Review of Ukrainian health care reformation on principles of family medicine
Journal Title: Family Medicine & Primary Care Review - Year 2017, Vol 19, Issue 4
Abstract
This article presents the steps of family medicine implementation in Ukraine, the results and problems of reorganization of the health system, educational and economic problems and the role of the Institute of Family Medicine at the Shupyk National Medical Academy of Postgraduate Education in all processes. The new structure of primary care includes centers with administrative facilities, several ambulatory primary care clinics and emergency care departments. The main problem is to provide a substantial quantity of general practitioners (GPs) to cover affordable primary care for the Ukrainian population (42 million). The target is approximately 28,000 working GPs for the short period of 2011–2020, where in 2016, there were approximately 14,000 GPs. Other problems include the insufficient financing and equipment of primary care centers, low number of computers, paper medical records and low salary. The situation has been worsened since 2014 when the antiterroristic operation was started and funding of primary care was cut. Further steps of reformation according to the plan of the Ministry of Health of Ukraine are: reformation of the financing system, organization of hospital areas, autonomization of health establishments, creation of centers of public health, wide implementation of licensing and health insurance, state reimbursement of medications for patients, implementation of syndrome classification ICPC-2, improvement of national clinical guidelines and implementation of digital medical records. The reformation of the health system of Ukraine upon the principles of family medicine for 30 years, more active in the last 5 years, showed some positive results, but at the same time determined the existence of quality problems in medical education and financing of primary care.
Authors and Affiliations
Victoria Tkachenko
Keywords
Related Articles
- EP ID EP254217
- DOI -
- Views 92
- Downloads 0
Jakość życia kobiet w okresie menopauzy
Wstęp. Jakość życia oznacza stopień satysfakcji z życia i poziom samorealizacji, na który wpływ ma funkcjonowanie człowieka w wymiarze fizycznym, psychicznym i społecznym. Cel pracy. Ocena jakości życia kobiet w okresie...
Who do type 2 diabetics inform about their own illness
Background. Type 2 diabetes is a chronic disease that can influence the relationship between patients and their social environment. Some diabetics are afraid of discrimination because of their illness. Objectives. Unders...
Human AGT-p.Met268Thr and coronary heart disease risk: a case-control study and meta-analysis
Background. Polymorphisms in genes, which is involved in the renin–angiotensin system, play an important role in the pathogenesis of coronary heart disease (CHD). Polymorphism of c.803T>C in the human angiotensinogen gen...
Diagnostyczna wartość glukometrów w praktyce
Wstęp. Przenośne urządzenia diagnostyczne do szybkiego pomiaru stężenia glukozy nie mogą służyć do diagnozowania pacjentów. Przeznaczeniem tych urządzeń jest głównie monitorowanie leczenia cukrzycy. Materiał i metody. B...
Guidelines of the Polish Psychiatric Association – Wroclaw Division, the Polish Society of Family Medicine and the College of Family Physicians in Poland for diagnosis and treatment of depressive disorders in primary health care
Mental disorders are common among patients seen by primary care physicians. T he most common ones are: mood disorders, anxiety disorders and somatic disorders. Psychological problems often coexist with somatic illnesses,...