THE CAPABILITIES OF HEALTH CARE INSTITUTIONS IN THE CONDITIONS OF IMPLEMENTATION OF THE SECOND STAGE OF HEALTH CARE SYSTEM REFORM AS FOR PROVIDING WOMEN WITH COMPREHENSIVE MEDICAL CARE (according to the analysis of approved medical service packages)
DOI:
https://doi.org/10.11603/1681-2786.2020.2.11407Keywords:
health care system, reformation, second stage, medical service packages, women, medical care, provisionAbstract
Purpose: to study the possibility of health care establishments in the frames of implementation of the second stage of the health care system reform as for provision of women with comprehensive medical care.
Materials and Methods. Bibliosemantic method and the method of structural-and-logical analysis were applied in the course of research. Medical service packages for which the National Health Care Service of Ukraine concludes agreements with health care establishments of specialized and highly specialized medical care from April 1, 2020 within the framework of the Medical Guarantees Program and medical service packages that are already working at the level of primary medical care were used as the materials of study.
Results. 9 of the 29 medical services packages approved within the framework of the State Guarantee Program for the year 2020 were analyzed. In general, approved health care packages provide a certain amount of primary, diagnostic, outpatient and inpatient obstetric and gynecological care. However, definite part of the packages, including the provision of primary, diagnostic and maternity care, have disadvantages that complicate the accessibility of care, its quality and sustainability of resources.
Conclusions. The analysis of approved healthcare service packages showed that their introduction does not fully provide women with obstetric and gynecological care and require correction for the year 2021.
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