MODERN ASPECTS OF ORGANIZATION OF PALIATIVE AND HOSPITAL CARE IN UKRAINE IN THE CONDITIONS OF MEDICAL REFORM

Authors

  • H. S. Saturska I. Horbachevsky Ternopil National Medical University, Ternopil, Ukraine
  • I. M. Shyshatska I. Horbachevsky Ternopil National Medical University, Ternopil, Ukraine
  • O. V. Saturskyi I. Horbachevsky Ternopil National Medical University, Ternopil, Ukraine
  • D. M. Kollins I. Horbachevsky Ternopil National Medical University, Ternopil, Ukraine
  • N. P. Markiv-Bukovska Ternopil Regional Laboratory Center of the Ministry of Health of Ukraine, Ternopil, Ukraine

DOI:

https://doi.org/10.11603/1681-2786.2021.1.12140

Keywords:

palliative and hospice care, medical guarantees program, medical services, medical reform

Abstract

Purpose: to analyze the organization of palliative and hospice care at different levels of medical care for the population of Ukraine at the current stage of healthcare reform in Ukraine and at the regional level.

Materials and methods: the scientific work uses current regulations and guidelines of the Ministry of Health of Ukraine on the organization of palliative and hospice care in the healthcare system of Ukraine. Scientific methods were used for data processing: analytical, bibliosemantic and systematic approach.

Results: Palliative care, as a separate type of medical care, has been legislated in Ukraine since 2011. But before the introduction of the program of medical guarantees and the signing of contracts with the National Health Service of Ukraine for packages of medical services in the direction of palliative and hospice care, such assistance in our country was provided only by a few dozen medical institutions. The introduction of a separate package in the program of medical guarantees became an incentive for the development of a network of institutions providing palliative care.

Conclusions: Development and improvement of the quality of palliative care in accordance with world standards is one of the priority tasks of the health care system and public health of Ukraine, because palliative and hospice care is a complex of medical, social, psychological measures aimed at improving the quality of life of patients with incurable diseases and limited life prognosis. To create a highly effective palliative care system in Ukraine, it is also necessary to overcome the barriers identified by WHO experts. The reduction of pain, physical and mental suffering, elimination or reduction of disorders of life and other severe manifestations of diseases, professional care, psychological, social and spiritual support for patients and their families should be considered as the main objectives of palliative and hospice care.

Author Biographies

H. S. Saturska, I. Horbachevsky Ternopil National Medical University, Ternopil, Ukraine

DM (Medicine), Professor, Head of the Department of Public Health and Health Сare Management, I. Horbachevsky Ternopil National Medical University

I. M. Shyshatska, I. Horbachevsky Ternopil National Medical University, Ternopil, Ukraine

2nd year student of the Medical Faculty, specialty “Public Health”, I. Horbachevsky Ternopil National Medical University

O. V. Saturskyi, I. Horbachevsky Ternopil National Medical University, Ternopil, Ukraine

4th year student of the medical faculty, specialty “Medicine”, I. Horbachevsky Ternopil National Medical University

D. M. Kollins, I. Horbachevsky Ternopil National Medical University, Ternopil, Ukraine

1st year student of the Faculty of Medicine, specialty "Public Health", I. Horbachevsky Ternopil National Medical University

N. P. Markiv-Bukovska, Ternopil Regional Laboratory Center of the Ministry of Health of Ukraine, Ternopil, Ukraine

Leading Legal Adviser at the Ternopil Regional Laboratory Center of the Ministry of Health of Ukraine

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Published

2021-06-02

How to Cite

Saturska, H. S., Shyshatska, I. M., Saturskyi, O. V., Kollins, D. M., & Markiv-Bukovska, N. P. (2021). MODERN ASPECTS OF ORGANIZATION OF PALIATIVE AND HOSPITAL CARE IN UKRAINE IN THE CONDITIONS OF MEDICAL REFORM. Bulletin of Social Hygiene and Health Protection Organization of Ukraine, (1), 33–39. https://doi.org/10.11603/1681-2786.2021.1.12140

Issue

Section

Organization of medical care