CHARACTERISTIC OF THE AMBULATORY MEDICAL CARE IN KYIV IN THE CONDITIONS OF HEALTH CARE SYSTEM REFORMING
DOI:
https://doi.org/10.11603/1681-2786.2017.3.8444Keywords:
out-patient clinics in Kyiv, resources, indicators of activity.Abstract
Purpose: analyzing the network of outpatient clinics (APC), the resources and activities of the Consultative and Diagnostic Centers (CDC) in Kyiv in 2014–2016.
Materials and Methods. The data from statistical forms No. 17 No. 20, as well as statistical directories of the Kyiv City Information and Analytical Center, were used for the analysis.
Results. In Kyiv on the basis of existing polyclinics 28 primary health care centers and 13 CDC were established. CDCs provide 38.6 % – 57.1 % of all visits to the APC, which indicates a signi? cant contribution of these institutions to outpatient care to the adult population of the capital. The main problems of resources in CDC are insufcient funding, obsolete medical diagnostic equipment, incomplete staf? ng.
Conclusions. The results of the study will be used to substantiate the conceptual directions of improving secondary outpatient care for the population of Kyiv and to develop a model of CDC on the principles of publicprivate partnership.
References
(2008). The World Health Report 2008: Primary Health Care, Now More Than Ever. WHO.
Lekhan, V.M., Slabkyi, H.O., & Shevchenko, M.V. Stratehiia rozvytku systemy okhorony zdorovia: ukrainskyi vymir Ukraina [Health Care Development Strategy: Ukrainian Dimension]. Zdorovia natsii – Health of Nation, 1, 5-23 [in Ukrainian].
Orlova, N.M. (2010). Rehionalna systema okhorony zdorovia: kontseptualni pidkhody do formuvannia yii suchasnoi polityky [Regional health system: conceptual approaches to the formation of its current policy]. Kyiv [in Ukrainian].
Dorofyeyev, V.M. (2008). Organizatsiya ambulatorno-poliklinicheskoy pomoshchi gorodskomu naseleniyu [Organization of outpatient care for the urban population]. Homel [in Russian].
(2010). Zakon Ukrainy № 1841- VI vid 22.01.2010 r. «Pro zatverdzhennia zahalnoderzhavnoi prohramy rozvytku pervynnoi medyko-sanitarnoi dopomohy na zasadakh simeinoi na period do 2011 roku [Law of Ukraine No. 1841-VI of January 22, 2010 «On approval of the national program of development of primary health care on the basis of family until the year 2011]. Vidomosti Verkhovnoi Rady Ukrainy № 13, stor. 380, stattia 126 [in Ukrainian].
(2012). Zakon Ukrainy № 3612-VI vid 07.07.2011 «Pro poriadok provedennia Reformuvannia systemy okhorony zdorovia u Vinnytskii, Dnipropetrovskii, Donetskii oblastiakh ta m. Kyievi» [Law of Ukraine No. 3612-VI of 07.07.2011 «On the procedure for reforming the health care system in Vinnytsia, Dnipropetrovsk, Donetsk oblast and Kyiv. Vidomosti Verkhovnoi Rady Ukrainy, № 12-13 [in Ukrainian].
Osnovni pokaznyky zdorovia ta medychnoi dopomohy naselenniu m. Kyieva u 2015-2016 rr. [Basic indicators of health and medical care for the population of Kyiv in 2015-2016]. Kyiv [in Ukrainian].
Nakaz Ministerstva okhorony zdorovia Ukrainy vid 30 hrudnia 2011 roku № 1008 «Pro zatverdzhennia prymirnykh polozhen pro zaklady okhorony zdorovia» [Order of the Ministry of Health of Ukraine dated December 30, 2011, No. 1008 «On Approval of Model Provisions on Health Care Institutions»]. Retrieved from: http: //search.ligazakon.ua/l_doc2.nsf/link1/MOZ15003. html [in Ukrainian].
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