STAFFING NEEDS OF THE REHABILITATION SERVICE OF UKRAINE
DOI:
https://doi.org/10.11603/1681-2786.2025.4.15905Keywords:
public health; rehabilitation care; human resource provision; Program of Medical Guarantees; multidisciplinary teams; rehabilitation professionals; hospital clusters; continuous professional development.Abstract
Purpose: To analyze the state of personnel training and the human resource capacity of Ukraine’s rehabilitation service. Materials and Methods. The information base included analytical dashboards of the National Health Service of Ukraine (NHSU) for 2021–2024, statistical digests of the Ministry of Health of Ukraine, WHO Europe reports, as well as publications on human resource policy in physical and rehabilitation medicine and materials from leading analytical portals. The study also used the results of a sociological survey of 130 respondents (87 physicians and 43 heads of rehabilitation centers) conducted in 2025. The methods applied were questionnaire-based surveys, statistical analysis, and content analysis of respondents’ answers. Quantitative indicators (%, number of responses) and qualitative analysis of suggestions were used for data interpretation. Results. The survey revealed a shared understanding of the critical workforce shortage and the need to update the professional training system. Physicians predominantly emphasized low wages, excessive workload, and an insufficient number of young specialists. Managers highlighted inadequate funding, the absence of incentive programs, and the need to improve management mechanisms. Both groups identified continuous education, strengthening human-resource policy, and the development of multidisciplinary teams within hospital clusters as priority directions. The findings also confirmed a significant demand for the digitalization of service recording and monitoring, the standardization of protocols, and the enhancement of staff qualifications. These results made it possible to formulate scientifically grounded recommendations for optimizing human-resource policy and developing the rehabilitation service within hospital clusters. Conclusions. A survey of 130 respondents (87 physicians and 43 health facility managers) revealed a shared understanding of the critical workforce shortage and the need to update the professional training system. Physicians primarily emphasized low wages, excessive workload, and an insufficient number of young specialists. Managers highlighted inadequate funding, the absence of incentive programs, and the need to improve management mechanisms. Both groups identified the development of continuous education, strengthening of workforce policy, and the formation of multidisciplinary teams within hospital clusters as priority directions. The results also confirmed a substantial demand for digitalization of service accounting and monitoring, protocol standardization, and staff upskilling. These findings made it possible to develop scientifically grounded recommendations for optimizing workforce policy and advancing the rehabilitation service within hospital clusters.
References
Михальчук В. М., Пожевілова А. А. Реабілітаційна допомога у програмі медичних гарантій та проблеми її кадрового забезпечення. Лікарська справа (Medical Affair). 2024. Вип. 4. С. 13–24. DOI: 10.31640/LS-2024-4-02. DOI: https://doi.org/10.31640/LS-2024-4-02
Вовк С. М., Голубчиков М. В., Пожевілова А. А. Концептуальні підходи до створення міжінтегральної моделі реабілітації в Україні. Україна. Здоров’я нації. 2025. Вип. 3(81). DOI: 10.32782/2077-6594/2025.3. DOI: https://doi.org/10.32782/2077-6594/2025.3
Миронюк І. С., Слабкий Г. О. Реабілітаційна система України: виклики та рішення. Україна. Здоров’я нації. 2023. Вип. 2(68). С. 5–11. URL: https://uzn.org.ua
Akparibo R., Osei-Kwasi H. A., Asamane E. A. Flipped learning in postgraduate public health education: qualitative study. International Journal of Educational Technology in Higher Education. 2021. № 18(1). DOI: 10.1186/s41239-021-00287-5. DOI: https://doi.org/10.1186/s41239-021-00294-7
Howard S. W., Scharff D. P., Loux T. M. Flipping classrooms in a school of public health. Frontiers in Public Health. 2017. DOI: 10.3389/fpubh.2017.00101. DOI: https://doi.org/10.3389/fpubh.2017.00073
Про реабілітацію у сфері охорони здоров’я : Закон України від 3 грудня 2020 р. №1053-IX. URL: https://zakon.rada.gov.ua/laws/show/1053-20#Text
Про затвердження Ліцензійних умов провадження господарської діяльності з медичної практики : Постанова Кабінету Міністрів України № 285 від 02.03.2016 р. (із змінами від 2023 р.). URL: https://zakon.rada.gov.ua/laws/show/285-2016-%D0%BF#Text
McLean S. F. Case-based learning and its application in medical and healthcare fields: a worldwide review. Journal of Medical Education and Curriculum Development. 2016. DOI: 10.4137/JMECD.S20377. DOI: https://doi.org/10.4137/JMECD.S20377
Національна служба здоров’я України. Укладені договори про медичне обслуговування населення за програмою медичних гарантій.URL: https://edata.e-health.gov.ua/e-data/dashboard/pmg-contracts
Patrick S. M., et al. Enhancing public health education through smart learning environments: integrating technology and pedagogy. Medical Science Educator. 2025. DOI: (стаття очікує індексації, орієнтовно буде на Springer). URL: https://link.springer.com/journal/40670 (головна сторінка журналу) DOI: https://doi.org/10.1007/s40670-025-02408-6
Pham C. N., Cunningham S. D., Humphries D. L. Action learning and public health pedagogy: student reflections from an experiential public health course. Frontiers in Public Health. 2023. DOI: 10.3389/fpubh.2023.1218651. DOI: https://doi.org/10.3389/fpubh.2023.1128705
Про державні фінансові гарантії медичного обслуговування населення : Закон України. URL: https://zakon.rada.gov.ua/laws/show/2168-19#Text
Михальчук В. М., Мельник В. М., Пожевілова А. А. Значення територіальної громади в забезпеченні надання реабілітаційних послуг населенню в Україні. Лікарська справа. 2024. Вип. 3(1172). С. 23–31. DOI: 10.31640/LS-2024-3-03. DOI: https://doi.org/10.31640/LS-2024-3-03
Про реабілітацію у сфері охорони здоров’я : Закон України № 1053-ІХ. Верховна Рада України, 2020. URL: https://ips.ligazakon.net/document/t201053?an=1
World Health Organization. Rehabilitation 2030: a call for action. Geneva: WHO, 2017. URL: https://www.who.int/publications/i/item/rehabilitation-2030-a-call-for-action
Bayly-Castaneda K., Ramirez-Montoya M.-S., Morita-Alexander A. Crafting personalized learning paths with AI for lifelong learning: a systematic literature review. Frontiers in Education. 2024. DOI: 10.3389/feduc.2024.1424386. DOI: https://doi.org/10.3389/feduc.2024.1424386
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