PROSPECTIVE DIRECTION OF DEVELOPMENT OF AMBULATORY CARDIOLOGICAL CARE TO THE POPULATION OF THE REGION IN THE MODERN ECONOMIC CONDITIONS
DOI:
https://doi.org/10.11603/1681-2786.2021.1.12148Keywords:
outpatient cardiological care, public-private partnershipAbstract
Rurpose: to carry out a medical and social substantiation of the priority direction of the development of outpatient cardiological care for the population of the region in the new economic conditions.
Materials and methods. The priority direction of the development of regional outpatient cardiological care for the population of the region in the new economic conditions is carry out using the method of system analysis, as well as information-analytical, sociological and statistical methods. The information base for its formation was the scientific works of domestic and foreign specialists in cardiology, public-private partnership (PPP) and management, as well as our own research, during which the characteristics of the network and resources of outpatient clinics providing cardiological care were obtained, and a sociological study of 829 patients with cardio-vascular diseases in Kiev region and sociological survey of 352 cardiologists from all regions of Ukraine were carried out.
Results. Chronic underfunding and an unsatisfactory level of development of the material and technical base of outpatient clinics providing cardiological care to the population of the Kiev region have been established.
A number of problems and a low level of satisfaction with the organization of outpatient cardiological care for the population were revealed according to the results of a sociological survey of patients with cardio-vascular diseases and cardiologists.
The mechanisms of public-private partnership were considered as a way to attract investments in the health care system and the presence of a legal framework for the implementation of PPP in health care in Ukraine was determined. As a result, the main directions of the development of outpatient cardiological care for the population of the region in modern economic conditions were substantiated on the basis of the use of PPP mechanisms.
Conclusions. The priority direction of improving the organization of outpatient cardiological care in the new economic conditions is the formation of an economic mechanism at the outpatient clinics providing cardiological care on the principles of PPP.
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