THE ROLE OF THE PRIMARY LINK IN THE PROVISION OF SOCIAL SERVICE OF PALLIATIVE AND HOSPICE CARE TO PATIENTS OF TERNOPIL REGION
DOI:
https://doi.org/10.11603/1681-2786.2019.4.10944Keywords:
palliative and hospice care, primary care, general practitioner-family doctorAbstract
Purpose: medical-social analysis and determination of organizational aspects of the current state and priority directions of development of palliative and hospice care (PHC) system in Ternopil region in the conditions of reforming the health care system of Ukraine.
Materials and Methods. In order to achieve this goal, common scientific methods of analysis, synthesis and generalization were used.
Results. The unfavorable medical and demographic situation in Ukraine requires the justification, creation and development of an affordable, high-quality and effective PHC system, which requires the involvement of medical workers of health care facilities (HCF) of primary health care specialized HCF in coordinating the work of institutions, subordinating to different ministries and government departments, different forms of ownership.
Today in the Ternopil region medical sector reforms are being continued in order to bring accessibility and improve the quality of service to the population, expand the range of medical services to patients in need of PHC by involving general practitioners-family doctors in outpatient palliative care at home as well.
Conclusions. The medical-social analysis of demographics, morbidity and mortality indicates a rapid decline in population and aging, a high mortality rate from malignant neoplasms and severe complications of chronic noncommunicable diseases that determine the high need for PHC. Based on the assessment of the development of palliative and hospice care and its compliance with world standards, we understand that the system needs further development.
References
Voronenko, Yu.V., Hubskyi, Yu.I., & Tsarenko, A.V. (2014). Stvorennia systemy paliatyvnoi ta khospisnoi dopomohy v umovakh reformuvannia okhorony zdorovia v Ukraini: medychni ta sotsialni aspekty [Creation of a system of palliative and hospice care in the conditions of health care reform in Ukraine: medical and social aspects]. Nauka i praktyka. Mizhvidomchyi medychnyi zhurnal – Science and practice. Interagency Medical Journal, 1 (2), 63-75 [in Ukrainian].
Voronenko, Yu.V., & Hubskyi, Yu.I. (Ed.) (2013). Paliatyvna dopomoha yak intehralna skladova rozvytku ta reformuvannia systemy okhorony zdorovia v Ukraini [Palliative care as an integral component of development and reform of the health care system in Ukraine]. Materials of the II All-Ukrainian Sci.-Pract. Conference: Aktualni pytannia nadannia paliatyvnoi ta khospisnoi dopomohy v Ukraini. Medyko-yurydychni ta farmatsevtychni aspekty – Actual Issues of Palliative Care and Hospice Care in Ukraine. Medico-Legal and Pharmaceutical Aspects. Kyiv: Talkom [in Ukrainian].
Hoyda, N.H., Hubskyi, Yu.I., & Tsarenko, A.V. (2015). Sotsialno-medychni aspekty rozvytku paliatyvnoi ta khospisnoi dopomohy v Ukraini v umovakh reformuvannia systemy okhorony zdorovia [Socio-medical aspects of the development of palliative and hospice care in Ukraine in the conditions of reforming the health care system]. Reabilitatsiia ta paliatyvna medytsyna – Rehabilitation and Palliative Medicine, 2 (2), 23-30 [in Ukrainian].
Voronenko, Yu.V., & Hubskyi, Yu.I. (Ed.) (2015). Paliatyvna medychna dopomoha v Ukraini: sotsialni, medyko-pravovi ta kliniko-farmatsevtychni aspekty [Palliative care in Ukraine: social, medical, legal and clinical-pharmaceutical aspects]. Materials of the II All-Ukrainian Sci.-Pract. Conference: Aktualni pytannia nadannia paliatyvnoi ta khospisnoi dopomohy v Ukraini. Medyko-yurydychni ta farmatsevtychni aspekty – Actual Issues of Palliative Care and Hospice Care in Ukraine. Medico-legal and Pharmaceutical Aspects. Kyiv: Talkom [in Ukrainian].
Derzhavnyi komitet statystyky Ukrainy [State Statistics Committee of Ukraine]. Retrieved from: http://www.ukrstat.gov.ua [in Ukrainian].
Dryzhak, V.I., Zhulkevych, I.V., & Leskiv, I.M. (2013). Stan diahnostyky ta likuvannia pervynnoho raku pechinky [State of diagnosis and treatment of primary liver cancer]. Visnyk naukovykh doslidzhen – Bulletin of Scientific Research, 2, 72-73 [in Ukrainian].
Kniazevych, V.M. (2015). Perspektyvy rozvytku paliatyvnoi dopomohy v Ukraini [Prospects for the development of palliative care in Ukraine]. Reabilitatsiia ta paliatyvna medytsyna – Rehabilitation and Palliative Medicine, 2, 131-134 [in Ukrainian].
Voronenko, Yu.V., Knyazevych, V.M., Zavoloka, O.V., Hubskyi, Yu.I., & Moiseyenko, R.O. (2016). Sotsialno-medychni aspekty rozvytku paliatyvnoi ta khospisnoi dopomohy v Ukraini [Socio-medical aspects of the development of palliative and hospice care in Ukraine]. Collection: Shchorichna dopovid pro stan zdorovia naselennia, sanitarno-epidemichnu sytuatsiiu ta rezultaty diialnosti systemy okhorony zdorovia Ukrainy. 2015 rik. – Annual report on the state of health of the population, the sanitary-epidemic situation and the results of the activity of the health care system of Ukraine. 2015]. Shafranskyi, V.V. (Eds.). MOZ Ukrainy; “DU UISD MOZ Ukrainy”. Kyiv [in Ukrainian].
Tsarenko, A.V., Hoyda, N.H., & Hubskyi, Yu.I. (2019). Obhruntuvannia kontseptualnoi modeli systemy paliatyvnoi i khospisnoi dopomohy naselenniu na rivni pervynnoi medychnoi dopomohy [The substantiation of the conceptual model of the system of palliative and hospice care to the population at the level of primary medical care]. Zdorovia suspilstva – Health of the Society, 2, 49-57 [in Ukrainian]. DOI: https://doi.org/10.22141/2306-2436.8.2.2019.172622
Chaikovska, V.V., Vyalykh, T.I., & Tsarenko, A.V. (2018). Metodolohichni zasady provedennia kursu “Osnovy dovhotryvaloho i paliatyvnoho dohliadu za khvorymy ta vnutrishno peremishchenymy osobamy litnoho viku” (na dopomohu navchalnym zakladam II–IV rivnia akredytatsii) [Methodological principles of conducting the course “Fundamentals of long-term and palliative care for patients and internally displaced persons of elderly age” (to help educational institutions of the II-IV level of accreditation)]. Reabilitatsiia ta paliatyvna medytsyna – Rehabilitation and Palliative Medicine,1 (7), 36-46 [in Ukrainian].
Chepelevska, L.A., & Rudnytskyi, O.P. (2017). Analiz demohrafichnoi sytuatsii v Ukraini. Shchorichna dopovid pro stan zdorovia naselennia, sanitarno-epidemichnu sytuatsiiu ta rezultaty diialnosti systemy okhorony zdorovia Ukrainy. 2016 rik [Analysis of the Demographic Situation in Ukraine. Annual Report on the State of Health of the Population, Sanitary-Epidemic Situation and Results of the Health Care System of Ukraine. 2016]. MOZ Ukrainy, DU “UISD MOZ Ukrainy”. Kyiv [in Ukrainian].
Chepelevska, L.A. (2018). Tendentsii medyko-demohrafichnykh pokaznykiv Ukrainy v XXI stolitti [Trends of medical and demographic indicators of Ukraine in the XXI century]. Ukraina. Zdorovia natsii – Ukraine. The Nation’s Health, 1 (47), 48-52 [in Ukrainian]. DOI: https://doi.org/10.15407/gb.2018.16.048
Shekera, O.H., Tsarenko, A.V., & Hubskyi, Yu.I. (2014). Model zaluchennia likariv zahalnoi praktyky-simeinykh likariv do nadannia paliatyvnoi dopomohy patsiientam vdoma [Model of involvement of general practitioners-family doctors in palliative care at home]. Zdorovia suspilstva – Health of the Society, 3, 1-2, 29-35 [in Ukrainian]. DOI: https://doi.org/10.22141/2306-2436.3.1-2.2014.121648
(2017). Shchorichna dopovid pro stan zdorovia naselennya, sanitarno-epidemichnu sytuatsiiu ta rezultaty diialnosti systemy okhorony zdorovia v Ukraini 2017 r. [Annual Report on the State of Health of the Population, Sanitary and Epidemic Situation and the Results of the Health Care System in Ukraine 2017]. MOZ Ukrainy; DU “UISD MOZ Ukrainy”. Kyiv, [in Ukrainian].
(2018). Shchorichna dopovid pro stan zdorovia naselennia, sanitarno-epidemichnu sytuatsiiu ta rezultaty diialnosti systemy okhorony zdorovia Ukrainy. 2017 rik [Annual report on the state of health of the population, the sanitary-epidemic situation and the results of activity of the health care system of Ukraine. 2017]. MOZ Ukrainy, DU “UISD MOZ Ukrainy”. Kyiv: “Medinform” [in Ukrainian].
WHO. (2016). Planning and implementing palliative care services: a guide for programme managers. World Health Organization.
Connor, S.R., & Bermedo, M.C.S. (Eds.). WPCA and WHO. (2014). Global Atlas of Palliative Care at the End of Life. World Health Organization.
ЕАРС. (2010). White Paper on standards and norms for hospice and palliative care in Europe: Part 1. Recommendations from the European Association for Palliative Care. European Journal оf Palliative Care, 17 (1), 22-33.
Council of Europe. (2004). Rekomendatsii Rec (2003) 24 Komiteta Ministrov Soveta Yevropy k gosudarstvam-chlenam po organizatsii palliativnogo ukhoda (12 no 2003 g.) [Recommendations Rec (2003) 24 of the Committee of Ministers of the Council of Europe to member states on the organization of palliative care (November 12, 2003)]. [in Russian].
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