PROBLEMATIC ASPECTS OF THE FORMATION OF PUBLIC HEALTH SYSTEM IN UKRAINE
DOI:
https://doi.org/10.11603/1681-2786.2019.2.10488Keywords:
public health system, Public Health Center, concept of public healthAbstract
Purpose: to identify the problematic aspects of the formation of public health system, to analyze the current state of development and designation of the main priorities in the field of public health.
Materials and Methods. The study includes methods of analysis, synthesis and deduction to identify the aspects of public health system in Ukraine and set targets for public health.
Results. The main issues in public health are analyzed. The public health system, as a basis for preventative medicine, should encompass basic health care measures and be aimed at preserving the health of the population and reducing the cost of health care.
The current elements of the public health system in Ukraine act in an uncoordinated manner and require the optimization of existing resources and a significant increase in the efficiency of its management. Measures to reform the health care system have only deepened the crisis of preventive medicine. The causes of such situation include socio-economic crisis, unfavorable environmental situation, unhealthy diet, insufficient physical activity, smoking, alcohol and drugs abuse.
The Concept of public health in Ukraine envisages the development of regional public health systems – the creation of public health centers in each region. It is this new institution that should become the regional coordinator of public health activities, be flexible and able to fight both infectious and noninfectious diseases, be aimed at promoting, protecting and preserving the population health, ensuring the definition of the social determinant of health and social equity to coordinate action across all general government sectors.
Conclusions. As the existing health care system in Ukraine does not actually provide a preventive component, it is necessary to identify new approaches and to develop programs which can solve public health problems and ensure Public Health Center functioning as a coordinator of these programs and projects.
References
Kulhinskyi, Ye. (2016). Priorytetni napriamy derzhavnoi polityky zberezhennia hromadskoho zdorovia Ukrainy [Priority directions of the state policy of preservation of public health of Ukraine]. Derzhavne upravlinnia ta mistseve samovriaduvannia – State Administration and Local Self-Government, 3, 84-91 [in Ukrainian].
Moskalenko, V.F. (2009). Kontseptualni pidkhody do formuvannia suchasnoi profilaktyktychnoi stratehii v okhoroni zdorovia: vid profilaktyky medychnoi do profilaktyky sotsialnoi [Conceptual approaches to the formation of a modern preventive strategy in health care: from medical prevention to social prevention]. Kyiv: Avicenna [in Ukrainian].
Nakaz MOZ Ukrainy vid 18.09.2015 № 604 “Pro utvorennia derzhavnoi ustanovy “Tsentr hromadskoho zdorovia Ministerstva okhorony zdorovia Ukrainy” [Order of the Ministry of Health of Ukraine dated September 18, 2015 No. 604 “On Establishment of a State Institution“ Center for Public Health of the Ministry of Health of Ukraine”]. Retrieved from: https://zakon.rada.gov.ua/rada/show/v0604282-15 [in Ukrainian].
Kniazevych, V.M. (Ed.). (2009).Okhorona zdorovia Ukrainy: stan, problemy, perspektyvy [Health care in Ukraine: status, problems, prospects]. Kyiv [in Ukrainian].
Rozporiadzhennia Kabinetu Ministriv Ukrainy vid 30 lystopada 2016 r. No. 1002-r “Pro skhvalennia Kontseptsii rozvytku systemy hromadskoho zdorovia” [Ordinance of the Cabinet of Ministers of Ukraine of November 30, 2016 No. 1002-p “On Approval of the Concept of Development of the Public Health System”]. Retrieved from: https://www.kmu.gov.ua/ua/npas/249618799 [in Ukrainian].
Uhoda pro asotsiatsiiu mizh Ukrainoiu ta Yevropeiskym Soiuzom. Uriadovyi portal [Association Agreement between Ukraine and the European Union. Government portal]. Retrieved from: https://www.kmu.gov.ua/storage/app/media/ugoda-pro-asociaciyu/00ukraine-euassociationagreementbody.pdf 13 [in Ukrainian].
Ukaz Prezydenta Ukrainy vid 12 sichnia 2015 roku № 5/2015 “Pro Stratehiiu staloho rozvytku “Ukraina – 2020” [Presidential Decree No. 5/2015 of 12 January 2015 “On the Sustainable Development Strategy“ Ukraine 2020”]. Retrieved from: http://zakon3.rada.gov.ua/laws/show/5/2015 [in Ukrainian].
Tsiborovskyi, О.М., Istomin, S.V. & Soroka, V.M. (2011). Shliakhy systematyzatsii zakonodavstva Ukrainy u sferi okhorony zdorovia [Ways to systematize the Ukrainian legislation in the field of health care]. Kyiv [in Ukrainian].
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