THE CONCEPT AND CURRENT TRENDS OF PUBLIC HEALTH SYSTEM IN UKRAINE

Purpose: to highlight the concept of public health system and public health services in Ukraine. Materials and Methods. Scientific methods of analysis, synthesis and generalization were used in order to achieve this goal. Results. Considering in detail the functioning of public health institutions in Ukraine at the national and regional levels, we can note that to ensure the epidemiological surveillance and assessment of health and well-being of the population modern new tools were created. These tools have been used to monitor public health. The basic standards of activity and priorities are used. There are new structures, such as a clear reporting system, financing, monitoring of the quality of labor resources and rendering of services to consumers. The current state of social programs in public health research has shown the presence of a number of theoretical, methodological, economic, organizational, legal problems. Evidence suggests that investing in public health is generally cost-effective for the health care sector, other sectors, and the economy in a broad sense. A clear position of the state is important for the further development of social programs in public health. The state created the basic conditions for the development of such programs and these conditions were important for the initial stage of their formation. It is a need for creation a regulation system of such programs, which will reflect not only tax benefits, but also other preferences for developers of such programs. Particular attention should be paid to overcome the COVID-19 pandemic, which has made significant changes to the number of chronic and acute diseases and to the public health system. Conclusions. The adoption of the Concept for the Development of the Public Health System in Ukraine in 2016 was a driving stage in the modernization of public health in Ukraine and had a positive impact on its development. There are still problems with the need to improve the further development and modernization of the public health system in Ukraine, which ought to be addressed at the national and regional levels, taking into account the international experience of the highly efficient systems in Europe and the World.

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Prevalence and costs of headaches for the public health system in a town in the interior of the state of São Paulo

Arquivos de Neuro-Psiquiatria ◽

10.1590/s0004-282x2001000400005 ◽

2001 ◽

Vol 59 (3A) ◽

pp. 504-511 ◽

Cited By ~ 15

Author(s):

Marcelo E. Bigal ◽

Janaína O.M. Bigal ◽

Carlos A. Bordini ◽

José G. Speciali

Keyword(s):

Public Health ◽

Health System ◽

Hospital Admissions ◽

Public Health System ◽

Well Being ◽

Sao Paulo ◽

The State ◽

São Paulo ◽

The Public

Despite the high prevalence, impact and economic importance of headaches, studies on this subject are rare in Brazil. The aim of the present study was to estimate the prevalence of headaches in the public health system of a town in the interior of the State of São Paulo, as well as to estimate the costs resulting from its management. Data refer to the year of 1998 and were obtained according to the following steps: 1) territorial and demographic characterization of the municipality; 2) characterization of the financial indices and social well-being; 3) budget characteristics of the municipality; 4) evaluation of the structuring of the medical service; 5) determination of the prevalence of headaches at different patient care levels; and 6) calculation of the costs of headaches. Headaches represented 7.9% of all visits at basic health units, 9.7% in the emergency room and 1.1% of hospital admissions. The total costs were R$ 85,131.31 (US$ 70,942.76) corresponding to R$ 7.59 (US$ 6,32) per inhabitant/year. The present study shows the need for epidemiological and economic impact studies, which would provide the basis for the rational use of health funds.

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P3.49 Contribution to the study of epidemiological surveillance of congenital syphilis in a hospital of the public health system in rj, brazil, january 2013 to january 2017

10.1136/sextrans-2017-053264.286 ◽

2017 ◽

Author(s):

Cunha Aa ◽

C Galvão ◽

WC Borges ◽

P Godefroy ◽

Teixeira Sam ◽

...

Keyword(s):

Public Health ◽

Health System ◽

Public Health System ◽

Congenital Syphilis ◽

Epidemiological Surveillance ◽

The Public

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The State and the Structure of the Public Health System in Israel

The Health Care of the Arabs in Israel ◽

10.4324/9780429311536-3 ◽

2019 ◽

pp. 54-90

Author(s):

Nira Reiss

Keyword(s):

Public Health ◽

Health System ◽

Public Health System ◽

The State ◽

The Public

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The state of the public health system in England

Public Health ◽

10.1016/j.puhe.2008.03.007 ◽

2008 ◽

Vol 122 (10) ◽

pp. 1042-1046 ◽

Cited By ~ 5

Author(s):

David J. Hunter

Keyword(s):

Public Health ◽

Health System ◽

Public Health System ◽

The State ◽

The Public

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COVID-19 situation in Honduras: lessons learned

Gaceta Médica de Caracas - Supplement 1 ◽

10.47307/gmc.2020.128.s2.12 ◽

2020 ◽

Vol 128 (S2) ◽

pp. S242-S250

Author(s):

Itzel Fuentes ◽

Karla Henriquez ◽

Fausto Muñoz ◽

Elsa Palou ◽

Tito Alvarado ◽

...

Keyword(s):

Public Health ◽

Health System ◽

Surveillance System ◽

Public Health System ◽

Emerging Diseases ◽

Current Data ◽

Lessons Learned ◽

Control Measures ◽

Epidemiological Surveillance ◽

The Public

Introduction: Several emerging and re-emerging diseases in the last decade have shown the global weakness to detect and act in a timely manner in situations that threaten the health of the planet. Latin America has been vulnerable to outbreaks as a result of increased poverty, social inequity and the poor response capacity of the public health system. Objective: Describe the situation of COVID-19 in Honduras and the challenges it presents. Methodology: Analysis of the epidemiology and control strategies applied in the country to contain the spread of SARS-CoV-2, in the context of the social and economic reality until September 18, 2020. Results: Honduras ranks fifth in Central America in the number of tests performed; the cumulative incidence rate of cases is 7 105 per million inhabitants. The country has an accelerated growth in the percentage of positivity with intense community transmission. Some 63.4 % of cases are concentrated in the group 20-49 years old (43 624 cases); 15.2 % in adults 60+ (10 440 cases) and 7.5 % in children under 20 (5 133 cases). With a disjointed health system and a chronic and recurrent shortage of physical and human resources, the National Risk Management System (SINAGER), which includes the Ministry of Health (SESAL), implemented various strategies to reduce the spread of the virus. Some control measures were border closures, physical distancing and the use of masks were made mandatory by legislative decree. The serious impact on the weak national economy forced an intelligent opening coinciding with the rise of cases. Conclusions: Current data show that the age group most affected is adults between 20 and 49 years old. The country’s socioeconomic situation has been aggravated by the pandemic; the continuous rise in the number of cases, hospitalizations and deaths has collapsed the public health system leaving the majority of Hondurans in continuous vulnerability. Primary care clinics and mobile medical brigades have been implemented as a new way to contain the spread and impact of transmission. Several European countries and cities in the Americas have had to reverse the process of economic reopening when faced with successive waves of outbreaks. Honduras has demonstrated limited capacity to deal with catastrophic situations. The national epidemiological surveillance system and access to timely and quality diagnostic tests remain weak and fragmented. There is an urgent need to improve the health and surveillance system to guide strategic evidence-based decision making and to prevent future pandemics.

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Access to colposcopy in the State of São Paulo, Brazil: probabilistic linkage study of administrative data

Cadernos de Saúde Pública ◽

10.1590/0102-311x00304820 ◽

2022 ◽

Vol 38 (1) ◽

Author(s):

Lewis Fletcher Buss ◽

Lise Cury ◽

Caroline Madalena Ribeiro ◽

Gulnar Azevedo e Silva ◽

José Eluf Neto

Keyword(s):

Public Health ◽

Cervical Cancer ◽

Health System ◽

Public Health System ◽

Sao Paulo ◽

The State ◽

São Paulo ◽

The Public ◽

Reference Cohort

Cervical cancer screening is a multistage process, therefore access to both the primary test and subsequent diagnostic procedures is essential. Considering women undergoing screening on the public health system in the State of São Paulo, Brazil, we aimed to estimate the proportion of women accessing colposcopy within six months of an abnormal smear result. We retrieved records from two administrative databases, the Information System on Uterine Cervical Cancer (SISCOLO) that contains smear results and the Outpatient Information System of the Brazilian Unified National Health System (SIA/SUS) that records colposcopies. A reference cohort consisted of women, aged 25 years or older, with an abnormal smear result between May 1, 2014, and June 30, 2014. We excluded prevalent cases. We linked the reference cohort and records in the SIA/SUS extending to December 31, 2014. After excluding prevalent cases, 1,761 women with abnormal cytology results were left. A total of 700 (39.8%) women were linked to a colposcopy record within the follow-up period; this dropped to 671 (38.1%) women when follow-up was censored at six months. We could notice a slightly higher attendance in women living in the metropolitan region of São Paulo compared with residents of the rest of the state. We found no association between colposcopy attendance and age or cytology class. These results emphasize that access to colposcopy in the public health system in São Paulo is limited. This compromises the quality of screening, and the issue needs to be prioritized in service planning.

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