THE INTEGRATING ASPECT OF CHOOSING A HEALTH STRATEGY: ROLE OF THE DETERMINANTS OF HEALTH

Authors

  • O. N. Litvinova I. Horbachevsky Ternopil National Medical University, Ternopil, Ukraine
  • O. I. Kachmar Chortkiv city interdistrict department of the State Institution «Ternopil Regional Laboratory Center of the Ministry of Health of Ukraine», Chortkiv, Ukraine

DOI:

https://doi.org/10.11603/1681-2786.2021.2.12376

Keywords:

health, determinants of health, healthcare strategy

Abstract

Purpose: to analyze the role and influence of socio-hygienic and demographic determinants of health, as well as the concept of a healthy lifestyle in a multifaceted aspect of choice of healthcare strategy.

Materials and mMethods. The data of sources of researches and methodical literature are used. Research methods: method of systemic approach, analysis and prognostication, biblio-semantic method.

Results. The health of the young generation is significantly influenced by social factors at the personal, family, community and national levels. The main causes of health loss, increased mortality and reduced life expectancy are the low level and unfavorable living conditions of a large part of the population, low efficiency of the existing health care system, the prevalence of bad habits and neglect of the necessity healthy lifestyle. The current situation requires improvement of approaches of public health in Ukraine, revision of recommendations and main principles of existing program and strategic documents in the healthcare system. There is a need to continue researches on the role and impact of health determinants.

Conclusions. Properly chosen healthcare strategy should include a direct multifaceted assessment of health, based on a holistic understanding of the functioning and adaptive capabilities of body throughout the life. The criteria for this are the informativeness of the integrational and energetical components, which include the harmony of the body’s functioning and its possible reserves without unnecessary risks and losses. The ultimate goal of preventing the negative effects of external and internal determinants is to keep the health at a high level of viability. For its implementation, it is necessary to maintain the so-called «safe level» of health in all its manifestations throughout the life of each individual and the public as a whole.

Author Biographies

O. N. Litvinova, I. Horbachevsky Ternopil National Medical University, Ternopil, Ukraine

PhD (Medicine), Associate Professor Public Health and Health care Management Department, I. Horbachevsky Ternopil National Medical University

O. I. Kachmar, Chortkiv city interdistrict department of the State Institution «Ternopil Regional Laboratory Center of the Ministry of Health of Ukraine», Chortkiv, Ukraine

Biologist of the Sanitary and Hygienic Laboratory of the Separate Structural Subdivision of the Chortkiv city interdistrict Department of the State Institution “Ternopil Regional Laboratory Center of the Ministry of Health of Ukraine”

References

Gruzeva, T.S. (2014). Innovatsiyna sutnist ta stratehichnyy i praktychnyy potentsial novoyi yevropeyskoyi polityky «Zdorovya–2020» [Innovative essence and strategic and practical potential of the new European policy «Health 2020»]. Visnyk problem biolohiyi i medytsyny – Bulletin of Problems of Biology and Medicine, 1(3), 25-33 [in Ukrainian].

Znamenskaya, M.A. (2016). Medyko-sotsialne obgruntuvannya systemy komunikatsiy v okhoroni zdorovya [Medico-social substantiation of the system of communications in health care]. Kyiv: NMAPO imeni P.L. Shupyka [in Ukrainian].

Berdnyk, O.V., Zaykovskaya, V.Yu., Sidorenko, T.P., & Dobryanska, O.V. (2009). Imovirnisnyy pidkhid do prohnozuvannya vidkhylen v zdorovyi zdorovykh ditey [Probabilistic approach to predicting abnormalities in the health of healthy children]. Biomed. Biosoc. Anthropol., 13, 12-14 [in Ukrainian].

Knyazevich, V.M., & Avramenko, T.P. (2015). Derzhavna polityka z okhorony zdorovya v Ukrayini: perspektyvy rozvytku v umovakh systemnykh zmin [State health policy in Ukraine: prospects for development in the context of systemical change]. Proceedings of the National Academy of Public Administration under the President of Ukraine 1, 164-179. Kyiv [in Ukrainian].

Goncharuk, E.G., Bardov, V.G., Sergeta, I.V., & Omelchuk, S.T. (2003). Kompleksna otsinka stanu zdorovya ditey i pidlitkiv yaki hihiyenichna problema: metodolohichni ta prykladni aspekty (ohlyadi literatury) [Comprehensive assessment of the health of children and adolescents as a hygienic problem: methodological and applied aspects (review of the literature)]. Zhurnal AMN Ukrayiny – Journal of the Academy of Medical Sciences of Ukraine, 3, 444-462 [in Ukrainian].

Lukina, T.O., & Ringach, N.O. (2016). Osvita yak determinanta zdorovya v politytsi Ukrayiny: oriyentyry na shlyakhu dosyahnennya tsiley staloho rozvytku u svitli Minskoyii deklaratsiyi [Education as a determinant of health in Ukrainian politics: guidelines for achieving sustainable development goals in the light of the Minsk Declaration]. Derzhavne upravlinnya: teoriya i praktyka – Public Administration: Theory and Practice., 1, 158-171 [in Ukrainian].

Serdyuk, A.M., Polka, N.S., & Koblyanskaya, A.V. (2010). Vykonannya naukovoyi chastyny Mizhhaluzevoyi kompleksnoyi prohramy «Zdorovya natsiyi» na 2002–2011 roky [Implementation of the scientific part of the Intersectoral comprehensive program “Health of the Nation” for 2002–2011]. Proceedings from Aktualni pytannya hihiyeny ta ekolohichnoyi bezpeky Ukrayiny – Current issues of hygiene and environmental safety of Ukraine, Kyiv [in Ukrainian].

(2004). Simya v umovakh stanovlennya nezalezhnoyi Ukrayiny (2001–2003 roky) [The family in the conditions of formation independent of Ukraine (2001–2003)]. State report on the situation of families in Ukraine (following the results of 2003). Kyiv: State Institute of Family and Youth Problems, [in Ukrainian].

Skochko T.P. (2011). Naukovi zasady hihiyenichnoyi donozolohichnoyi diahnostyky rezerviv zdorovya pidlitkiv [Scientifical principles of hygienic pre-nosological diagnosis of adolescent health reserves]. Extended abstract of candidate’s thesis. Kyiv [in Ukrainian].

Shafransky, V.V., & Dudnik, S.V. (2015). Stratehiya dosyahnennya zdorovya tai blahopoluchchya naselennya krayiny v umovakh suchasnykh vyklykivi ukrayinskomu suspilstvu [A strategy of achieving the health and well-being of the country’s population in the face of modern challenges to Ukrainian society]. Ukrayina. Zdoroya natsiyi – Ukraine. The Health of the Nation, 3, 118-122 [in Ukrainian].

Sherstyuk, N.S., & Sokolov, A.V. (2016). Zdorovya naselennya Ukrayiny ta yoho vplyv na demohrafichnu sytuatsiyu [Health of the population of Ukraine and its impact on the demographic situation]. Ekonomika i suspilstvo – Economy and Society, 5, 316-319 [in Ukrainian].

Wall, J., & Goldberg, B. (2014). Children’s health: priorities, responsibilities and health policy. [J. Amer.] Board Family Pract., 7(5), 447-449.

Published

2021-09-22

How to Cite

Litvinova, O. N., & Kachmar, O. I. (2021). THE INTEGRATING ASPECT OF CHOOSING A HEALTH STRATEGY: ROLE OF THE DETERMINANTS OF HEALTH. Bulletin of Social Hygiene and Health Protection Organization of Ukraine, (2), 24–28. https://doi.org/10.11603/1681-2786.2021.2.12376

Issue

Section

Health and society