CAPACITY OF THE REFORMED HEALTH CARE SYSTEM OF KYIV CITY TO PROVIDE MEDICAL CARE TO PATIENTS WITH CEREBRAL STROKE
DOI:
https://doi.org/10.11603/1681-2786.2020.2.11405Keywords:
Kyiv, reformed health care system, cerebral stroke, patients, medical care, capacityAbstract
Purpose: to study the capacity level of the reformed health care system in Kyiv city to provide medical care to patients with cerebral stroke.
Materials and Methods. The statistical method, the method of structural and logical analysis, and the method of systemic approach were applied in the course of study. The data of sectoral statistical reports in Kyiv for the years 2014–2018, the concluded contracts between the health care institutions of Kyiv and the National Health Care Service of Ukraine since April 1, 2020 were used as materials for the study.
Results. In the frames of implementation of the System of State financial guarantees of medical care for medical aid to the population with acute cerebral strokes health care establishments from April 1, 2020 conclude contracts with the National Health Service of Ukraine according to the packages of medical services in the directions "Medical care for acute cerebral stroke" and "Medical rehabilitation of adults and children from three years of age with nervous system lesions" which include the specification of provision and conditions for procurement of medical services. These packages are not perfect and need the revision in future.
In order to provide inpatient care for patients with acute cerebral stroke, the health care system of Kyiv has sufficient hospital resources, but in their majority they are located in different health care establishments, which creates obstacles to provide qualified care in different forms of strokes and to insufficiently rational use of available resources. At the same time only in 2 health care establishments from ten departments of pathological process visualization work round-the-clock including the weekends and holidays, and in the rest of establishments – in the mode of doctor's work at daytime, that does not allow to fulfill the terms of contracts with National Health Care Service of Ukraine, when visualization process should be carried out within 60 minutes of patient’s stay in a hospital.
Conclusions. The results obtained in the course of study indicate the insufficient capacity of the reformed health care system in Kyiv to provide patients with cerebral strokes with accessible and qualified medical care with rehabilitation services.
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