THEORETICAL SUBSTANTIATION OF MODEL OF INTEGRATED HEALTH CARE SYSTEM IN UKRAINE
Keywords:
medical care, integration, model.Abstract
Purpose: theoretical substantiation of model of integrated health care system in Ukraine for improvement of quality and efficiency of health services of the population.
Materials and methods: system approach and analysis, conceptual modeling.
Results. Theoretically proved the general model of integration medical care in Ukraine, leading which components are activity coordination (between health care levels, health care facilities and their structural departments); team work of doctors of various specialties, continuity of medical care. Conditions providing realisation of model, are defined: health care standardization, creation of powerful financial pool, adjustment of effective information interchange between stakeholders of health care and creation of collective responsibility system for resalts of system performance.
Conclusions. Medical care integration allows increasing its efficiency and effectiveness.
References
Kommentaryy Vsemyrnoho banka na promezhutochnyy doklad ékspertnoy hruppy «Zdorovʹe y sreda obytanyya cheloveka». Moskva, noyabrʹ 2011 hoda [Élektronnyy resurs]. – Rezhym dostupa: http://strategy2020.rian.ru/load/366215667. – Nazvanye s ékrana.
Lekhan V. M. Medyko-sotsialʹne obgruntuvannya, rozrobka ta vprovadzhennya intehrovanoyi systemy orhanizatsiyi perynatalʹnoyi dopomohy / V. M. Lekhan, V. H. Hinzburh // Visn. problem biolohiyi i medytsyny. – 2014. – Vyp. 4, T. 4 (116). – S. 277–282.
Lekhan V. M. Osnovni problemy upravlinnya u finansuvanni okhorony zdorov‘ya v Ukrayini. potentsial shchodo vdoskonalennya derzhavnoho finansuvannya systemy [Elektronnyy resurs] / V. M. Lekhan. – Rezhym dostupu:http://edisk.ukr.net/?do=dir#cdir=i103915267. – Nazva z ekranu.
Systemy zdravookhranenyya dlya zdorovʹya y blahosostoyanyya v kontekste polytyky Zdorovʹe-2020: realyzatsyya polozhenyyTallynnskoy khartyy 2008 h. Tallynn, Éstonyya, 17–18 oktyabrya 2013 h. Evropeyskyy rehyonalʹnyy komytet. Shestʹdesyat chetvertaya sessyya. Kopenhahen, Danyya, 15–18 sentyabrya 2014 h. 23 yyulya 2014 h. EUR/RC64/9 140462
Uluchshenye deyatelʹnosty sluzhb okazanyya medytsynskoy pomoshchy: patsyent v tsentre system zdravookhranenyya. Vtoroe soveshchanye po podhotovke Evropeyskoy mynysterskoy konferentsyy VOZ po systemam zdravookhranenyya “Systemy zdravookhranenyya–zdorovʹe–blahosostoyanye”. Bled, Slovenyya, 19–20 noyabrya 2007 h. EUR/08/5085699 14 yanvarya 2008 h. – Kopenhanen : ERB VOZ, 2008. – 42 s.
Usovershenstvovannye systemy zdravookhranenyya spasayut zhyzny. Osnovy Evropeyskoy stratehyy VOZ po razvytyyu system zdravookhranenyya. – ERB VOZ, 2008.
Shevskyy V. Y. Yntehratsyya usylyy medytsynskykh orhanyzatsyy pry okazanyy patsyentam medytsynskoy pomoshchy: mnenye vrachey / V. Y. Shevskyy, Y. M. Sheyman, A. R. Akhmetzyanov, Y. V. Zarochyntseva // Zdravookhranenye. –2013. – № 6. – S. 42-59; № 7. –S. 24–35.
Shevskyy V. Y. Problemy formyrovanyya yntehryrovannoy systemy zdravookhranenyya / V. Y. Shevskyy, Y. M. Sheyman // Vopr. hosudarstvennoho y munytsypalʹnoho upravlenyya. – 2013. – № 3. – S. 24–44.
Blantes F. Building a bridge from fragmentation to accountability – the prometheus payment model / F. Blantes, M. Rosenthal, M. Painter // New England Journal of Medicine. – 2009. – Vol. 10. – Р. 1033–1036.
Clague C. The Integrated Care Network: Bringing the NHS and Local Government Together / C. Clague // British Journal of Healthcare Computing & Information Management. – 2004. – Vol. 21. – Р. 19–20.
Enthoven A. Integrated Delivery Systems: The Cure for Fragmentation / A. Enthoven // Am. J. Manag. Care.– 2009. –Р. 284–290.
Gröne O. Trends in Integrated Care – Reflections on Conceptual Issues [Electronic resource] / O. Gröne, M. Garcia-Barbero. – Copenhagen : World Health Organization, 2002. – EUR/02/5037864Availableat: www.euro.who.int/document/ihb/Trendicreflconissue.pdf
Health Systems Financing. The path to universal coverage : The World Health Report. – WHO, 2010. – 128 p.
Improved health system performance through better care coordination [Electronic resource] / A. P. Contandriopoulus, J. L. Denis, T. Nassera, C. Rodriguez. HealthWorkingPaperno. 30. Paris: Organisation for Economic Coperationand Development (OECD), 2007. Available at: www.oecd.org/dataoecd/22/9/3979160.pdf.
Ten Steps to Successful Breastfeeding. Baby-Friendly Hospital Initiative [Electronic resource]. – Access mode: http://www.tensteps.org. – Title from screen.
Towards people – centred health systems: An innovative approach for better health outcomes. WHO Regional Office for Europe. Copenhagen ВОЗ, 2013. – 34 р.
Downloads
Published
How to Cite
Issue
Section
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).
