ANALYSIS OF PROVIDING CARE TO PATIENTS WITH ONCOLOGICAL DISEASES IN THE CONDITIONS OF MARTIAL LAW
DOI:
https://doi.org/10.11603/1681-2786.2022.3.13434Keywords:
medical guarantee program, National Health Service of Ukraine, martial lawAbstract
Purpose: to perform an analysis of providing care to cancer patients in Ukraine under martial law.
Materials and Methods. The study was conducted on the basis of information provided by the National Health Service of Ukraine and legal acts that regulate the implementation of the Medical Guarantee Program.
Statistical methods were used (analysis of relative values, calculation of the rate of absolute growth), structural and logical analysis and a systematic approach.
Results. In March 2022 a decline in the number of patients who received inpatient and outpatient medical care under the “Chemotherapy treatment”, “Radiological treatment” and “Treatment of oncohematological diseases” packages was recorded. The number of patients who received appropriate specialized medical care in hospital conditions decreased by 17.38–26.56 %, while within the outpatient package it decreased by 36.34–46.46 % compared to February 2022 before the introduction martial law.
A reduction in the number of pediatric patients was already observed in February 2022: by 10.34 % for chemotherapy treatment and by 77.78 % for radiological treatment. However, the most significant decline was recorded in April – by half (53.43 %) for the “Chemotherapy treatment” package, by 45.82 % for the “Treatment of oncohematological diseases” package and by a third (33.33 %) for the “Radiological treatment” package. It is worth noting that the number of children who received specialized medical care for the treatment of oncology in May 2022 halved in comparison to the number in January 2022.
As of March 2022, the number of services for early detection of oncological diseases decreased by 34.04–67.71 % compared to February 2022.
Despite the positive dynamics of the increase in the number of patients for inpatient and outpatient treatment, as well as for the early detection of neoplasms recorded in May 2022, it was still not possible to reach the pre-war level.
Conclusions. As a result of the Russian military invasion, the health care system of Ukraine suffered a negative impact, but the oncology service demonstrated its effectiveness and mobility, the ability to adapt to new working conditions. However, there is a need to develop recommendations for improving the system of providing medical care to cancer patients in the conditions of martial law.
References
(2022). Postanova Kabinetu Ministriv Ukrayiny Deyaki pytannya realizatsiyi prohramy derzhavnykh harantiy medychnoho obsluhovuvannya naselennya u 2022 rotsi vid 29 hrudnya 2021 r. № 1440 [Resolution of the Cabinet of Ministers of Ukraine Some issues of implementation of the program of state guarantees of medical care of the population in 2022 dated December 29, 2021 No. 1440]. zakon.rada.gov.ua. Retrieved from: https://zakon.rada.gov.ua/laws/show/1440-2021-%D0%BF#Text [in Ukrainian].
Kilkist pomerlykh za okremymy prychynamy smerti [The number of dead by individual causes of death]. Sayt derzhavnoyi sluzhby statystyky Ukrayiny – Website of the State Statistics Service of Ukraine. Retrieved from: https://ukrstat.gov.ua [in Ukrainian].
(2022). Kontraktuvannya 2022 [Contracting 2022]. Sayt Natsionalnoyi sluzhby zdoroya Ukrayiny – Website of the National Health Service of Ukraine. contracting.nszu.gov.ua. Retrieved from: https://contracting.nszu.gov.ua/ogoloshennya-pro-ukladennya-dogovoriv/kontraktuvannya-2022 [in Ukrainian].
(2021). Onkoepidemiolohichna sytuatsiya ta stan orhanizatsiyi onkolohichnoyi dopomohy v Ukrayini, 2020–2021 rr. [Onco-epidemiological situation and the state of the organization of oncology care in Ukraine, 2020–2021]. Sayt Natsionalnoho kantser-reyestru Ukrayiny – Website of the National Cancer Registry of Ukraine. ncru.inf.ua. Retrieved from: http://ncru.inf.ua/publications/thematic.htm [in Ukrainian].
Oplaty nadavacham medychnykh posluh za napryamom «Onkolohiya». Informatsiya Natsionalnoyi sluzhby zdorovya Ukrayiny [Payments to providers of medical services in the field of «Oncology». Information of the National Health Service of Ukraine] [in Ukrainian].
(2022). Perelik terytorialnykh hromad, roztashovanykh u rayonakh provedennya voyennykh (boyovykh) diy, abo yaki perebuvayut u tymchasoviy okupatsiyi, otochenni (blokuvanni) stanom na 27.05.2022 roku [List of territorial communities located in areas of military (combat) operations, or which are under temporary occupation, encirclement (blockade) as of 05/27/2022]. www.kmu.gov.ua. Retrieved from: https://www.kmu.gov.ua/news/onovleno-aktualnij-perelik-gromad-u-rajonah-bojovih-dij-na-tot-ta-tih-shcho-v-otochenni [in Ukrainian].
(2022). Postanova Kabinetu Ministriv Ukrayiny Pro vnesennya zmin do deyakykh postanov Kabinetu Ministriv Ukrayiny shchodo zabezpechennya realizatsiyi prohramy derzhavnykh harantiy medychnoho obsluhovuvannya naselennya vid 20.03.2022 r. № 325 [Resolution of the Cabinet of Ministers of Ukraine On making changes to some resolutions of the Cabinet of Ministers of Ukraine regarding implementation of the program of state guarantees of medical care for the population dated March 20, 2022 No. 325]. zakon.rada.gov.ua. Retrieved from: https://zakon.rada.gov.ua/laws/show/325-2022-%D0%BF#Text [in Ukrainian].
(2022). Postanova Kabinetu Ministriv Ukrayiny Pro vnesennya zmin do deyakykh postanov Kabinetu Ministriv Ukrayiny shchodo realizatsiyi prohramy derzhavnykh harantiy medychnoho obsluhovuvannya naselennya vid 5 bereznya 2022 r. № 198 [Resolution of the Cabinet of Ministers of Ukraine On making changes to some resolutions of the Cabinet of Ministers of Ukraine regarding the implementation of the program of state guarantees of medical care for the population dated March 5, 2022 No. 198]. zakon.rada.gov.ua. Retrieved from: https://zakon.rada.gov.ua/laws/show/198-2022-%D0%BF#n17 [in Ukrainian].
(2022). Postanova Kabinetu Ministriv Ukrayiny Pro vnesennya zmin do postanov Kabinetu Ministriv Ukrayiny vid 25 kvitnya 2018 r. № 410 i vid 29 hrudnya 2021 r. № 1440 vid 25 lyutoho 2022 r. № 157 [Resolution of the Cabinet of Ministers of Ukraine On amendments to the resolutions of the Cabinet of Ministers of Ukraine dated April 25, 2018 No. 410 and dated December 29, 2021 No. 1440 dated February 25, 2022 No. 157]. zakon.rada.gov.ua. Retrieved from: https://zakon.rada.gov.ua/laws/show/157-2022-%D0%BF#n12 [in Ukrainian].
(2022). Nakaz Ministerstva okhorony zdorovya Ukrayiny Pro zatverdzhennya Kryteriyiv napravlennya hromadyan Ukrayiny dlya likuvannya za kordon na period diyi voyennoho stanu ta Pereliku zakladiv okhorony zdorovya, yaki zdiysnyuyutʹ koordynatsiyu napravlennya hromadyan Ukrayiny dlya likuvannya za kordon na period diyi voyennoho stanu vid 05.04.2022 r. № 574 [Order of the Ministry of Health of Ukraine On the approval of the Criteria for the referral of Ukrainian citizens for treatment abroad during the period of martial law and the List of health care institutions that coordinate the referral of Ukrainian citizens for treatment abroad during the period of martial law dated April 5, 2022 No. 574]. zakon.rada.gov.ua. Retrieved from: https://zakon.rada.gov.ua/laws/show/z0414-22#Text [in Ukrainian].
(2022). Prohrama medychnykh harantiy 2022: dopomoha patsiyentam z onkolohichnymy zakhvoryuvannyamy v umovakh voyennoho stanu. Informatsiya Natsionalnoyi sluzhby zdorovya Ukrayiny [Program of medical guarantees 2022: assistance to patients with oncological diseases in conditions of martial law. Information of the National Health Service of Ukraine] [in Ukrainian].
Cancer. Key facts. Website of World Health Organization. www.who.int. Retrieved from: https://www.who.int/news-room/fact-sheets/detail/cancer.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2023 Bulletin of Social Hygiene and Health Protection Organization of Ukraine
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish in this journal agree to the following terms:
1. The authors reserve the right to authorship of the work and pass the journal right of first publication of this work is licensed under a Creative Commons Attribution License, which allows others to freely distribute the work published with reference to the authors of the original work and the first publication of this magazine.
2. Authors are entitled to enter into a separate agreement on additional non-exclusive distribution of work in the form in which it was published in the magazine (eg work place in the electronic repository institution or publish monographs in part), provided that the reference to the first publication of this magazine.
3. Policy magazine allows and encourages authors placement on the Internet (eg, in storage facilities or on personal websites) manuscript of how to submit the manuscript to the editor and during his editorial processing, since it contributes to productive scientific discussion and positive impact on the efficiency and dynamics of citing published work (see. The Effect of Open Access).
