive manifestations, complicating post-combat adaptation. Families of the deceased experience intense grief reactions with depressive episodes and a sense of irreversible loss. IDPs experience anxiety, loss of safety, and difficulties integrating into new environments. A common feature across all groups is collective trauma affecting individuals and society as a whole, emphasizing the need for comprehensive psychosocial support, including basic assistance, psychoeducation, and specialized therapy. Conclusions. The main mental and psychosocial challenges related to war were analyzed, and key principles for assistance provision were developed. War causes collective trauma affecting different population groups and requiring a systemic approach. The most vulnerable categories – military personnel, families of the deceased, and IDPs – require targeted support. Mental disorders, in…
creator: L. T. Snovyda
creator: O. I. Herman
rights: Copyright (c) 2025 https://creativecommons.org/licenses/by/4.0
license: https://creativecommons.org/licenses/by/4.0
date: 2025-10-20
publication date: 2025-10-20
number: 3
starting page: 66
ending page: 70
doi: 10.11603/1681-2786.2025.3.15642

EVALUATION OF SOCIO-ECONOMIC AND OCCUPATIONAL RISK FACTORS ASSOCIATED WITH SEXUAL DYSFUNCTION IN MEN
type: item
description: Purpose: to analyze the interrelation of socio-economic and industrial factors with sexual dysfunctions in men. Materials and Methods. A retrospective analytical medical and sociological study of the «case-control» type was conducted. According to a specially developed author's program, 402 men with sexual dysfunctions and 200 practically healthy men of approximately the same age group and place of residence were surveyed (p˃0.05). Results. It was found that the socioeconomic predictors of sexual dysfunctions in men with a high probability are low level of education (OR=6.29; 95%CI=1.47–26.87) and material well-being (1.68; 1.18–2.39), as well as unemployment (2.15; 1.17–3.97). It has been proven that sexual dysfunctions are more common in men who have mostly worked in physically hard jobs during their professional career (OR=8.31; 95%CI=1.96–35.18), associated with more than 5 years of exposure (2.96; 1.42–6.17) to occupational hazards (3.26; 2.17–4.90), including high psychoemotional stress (4.53; 1.96–10.48). Conclusions. When developing a set of organizational measures to improve the prevention of sexual dysfunctions in men at the state, regional and community levels, the interrelation of their development with socio-economic and occupational risk factors should be taken into account.
creator: V. I. Trishch
creator: O. Z. Detsyk
rights: Copyright (c) 2025 https://creativecommons.org/licenses/by/4.0
license: https://creativecommons.org/licenses/by/4.0
date: 2025-10-20
publication date: 2025-10-20
number: 3
starting page: 71
ending page: 76
doi: 10.11603/1681-2786.2025.3.15644

PREVALENCE OF VITAMIN D DEFICIENCY AND RELATED FACTORS IN ADOLESCENTS WITH OBESITY
type: item
description: Purpose: to determine the prevalence and specific factors of vitamin D deficiency among adolescents with overweight and obesity. Materials and Methods. A cross-sectional study was conducted on 208 children aged 12–17 years (135 boys and 73 girls) who underwent a complete clinical examination. Serum 25(OH)D levels were evaluated according to the recommendations of the International Society of Endocrinology. The following research methods were applied: epidemiological, anthropometric, biochemical, statistical, and systemic analysis. Results. The study showed that the mean serum calcidiol concentration in adolescents with normal body weight was 18.02 ± 4.03 ng/ml, in overweight individuals – 14.37 ± 3.78 ng/ml, and in those with obesity – 12.32 ± 3.01 ng/ml. Among adolescents with normal body weight, vitamin D insufficiency was found in 30% and deficiency in 50%; in overweight children – insufficiency was 32.9% and deficiency 55.7%; in obese children – insufficiency accounted for 21.4% and deficiency for 72.7%. The prevalence of vitamin D deficiency was 1.5 times higher in overweight girls and 1.6 times higher in obese girls compared to boys. In adolescents, an inverse correlation was established (p < 0.01) between calcidiol levels and parathyroid hormone (r = -0.645), as well as between calcidiol and body mass index (r = -0.395). A direct correlation was observed between parathyroid hormone and body mass index (r = 0.468, p < 0.01). The main predictors influencing the prevalence of vitamin D deficiency included the autumn-winter period, milk consumption, duration of daily outdoor exposure, physical activity, and body mass index. Conclusions. The prevalence of vitamin D deficiency among adolescents with overweight and obesity is high, ranging from 55.7% to 72.7%. Serum calcidiol levels are associated with parathyroid hormone concentration and depend on body mass index, physical activity, dietary habits, and season.
creator: O. M. Shulhai
rights: Copyright (c) 2025 https://creativecommons.org/licenses/by/4.0
license: https://creativecommons.org/licenses/by/4.0
date: 2025-10-20
publication date: 2025-10-20
number: 3
starting page: 77
ending page: 82
doi: 10.11603/1681-2786.2025.3.15645

PLANNING THE ACTIVITIES OF A PRIMARY MEDICAL CARE INSTITUTION STRATEGY AND TACTICS FOR A FIVE-YEAR PERSPECTIVE IN THE MODERN CONDITIONS OF UKRAINE
type: item
description: Purpose: to analyze the potential effectiveness and comprehensiveness of the approach to planning the activities of a primary health care institution using the example of the Municipal Non-Profit Enterprise (MNPT) «Center for Primary Medical (Medical and Sanitary) Care» (CPMC) of the Berezhany City Council of the Ternopil region in modern conditions. Materials and methods. SWOT analysis was used to present a strategic vision for the development of a primary care facility. Results. The proposed strategy and tactics of the primary health care institution outlines a holistic, realistic and comprehensive approach to the development of the MNPT «CPMC» in the face of challenges facing the primary health care system of Ukraine. It takes into account modern requirements of the National Health System of Ukraine, community needs, global trends in the field of health care and key priorities of reforms. This strategy focuses on five main pillars: organizational capacity through an effective management model, personnel renewal and institutional sustainability; digital transformation through the implementation of telemedicine, electronic document management, chatbots, mobile applications and feedback systems; quality and continuity of medical services through standardization of clinical routes, quality control, practice audits and staff training; financial transparency and efficiency through clear budget planning, cost monitoring, reporting and openness to external audit; public trust and partnership through systematic communication with residents, local governments, public associations. Conclusions. The implementation of this strategy will strengthen the human resource base and update approaches to personnel management; ensure digital accessibility of services regardless of the patient's remoteness; optimize costs and ensure the financial stability of the institution; increase citizen satisfaction with the quality and convenience of medical services; turn the MNPT «CPMC» into an…
creator: L. S. Babinets
creator: V. S. Tsapok
rights: Copyright (c) 2025 https://creativecommons.org/licenses/by/4.0
license: https://creativecommons.org/licenses/by/4.0
date: 2025-10-20
publication date: 2025-10-20
number: 3
starting page: 83
ending page: 90
doi: 10.11603/1681-2786.2025.3.15648

ANALYSIS OF COMPLIANCE OF UKRAINIAN DIAGNOSTIC GUIDELINES FOR PSEUDOEXFOLIATION SYNDROME WITH WORLD HEALTH ORGANIZATION RECOMMENDATIONS
type: item
description: Purpose: to compare compliance of Ukrainian standards for the detection and diagnosis of pseudoexfoliation syndrome with «Vision and Eye Screening Implementation Handbook» Materials and Methods. A review and comparison of Standard of Medical Care for Glaucoma, Evidence-Based Clinical Guideline for Glaucoma and Order of the Ministry of Health № 959 dated 05/26/2023 and the World Health Organisation’s «Vision and Eye Screening Implementation Handbook». Results. Standard of Medical Care «Glaucoma» and Vision and eye screening implementation handbook» determine measurement of visual acuity and refraction is effective for the screening of the population. Slit-lamp examination and intraocular pressure measurements are indicated for screening of pseudoexfoliation syndrome in Ukrainian guidelines; however, the level of Medical Care required to perform this examination is not mentioned there. In contrast, World Health Organisation recommendations indicate external eye screening as the major option for screening on the primary level. Notably, measurement of intraocular pressure is not addressed in «Vision and Eye Screening Implementation Handbook». Conclusions. There is currently no specific guidance for the detection of pseudoexfoliation syndrome in Ukraine. The valid Standard of Medical Care for Glaucoma can be used for this purpose. Overall, Ukrainian screening strategies align with those of the World Health Organisation at the primary level. However, the role of measurement of intraocular pressure in the screening of pseudoexfoliation syndrome at the primary level needs to be determined.
creator: O. P. VITOVSKA
creator: L. S. VASYLIEVA
rights: Copyright (c) 2025 https://creativecommons.org/licenses/by/4.0
license: https://creativecommons.org/licenses/by/4.0
date: 2025-10-20
publication date: 2025-10-20
number: 3
starting page: 91
ending page: 94
doi: 10.11603/1681-2786.2025.3.15649

PSYCHOLOGІCAL PECULІARІTІES OF PROFESSІONAL BURNOUT AMONG DOCTORS ІN WARTІME
type: item
description: Purpose: to іnvestіgate the psychologіcal peculіarіtіes of professіonal burnout іn doctors durіng wartіme. Materіals and Methods. The study used a combіnatіon of theoretіcal and empіrіcal methods. Theoretіcal methods іncluded analysіs, comparіson, and systematіzatіon of lіterature on professіonal burnout. Empіrіcal methods іnvolved several psychologіcal іnstruments:The Maslach Burnout Іnventory (MBІ) by C. Maslach and S. Jackson, The «My Attіtude to Work» test by C. Maslach and M. Leіter, The «Scale of Emotіonal Response» by A. Mehrabіan and N. Epsteіn, The Freіburg Personalіty Іnventory (FPІ, Form B), The Four-Dіmensіonal Symptom Questіonnaіre (4DSQ) by B. Terluіn, The «Self-assessment of Stress Resіstance» questіonnaіre by S. Maksymenko, L. Karamushka, and T. Zaіchykova, The Wіesbaden Questіonnaіre of Posіtіve Psychotherapy (WІPPF) by N. Peseschkіan, and others. Results. The study found that a sіgnіfіcant number of doctors are іn a state of emotіonal and physіcal exhaustіon caused by both professіonal factors and wartіme condіtіons. Thіs іs supported by a hіgh level of burnout (66% of іndіvіduals), whіch manіfests as feelіngs of hopelessness, іrrіtabіlіty, anxіety, and somatіc symptoms. Despіte thіs, most medіcal professіonals maіntaіn a medіum level of empathy, though іt requіres sіgnіfіcant emotіonal effort. Doctors were found to be prone to workaholіsm and somatіzatіon as copіng mechanіsms, often avoіdіng seekіng psychologіcal support. A profіle of the typіcal doctor іn thіs envіronment was developed, characterіzed by a medіum level of professіonal burnout, low stress resіstance, pronounced somatіzatіon (e.g., headaches, hіgh blood pressure, tachycardіa), and the use of maladaptіve strategіes. Correlatіon analysіs confіrmed sіgnіfіcant relatіonshіps: a strong posіtіve correlatіon between emotіonal exhaustіon and dіstress (r=0,65, p<0,01); a posіtіve correlatіon between depersonalіzatіon and nervousness (r=0,40, p<0,05); a strong posіtіve correlatіon between a r…
creator: A. Yu. HILMAN
creator: T. M. KOLOPELNYK
rights: Copyright (c) 2025 https://creativecommons.org/licenses/by/4.0
license: https://creativecommons.org/licenses/by/4.0
date: 2025-10-20
publication date: 2025-10-20
number: 3
starting page: 95
ending page: 104
doi: 10.11603/1681-2786.2025.3.15650

BUDGETING IN HEALTHCARE INSTITUTIONS IN THE CONDITIONS OF MEDICAL REFORM IN UKRAINE
type: item
description: Purpose: to analyze the features of budgeting in healthcare institutions of Ukraine in the context of healthcare reform and to identify ways to increase the efficiency of financial planning taking into account new financing mechanisms. Materials and Methods. The study used the regulatory framework of Ukraine in the field of healthcare and finance (laws, resolutions of the Cabinet of Ministers of Ukraine, orders of the Ministry of Health, regulatory documents of the National Health Service of Ukraine); statistical data of the Ministry of Health of Ukraine, the National Health Service of Ukraine and the State Statistics Service; methods of analysis and synthesis – to identify the main trends in the financing of healthcare institutions; comparative method – to assess changes in budgeting before and after the implementation of healthcare reform; systemic approach – for a comprehensive consideration of the financial aspects of the functioning of healthcare institutions. Results. An analysis of the activities of the KNP «Central City Hospital» of the Rivne City Council in 2022–2024 showed the stability and predictability of the institution's financial support, which is an important factor in the successful implementation of healthcare reform at the local level. All three years saw an overachievement of the budget targets: in 2022, actual revenues exceeded the planned ones by UAH 4.8 thousand, in 2023 by UAH 7.0 thousand, and in 2024 by UAH 16.5 thousand. This indicates not only the effectiveness of financial planning, but also the availability of additional sources of financing, including funds from the provision of paid medical services, rent for the use of premises, other operating income and contracts with the National Health Service under the medical guarantee program. A detailed analysis of revenues by structural units showed that the largest financial contribution was formed by departments that provide highly specialized care: a polyclinic, a regional neurosurgical …
creator: L. P. ZAPOROZHAN
creator: N. G. CHEREVKO
creator: M. S. FESH
creator: O. N. LYTVYNOVA
rights: Copyright (c) 2025 https://creativecommons.org/licenses/by/4.0
license: https://creativecommons.org/licenses/by/4.0
date: 2025-10-20
publication date: 2025-10-20
number: 3
starting page: 105
ending page: 111
doi: 10.11603/1681-2786.2025.3.15651

HEALTH SYSTEM AS A STRATEGIC FACTOR OF HUMAN POTENTIAL DEVELOPMENT IN UKRAINE: SOCIO-MEDICAL AND SOCIO-ECONOMIC CONTEXT
type: item
description: Purpose: to substantiate the strategic nature of the impact of the health care system on the development of human potential, taking into account the post-war recovery and preparation of Ukraine for accession to the European Union, and to determine integral indicators for assessing such development. Materials and Methods. The methodological basis of the study is a systemic approach, which involves a comprehensive study of the object in its relationships and dynamics. The methods of structural and logical analysis, bibliosemantic approach, abstraction and generalization were used in the analysis process. Results. The analysis showed that the current strategic regulatory legal acts of Ukraine contain a vector of movement towards the development of human potential in the face of numerous global and local challenges. The current strategies of national security, human development, demographic development and development of the health care system are designed to respond to existing challenges in the field of human capital development, taking into account integral and special indicators and contain specific directions, goals and measures to overcome them. Conclusion. The analysis of strategic and program documents at the state level confirmed the strategic nature of the impact of the health care system on the development of human potential. In accordance with their provisions, the current strategic documents need to be updated taking into account new challenges, new initiatives and global leadership. Given the global trends in human capital assessment, it is relevant to include relevant integral indicators, in particular the Human Development Index (HDI) and the Human Capital Index (HCI), in the system for assessing the effectiveness of the implementation of strategic and program documents in Ukraine. The inclusion of HDI allows us to assess the general level of well-being of the population, while HCI focuses on future potential, especially in the field of child development…
creator: V. V. KOROLENKO
creator: T. S. GRUZIEVA
creator: S. M. LAPTEV
rights: Copyright (c) 2025 https://creativecommons.org/licenses/by/4.0
license: https://creativecommons.org/licenses/by/4.0
date: 2025-10-20
publication date: 2025-10-20
number: 3
starting page: 112
ending page: 120
doi: 10.11603/1681-2786.2025.3.15652

ANTIMICROBIAL DRUG MANAGEMENT MODEL AT THE PRIMARY HEALTH CARE LEVEL
type: item
description: Purpose: to substantiate and develop a model for managing antibiotic use at the primary health care level. Materials and Methods. The study was conducted in two stages. First, 48 documents from the World Health Organization, World Bank, European Centre for Disease Prevention and Control, Food and Agriculture Organization of the United Nations, United States Centers for Disease Control and Prevention, and data on global and Ukrainian antibiotic use practices were analyzed to identify key components of rational use. Second, a management model for primary health care was developed using systems analysis, bibliographic and semantic analysis, and conceptual modeling. Results. Eleven key components of the rational use of antimicrobials in the healthcare system have been identified: global and national policy; legislative and regulatory framework; evidence-based clinical decision-making; microbiological diagnostics; antimicrobial stewardship; resistance and consumption surveillance; infection prevention and control; access to quality medicines; education of health professionals; public awareness; veterinary and agricultural control. The model envisages establishing an Antibiotic Stewardship Group composed of physicians trained in infection prevention and control to optimize prescriptions, train personnel, inform the public, and conduct surveillance. Functioning is ensured through interaction with health authorities, the Expert Center of the Ministry of Health of Ukraine, and the Center for Disease Control and Prevention, and is supported by medical information systems as well as financial and non-financial incentives from the National Health Service of Ukraine. Conclusions. The proposed model at the primary health care level ensures prescription optimization, increased awareness, and effective antibiotic use monitoring within an integrated multi-component strategy.
creator: V. M. Lekhan
creator: N. V. Puchkova
creator: M. I. Zaiarskyi
creator: D. D. Zaslavskyi
rights: Copyright (c) 2025 https://creativecommons.org/licenses/by/4.0
license: https://creativecommons.org/licenses/by/4.0
date: 2025-10-20
publication date: 2025-10-20
number: 3
starting page: 121
ending page: 127
doi: 10.11603/1681-2786.2025.3.15653

CONVERSATIONAL ARTIFICIAL INTELLIGENCE IN HEALTHCARE: ADVANTAGES AND APPLICATIONS
type: item
description: Purpose: to assess the possibilities and prospects of implementing conversational AI in the healthcare system, its key advantages for patients and healthcare professionals. Materials and Methods. study and analysis of relevant scientific sources, which were searched in the Google Scholar, Scopus, PubMed/Medline, and Web of Science databases. Research methods used: bibliosemantic, content analysis, and structural-logical analysis. Results. The transformation of healthcare and the growing capabilities of artificial intelligence (AI) have contributed to the development of conversational agents designed to support a variety of health-related activities, including behavior change, patient health monitoring, disease screening, treatment, and counseling and training of healthcare professionals. Conversational chatbots integrate AI language models that enable two-way dialogue between the AI system and the human user. Chatbot technology, as the latest development in the ability to recognize clinical language and intelligently obtain information in conditions of uncertainty, is currently in high demand in the world of computer-mediated communication and healthcare digitalization. The potential usefulness of AI systems capable of clinical and diagnostic dialogue is broad, and the development of such capabilities will improve access to diagnostic and prognostic expertise, thereby improving the quality, consistency, and accessibility of medical care. Conclusions. Further research is needed to study the efficiency and value of conversational AI in healthcare, both in its current and potential state. A more holistic approach to the design, development, and evaluation of conversational agents will help stimulate innovation and increase their value in healthcare.
creator: L. B. Lototska
creator: Yu. G. Breydak
rights: Copyright (c) 2025 https://creativecommons.org/licenses/by/4.0
license: https://creativecommons.org/licenses/by/4.0
date: 2025-10-20
publication date: 2025-10-20
number: 3
starting page: 128
ending page: 132
doi: 10.11603/1681-2786.2025.3.15655

INVESTIGATION OF THE EFFECT OF RUSSIAN MILLITARY FORCES INVASION IN UKRAINE ON THE ORGANISATION OF MEDICAL CARE FOR PATIENTS WITH OPEN-ANGLE GLAUCOMA
type: item
description: Purpose: to investigate the impact of the full-scale invasion of Russian troops into Ukraine on the accessibility, timeliness, and quality of medical care for patients with primary open-angle glaucoma. Materials and Methods. The study was based on the results of a survey of ophthalmologists from state and private healthcare institutions across all regions of Ukraine, using a self-developed questionnaire. Bibliographic, statistical, and analytical methods were applied. Results. During the full-scale invasion of Russian troops into Ukraine, 57.6% of ophthalmologists noted changes in the epidemiology of glaucoma. In particular, 61.3% of respondents reported an increase in the percentage of secondary glaucoma cases, while 33.5% reported an increase in the percentage of open-angle glaucoma. A total of 63% of ophthalmologists observed a rise in the proportion of patients with stage III (60.4%) and stage IV (17.9%) glaucoma. More than 65% of ophthalmologists rated the overall quality of ophthalmic care, and glaucoma care specifically, as high. Fifty-five percent of respondents expressed satisfaction with the available technical facilities for diagnosing and treating glaucoma. Ophthalmologists reported that, during the war, the number of glaucoma patients who seek medical care late (75.1%) and irregularly (83.1%) has increased. Additionally, 62.7% of respondents noted a rise in the number of glaucoma patients who do not follow through with prescribed surgical treatment. The main reasons for refusing surgery include reduced financial capacity, being in occupied territories and transportation difficulties, psychological issues, and the absence of close relatives able to provide support. Conclusions. The full-scale invasion of Russian troops into Ukraine has negatively affected the capacity of healthcare institutions to improve the quality of services and enhance technical facilities. The accessibility of ophthalmic care for the population has decreased, leading to reduced tim…
creator: V. O. MELNYK
creator: B. I. PALAMAR
rights: Copyright (c) 2025 https://creativecommons.org/licenses/by/4.0
license: https://creativecommons.org/licenses/by/4.0
date: 2025-10-20
publication date: 2025-10-20
number: 3
starting page: 133
ending page: 138
doi: 10.11603/1681-2786.2025.3.15657

INSTRUMENTS FOR ASSESSING THE VIEWS OF HEALTHCARE MANAGERS ON QUALITY ASSURANCE IN OBSTETRIC AND GYNECOLOGICAL FACILITIES
type: item
description: Purpose: to substantiate and develop instruments for assessing the views of healthcare managers regarding the quality assurance of obstetric and gynecological care in healthcare institutions. Materials and Methods. Bibliographic review, content analysis, and information-analytical methods were applied. The empirical basis of the study included scientific literature, WHO and WHO Regional Office for Europe strategies and programs, and national regulatory acts governing healthcare quality assurance. Results. The analysis of strategic, programmatic, and regulatory documents at the international, regional, and national levels demonstrates that healthcare quality remains a top priority in public health policy. Quality assurance is particularly critical in obstetric and gynecological services due to the high level of responsibility for maternal and child health and the imperative of providing care that is safe, effective, and ethically sound. Healthcare managers play a pivotal role in quality assurance through their managerial decisions, which directly affect service quality, by providing feedback on policy implementation, applying practical experience to address challenges, and shaping organizational culture. In view of the importance of understanding the perspectives of managers in obstetric and gynecological institutions, a research tool was developed in the form of a structured questionnaire. It consists of sections addressing general characteristics, evaluation of the existing quality assurance system, and the identification of key challenges, barriers, and potential solutions. Conclusions. Applying the proposed instrument in sociological research among healthcare managers of obstetric and gynecological facilities will help identify systemic quality gaps, determine their underlying causes, and outline pathways for continuous quality improvement.
creator: N. M. Mykytenko
creator: T. S. Gruzieva
rights: Copyright (c) 2025 https://creativecommons.org/licenses/by/4.0
license: https://creativecommons.org/licenses/by/4.0
date: 2025-10-20
publication date: 2025-10-20
number: 3
starting page: 139
ending page: 146
doi: 10.11603/1681-2786.2025.3.15659

CONDITIONS FOR PROVIDING THE POPULATION OF THE TERRITORIAL COMMUNITY OF THE MOUNTAINOUS GEOGRAPHICAL ZONE WITH MEDICAL CARE
type: item
description: Purpose: to study the conditions for providing the population of the territorial community of the mountainous geographical zone with medical care. Materials and Methods. Materials: passport and website of the Mizhhirya territorial community of the Transcarpathian region. Methods: bibliosemantic, of structural-and-logical analysis. Results. The Mizhhirya territorial community occupies an area of 554.1 sq. km, includes 22 settlements with 26,123 residents. Primary and pre-medical care is provided by medical personnel of the Mizhhirya Center for Primary Health Care, which includes 8 outpatient clinics of general practice-family medicine and 9 paramedic and obstetric centers. In 5 (22.7%) settlements with 1216 residents, there are no health care institutions in which medical care of the appropriate level is provided. Emergency medical care to the population is provided by medical personnel of the Mizhhirya Emergency Medical Care Station with 2 points of permanent basing of emergency medical teams. Specialized medical care for the population of the community is provided at the Mizhhirya General Hospital. There are no pharmacies in most settlements of the community. Conclusions. Not all residents of the community have equal access to health care facilities of different levels of medical care. It is necessary to adopt a targeted strategic program for providing the population with medical care.
creator: I. S. Myronyuk
creator: H. O. Slabkiy
creator: V. Y. Bilak-Lukianchuk
creator: V. Р. Markovych
rights: Copyright (c) 2025 https://creativecommons.org/licenses/by/4.0
license: https://creativecommons.org/licenses/by/4.0
date: 2025-10-20
publication date: 2025-10-20
number: 3
starting page: 147
ending page: 151
doi: 10.11603/1681-2786.2025.3.15660

MODERN MARKETING TECHNOLOGIES IN THE PHARMACY BUSINESS: CHALLENGES AND PROSPECTS
type: item
description: Purpose: this paper examines current marketing techniques used in the pharmacy business, with a focus on evaluating their effectiveness, their impact on customer choices, and the potential integration of digital tools into pharmacy operations amid market transformation and contemporary challenges. Materials and Methods. A comprehensive approach was applied, encompassing analysis of scientific studies, statistical data from the pharmaceutical market, and exploration of digital marketing practices in the pharmacy sector. The methodological framework included methods of comparison, generalization, data structuring, and content analysis of open sources. Results. Ukraine’s pharmaceutical sector demonstrates positive dynamics: the share of domestic products in monetary terms is growing, as is the volume of imported goods sold in physical units. Dietary supplements are gaining stronger positions in the sales structure. The industry is shifting toward digital transformation – implementing cloud services, RFID, IoT, Big Data, automated inventory management systems, and personalized marketing tools. Major challenges include unstable demand, competition from retail chains, and financial instability due to the war. Prospects lie in the development of online pharmacies, adoption of AR and blockchain technologies, integration with digital medical infrastructure, and active use of artificial intelligence to optimize managerial decisions and improve service quality. Conclusions. The modern pharmaceutical market requires the implementation of innovative management approaches, particularly digital transformation, analytical technologies, and contemporary marketing. These contribute to increased business process efficiency, improved service quality, and enhanced customer loyalty. Adapting to the digital environment is a key factor in the competitiveness of pharmacy networks.
creator: Kh. I. Mocherniuk
creator: O. P. Dudkina
rights: Copyright (c) 2025 https://creativecommons.org/licenses/by/4.0
license: https://creativecommons.org/licenses/by/4.0
date: 2025-10-20
publication date: 2025-10-20
number: 3
starting page: 152
ending page: 156
doi: 10.11603/1681-2786.2025.3.15661

https://ojs.tdmu.edu.ua/index.php/visnyk-gigieny/article/view/15662
type: item
title: SELF-PERCEPTION OF HEALTH STATUS BY MANAGERS OF HEALTH AUTHORITIES AND INSTITUTIONS AS A FACTOR OF MANAGERIAL CAPACITY AND PERSONNEL STABILITY IN THE HEALTHCARE SECTOR (BASED ON THE RESULTS OF A SOCIOLOGICAL STUDY)
description: Purpose: to identify key characteristics of health self-perception among healthcare facility managers and to substantiate its role as a factor of managerial capacity and workforce stability amid healthcare system transformations. Materials and Methods. A quantitative, cross-sectional survey was conducted among n = 327 managers in the Lviv region (83.4% of the total population), with a representative sample (SE = 1.12%, E = ±2.2%, p < 0.001). Data were collected using a structured author-developed questionnaire focused on medical conditions, primarily cardiovascular pathology, and processed using MS Excel with application of medical-statistical methods and systems analysis. Results. A significant urban–rural staffing imbalance was identified (Р=91.1% of managers work in cities). Women comprised Р=70.6% of the managerial staff, and the age distribution covered productive groups, allowing intergenerational exchange of experience while necessitating individualized approaches to chronic disease prevention. Approximately Р=66.7% rated their health as good or excellent, while Р=25.7% assessed it as satisfactory, indicating potential risks associated with occupational stress and aging. The most common medical conditions among respondents indicate limited diagnostic awareness of their own health among managers. Three risk clusters were identified: cardiometabolic, atherosclerotic, and insufficient screening, potentially affecting functional capacity and long-term workability. The calculated Health Status Index (HSI ≈ 0.77) indicated a moderately good overall health status, highlighting underestimation of personal health risks and the need to improve health literacy among managers. Key features of self-assessed health provide a basis for optimizing HR policies and developing pragmatic strategies to maintain managerial functional capacity, focusing on health preservation and burnout prevention. Conclusion. The findings have practical value as an analytical basis for improving …
creator: V. V. Ruden’
creator: V. I. Zub
creator: O. Ye. Khodor
rights: Copyright (c) 2025 https://creativecommons.org/licenses/by/4.0
license: https://creativecommons.org/licenses/by/4.0
date: 2025-10-20
publication date: 2025-10-20
number: 3
starting page: 157
ending page: 169
doi: 10.11603/1681-2786.2025.3.15662

HUMAN RESOURCE SUPPORT FOR THE PUBLIC HEALTH SYSTEM IN THE CONTEXT OF OVERCOMING THE CONSEQUENCES OF MILITARY ACTIONS
type: item
description: Purpose: to provide a scientific justification for optimal solutions in human resource support for Ukraine’s public health system in the context of overcoming the consequences of military actions (based on the example of regional Centers for Disease Control and Prevention). Materials and Methods. To achieve the study’s objective, research was conducted at the State Institution «Cherkasy Regional Center for Disease Control and Prevention of the Ministry of Health of Ukraine» and the State Institution «Sumy Regional Center for Disease Control and Prevention of the Ministry of Health of Ukraine» (RCDCP). The data sources included: the regional program «Medical Personnel»; the «Population Health Status Report» for 2018–2024; and a sociological survey conducted among 214 specialists assessing the effectiveness of service delivery to the population under frontline conditions in the Sumy region. The following research methods were applied: epidemiological method – to assess the impact of human resources on the sanitary-epidemiological situation and to determine the influence of destabilizing risk factors on public health; sociological method – to evaluate the impact of risk factors on population health; statistical method – to identify trends and dependencies; modeling method – to forecast personnel needs using Microsoft Excel software tools; SWOT analysis to identify threats in the industry's personnel policy. Results. The analysis of human resource provision in the public health system, based on the example of RCDCPs, demonstrated that human capital is among the most vulnerable components. The key challenges for epidemiological surveillance at the regional level include a shortage of specialists in epidemiology, insufficient intersectoral cooperation, and limited technical and methodological resources. Conclusions. Strengthening the human resource capacity of Ukraine’s public health system should be achieved through: promoting the prestige of the profession at the legisl…
creator: I. M. Khomenko
creator: O. P. Ivakhno
creator: A. P. Skipalsky
creator: Ya. M. Cheshko
rights: Copyright (c) 2025 https://creativecommons.org/licenses/by/4.0
license: https://creativecommons.org/licenses/by/4.0
date: 2025-10-20
publication date: 2025-10-20
number: 3
starting page: 170
ending page: 178
doi: 10.11603/1681-2786.2025.3.15664

DENTAL SUPPORT FOR DEFENDERS: FREE TREATMENT AND PROSTHETICS
type: item
description: Purpose: the objective of this study is to analyze the organization of dental care for military personnel and veterans during wartime, with a particular focus on the provision of free treatment and prosthetic rehabilitation; research into modern approaches to planning medical and social rehabilitation for defenders of Ukraine, taking into account the current needs for restoration of the dentition, which directly affects both the physical condition of patients and their psycho-emotional well-being and social adaptation. Materials and Methods. An analytical method was applied to examine the legal framework and governmental programs regulating the provision of free dental services for servicemen and veterans. Content analysis of official medical reports, statistical data, and publications in professional scientific journals was conducted. A descriptive method was used to summarize clinical cases of treatment and prosthetics for defenders in public and private medical institutions, which made it possible to summarize both organizational and practical approaches to patient rehabilitation. Results. This study systematizes the existing practices of providing dental care to military personnel in Ukraine, considering medical, organizational, and ethical dimensions. It was found that combat-related injuries, limited access to oral hygiene during service, and high stress levels significantly contribute to oral health disorders. The introduction of free dental treatment and prosthetic programs improves functional outcomes, reduces psychological stress, and facilitates social reintegration. The pivotal role of the dentist within the multidisciplinary rehabilitation team ‒ alongside psychologists, surgeons, and rehabilitation specialists ‒ was emphasized, highlighting both clinical expertise and psychosocial support functions. Conclusions. Expanding governmental and volunteer-based programs for free dental treatment and prosthetics is a key factor in improving the quality of life…
creator: V. V. Cherniavskyi
creator: Yu. V. Striuk
rights: Copyright (c) 2025 https://creativecommons.org/licenses/by/4.0
license: https://creativecommons.org/licenses/by/4.0
date: 2025-10-20
publication date: 2025-10-20
number: 3
starting page: 179
ending page: 182
doi: 10.11603/1681-2786.2025.3.15666

SCIENTIFIC ANALYTICAL SEARCH OF RESEARCH ON THE USE OF BIOSENSORS IN PUBLIC HEALTH
type: item
description: Purpose: the study focuses on the analysis of scientific publications in the Scopus database related to the use of biosensors in public health (2000–2025). The objectives were to identify development trends, leading research centers, institutions, and authors, and to assess the prospects for implementing these technologies in Ukraine. Materials and Methods. A bibliometric search was conducted using the query ALL (biosensors) AND ALL (public health OR population health). A total of 48,652 publications were retrieved and analyzed by year, country, academic institution, document type, subject category, and funding source. Bibliometric and visualization methods were applied to assess publication dynamics. Results. The number of publications shows a steady increase, particularly in the last five years: 5,921 in 2022, 6,648 in 2023, and 8,682 in 2024. The leading contributors are China, India, the USA, the UK, and Iran. Major institutions include the Ministry of Education of China, the Chinese Academy of Sciences, and several top universities. Key journals are Biosensors and Bioelectronics, Sensors and Actuators B Chemical, Microchemical Journal, among others. Articles (56.8%) and reviews (31.1%) represent the dominant publication types. The most productive authors are Wu Y., Zhao C., Li J., Qin Y., and colleagues. Main funding bodies include the National Natural Science Foundation of China, the U.S. National Institutes of Health, and the European Commission. Conclusion. The results of the analytical review in the Scopus scientometric database indicate the high scientific and practical potential of biosensor technologies in the field of public health, which is confirmed by the growth in the volume of publications and large-scale institutional support. For Ukraine, the development of remote health monitoring systems is highly relevant, especially under martial law and limited access to healthcare resources.
creator: V. P. Martsenyuk
creator: A. S. Sverstyuk
creator: O. A. Bahriy-Zayats
creator: S. O. Nikityuk
creator: A. M. Prodan
rights: Copyright (c) 2025 https://creativecommons.org/licenses/by/4.0
license: https://creativecommons.org/licenses/by/4.0
date: 2025-10-20
publication date: 2025-10-20
number: 3
starting page: 183
ending page: 189
doi: 10.11603/1681-2786.2025.3.15667

METHODS FOR THE TECHNICAL REGISTRATION OF SUSPECTED INFECTIOUS DISEASE OUTBREAKS REQUIRING INVESTIGATION
type: item
description: Purpose: this paper reviews technical methods and approaches to detect and investigate suspicious outbreaks of infectious diseases located in a biologically prohibited area. It achieves the direction of early detection, collection, analysis and preservation of data with high biosafety. Materials and Methods. The paper outlines the criteria for identifying suspicious outbreaks, tools, use of UNMOVIC, database structure and investigation procedures. It describes historical examples of the use or release of biological agents that led to advances in verification methods. Results. Early warning systems for outbreaks and the spread of infectious diseases encompass a variety range of data sources, including health sector data, hospital data, social media platform data, statistical bureau data, meteorological department data, and wastewater monitoring systems. There is an increasing demand for resources to identify suspicious threats. Therefore, the development of an integrated information and analytical platform is critical for national security and ensuring the framework of biological and toxin weapons (BTWC). A multi-tiered system of classification, identification and storage of data was developed, which significantly reduced the volume of information and accelerated analysis. Along with increasing computational power and signal detection to improve the speed and efficiency of existing systems, artificial intelligence aids in the early detection of hot spots, their prevention, and epidemiological tracking. Considering the exceptional labor-intensive and continuous manual classification for disease surveillance, it provides simultaneous global coverage and hyperlocal situational awareness. Conclusions. Modern intelligent technologies, if properly implemented, can ensure effective investigation of emergency outbreaks. The creation of a single centralized database increases the ability to quickly respond to biological threats and takes into account the global biosecurity fr…
creator: O. V. Pokryshko
creator: V. S. Kopcha
creator: T. I. Pyatkovskyy
creator: H. I. Mykhailyshyn
creator: N. M. Olyinyk
creator: L. B. Romanyuk
rights: Copyright (c) 2025 https://creativecommons.org/licenses/by/4.0
license: https://creativecommons.org/licenses/by/4.0
date: 2025-10-20
publication date: 2025-10-20
number: 3
starting page: 190
ending page: 195
doi: 10.11603/1681-2786.2025.3.15669

HEALTHCARE QUALITY MANAGEMENT MODELS: GLOBAL EXPERIENCE AND LESSONS FOR UKRAINE
type: item
description: Purpose: to study leading global models of healthcare quality management, conduct their comparative analysis, and substantiate the possibilities of adapting them to the Ukrainian healthcare system. Materials and Methods. The study is based on the theoretical contributions of foreign and domestic scholars, as well as international standards and quality management practices. The methods of systematization, comparative analysis, generalization, and structural-logical modeling were applied. Results. The quality of healthcare services in the current context of healthcare system transformation determines the level of social justice, accessibility, and public trust in the medical sector. In the context of Ukraine’s European integration aspirations and the need for post-war recovery, the search for effective quality management models that combine international experience with national realities becomes particularly important. Seven leading quality management models were systematized and characterized: A. Donabedian’s quality assessment model, Total Quality Management (TQM), Lean Six Sigma, EFQM, Joint Commission International (JCI) accreditation, the Plan–Do–Check–Act (PDCA) cycle, and the Baldrige Performance Excellence Framework. Their advantages and limitations in healthcare were identified. The feasibility of integrating their strengths into national practice was substantiated: the structural logic of Donabedian’s model, process efficiency of Lean Six Sigma and PDCA, strategic frameworks of EFQM and Baldrige, and the standards of JCI. On this basis, a conceptual unified healthcare quality management model (UHQM) was developed, which includes structural-organizational, process, patient-centered, analytical-evaluative, and external compliance blocks. The proposed model takes into account current challenges in the transformation of Ukraine’s healthcare system, digitalization, post-war recovery, and integration into the European healthcare space. Its potential benefits as w…
creator: M. M. Shkilniak
creator: A. I. Artymovych
rights: Copyright (c) 2025 https://creativecommons.org/licenses/by/4.0
license: https://creativecommons.org/licenses/by/4.0
date: 2025-10-20
publication date: 2025-10-20
number: 3
starting page: 196
ending page: 205
doi: 10.11603/1681-2786.2025.3.15672