scholarly journals PUBLIC POLICY IN THE SPHERE OF HEALTH PROTECTION IN LEADING COUNTRIES OF EUROPE: LEGAL ASPECT

2020 ◽  
pp. 30-35
Author(s):  
A. Kryzhevskyi ◽  
O. Kryzhevska
Keyword(s):  
Health Care ◽  
Health Policy ◽  
Health Care System ◽  
Legal Regulation ◽  
Health Care Facilities ◽  
The State ◽  
Political Regime ◽  
State Health ◽  
The Subject ◽  
Care System

The article examines the state policy in the field of health care in the leading European countries: Sweden, Germany and France. The purpose of this article is to analyze and systematize the basic organizational and legal foundations of state health policy in the EU and to develop recommendations for improving and reforming the Ukrainian health care system. The research was carried out in terms of the principles of historicism, objectivity, versatility, complementarity and validity, which created a reliable methodological basis for a comprehensive analysis of the subject. The work used comparative law, formal law, system-structural, classification method, modelling method, specific statistics, historical law and other methods of scientific analysis in accordance with the subject of research. The paper argues that public health policy is unique in each country, and its formation has been influenced by the historical past, political regime, national mentality and other factors. The article emphasizes the need to create a special code of laws in this area in Ukraine during the reform of the health care system, which will contribute to the quality of legal regulation of relations between patients, health care facilities, insurance companies and the state. The authors believe that one of the further directions of reforming the health care system of Ukraine should first of all be the introduction of compulsory state health insurance. It is substantiated that insurance should be carried out on a tripartite basis: deductions from the income of entrepreneurs, deductions from the state budget and insurance premiums. The need to strengthen measures aimed at preventing the occurrence of the disease has been proved.

On teaching surgery to seconded doctors

1934 ◽  
Vol 30 (1) ◽  
pp. 26-32
Author(s):  
V. L. Bogolyubov
Keyword(s):  
Health Care ◽  
Soviet Union ◽  
Health Care System ◽  
The State ◽  
October Revolution ◽  
General State ◽  
State Health ◽  
National Scale ◽  
Systematic Improvement ◽  
Care System

The question of the systematic improvement of doctors on a national scale arose only after the October Revolution and the transfer of the health care system into the hands of the state. The October Revolution, which brought with it the system of state health care, raised the acute and very real question of creating a cadre of doctors to carry out the tasks of Soviet health care. Thus, the training of doctors in our Soviet Union in general and their training in particular is directly dependent on the tasks of Soviet health care, which are inseparably linked in their turn to the realization of various general state tasks at a given point in time.

MEDICAL LAW IN UKRAINE: PROBLEMS AND PROSPECTS OF DEVELOPMENT

2018 ◽  
Author(s):  
Irina Sukhodubova ◽  
◽  
Veronika Irzhavska ◽  
Keyword(s):  
Health Care ◽  
Public Relations ◽  
Health Care System ◽  
Legal Framework ◽  
Legal Regulation ◽  
The State ◽  
Medical Law ◽  
Legal Norms ◽  
Separate Branch ◽  
Care System

The article considers the issue of branch affiliation of medical law. In particular, numerous studies conducted by recognized experts and scientists on the independence of the field of medical law are analyzed. The relevance of the allocation of medical law in a separate branch of law of Ukraine is highlighted. Since the sectoral affiliation of medical law remains uncertain, this indicates the relevance, feasibility and necessity of a comprehensive study of the sectoral affiliation of medical law of Ukraine. In general, it is determined that medical law is a complex branch of law that includes a set of legal norms that regulate public relations in the health care system. The review of literature sources summarizes the state of the legal framework for the regulation of medical activities in Ukraine. When considering various sources and scientific works, the state of the regulatory framework for the regulation of medical activities and the health care system in Ukraine is summarized. The relevance of the allocation of medical law in a separate branch of law of Ukraine is highlighted. For this purpose, state bodies face the task of creating a separate complex branch of medical law. And before scientists - the development of medical jurisprudence as a separate branch of legal science. It can be concluded that such a document as the Medical Code of Ukraine is one of the tools for implementing the state health policy. Methods of improving and overcoming problematic situations in the system of legal regulation of health care are considered. The general provisions of the Medical Code are defined and the important features which should be contained in the corresponding codified act are specified. It is noted that the creation and adoption of an appropriate code will contribute to the quality and effective legal regulation of legal relations in the field of health care, as well as in the field of medical care, should become a reliable foundation of medical law.

scholarly journals Innovative technologies of inclusive medicine

2020 ◽  
pp. 19-30
Author(s):  
Alina Zhukovska
Keyword(s):  
Health Care ◽  
Health Care System ◽  
System Analysis ◽  
World Market ◽  
Health Care Facilities ◽  
The State ◽  
Medical Services ◽  
Innovative Technologies ◽  
Definition Of ◽  
Care System

Purpose. The aim of the article is to substantiate the innovative technologies of inclusive medicine, in particular the analysis of the state of development of telemedicine in Ukraine and the substantiation of the prospects of its development. Methodology of research. The theoretical and methodological basis of the study are the fundamental provisions of modern economic theory, scientific works of leading foreign and domestic scientists, international and domestic normative and legal regulations on health care. General and special research methods are used to achieve this goal, in particular: the method of system analysis – for the study of telemedicine as a system; method of structural analysis – to study the model of telemedicine; method of comparison – to compare different definitions of “telemedicine”. Findings. The necessity of using an inclusive approach in medicine is substantiated. The author's definition of the concept of “inclusive medicine” is offered. The forecast of development of the world market of e-medicine is analysed and it is defined that the perspective direction of development of e-medicine is telemedicine. The definitions of “telemedicine” are analysed and grouped into: definitions that treat telemedicine as a field of medicine, and definitions that treat telemedicine as a way of providing medical services, and on this basis, the author's definition of “telemedicine” is proposed. The state of development of telemedicine in Ukraine is studied and the prospects of its development are substantiated. The benefits of the development of telemedicine for patients, for health professionals, for health care facilities and the health care system in general are substantiated. Originality. For the first time, it is proposed to define the concept of “inclusive medicine” as a comprehensive process of ensuring equal timely access to quality medical services for all persons, regardless of their health, location, nationality, religion, etc. Practical value. Substantiated priorities for the further development of domestic telemedicine can be used in the development of strategic guidelines for the development of the health care system. Key words: inclusion, healthcare, e-medicine, telemedicine, inclusive medicine, innovative technologies.

scholarly journals ORGANIZATIONAL AND LEGAL DETERMINANTS OF IMPLEMENTING INTERNATIONAL EXPERIENCE IN THE HEALTH CARE SECTOR OF UKRAINE

2019 ◽  
Vol 72 (4) ◽  
pp. 711-715
Author(s):  
Vladislav I. Teremetskyi ◽  
Serhii V. Knysh ◽  
Vasyl M. Stratonov ◽  
Oleksandr М. Khramtsov ◽  
Mykola V. Stashchak
Keyword(s):  
Health Care ◽  
Medical Care ◽  
Health Care System ◽  
Legal Regulation ◽  
International Experience ◽  
Health Care Facilities ◽  
Insurance Fund ◽  
Legal Method ◽  
Foreign Countries ◽  
Care System

Introduction: The reform of the health care system, which is taking place in Ukraine today, is aimed at increasing the efficiency of providing timely and quality medical care. The aim of the paper is to provide theoretical and practical study of existing models of organizing the health care system in the leading foreign countries, as well as to substantiate the possibility of implementing the most optimal of them in Ukraine. Materials and methods: The author of the article has used the methods of analysis and synthesis, as well as comparative and legal method. In particular, the author has carried out the analysis of the experience of different countries in organizing the health care system. Review: The author has studied international experience of legal regulation of the relations in the health care sphere, which use private, state and mixed models of the organization and financing of the health care system. Conclusions: The author has emphasized on the necessity of using the latest achievements of the leading foreign countries in the sphere of the organization of the health care system and the establishment of additional guarantees for the financially disadvantaged groups of citizens, through the development and financing of social programs for the availability of medical care (based on the model of existing Medicare and Medicade programs in the USA); the application of marginal maximum prices for health services provided by private health care facilities (Japan); introduction of compulsory payment to the insurance fund from the income of legal entities employing hired labor (Germany), etc.

Economic development trends and aspects of healthcare reform in Russia under COVID-2019 pandemic

2021 ◽  
Vol 17 (4) ◽  
pp. 503-513
Author(s):  
Natalya Krivenko
Keyword(s):  
Health Care ◽  
Health Care System ◽  
Socioeconomic Development ◽  
Large Scale ◽  
Mutual Influence ◽  
Health Financing ◽  
The State ◽  
Point Of View ◽  
State Of The Economy ◽  
Care System

The article is aimed at studying the state of the Russian economy and health care system before and after the COVID-2019 pandemic, identifying the main trends in the economy and health care, regardless of the pandemic, as well as its impact on the socioeconomic development of the country. The interrelation and mutual influence of the levels of development of the economy and health care of the country is noted. An analysis of the state of the economy and health care system in Russia for 2017–2019 is presented, problems and achievements in the pre-pandemic period are identified. The COVID-2019 pandemic is considered not only from the point of view of a medical manifestation but as a powerful trigger that provoked large-scale socioeconomic changes in the world, as a bifurcation point in world development, requiring states to objectively assess the state of the economy and healthcare, revise the current coordinate system, getting out of the state of uncertainty and choosing promising areas of socioeconomic development. A cross-country analysis of the response of various health systems to the COVID-19 pandemic has shown the advantages of countries with centralized management, health financing, and subordinate sanitary and epidemiological services. Along with the achievements of Russia in the fight against COVID-19, the existing specific problems of the domestic health care system are noted, which negatively affected the preparedness for a pandemic. Analyzed the consequences of the COVID-2019 pandemic for the socio-economic state of countries at the global level. The change in socio-economic indicators in Russia in 2020 compared to 2019 is presented as a result of the consequences of the COVID-2019 pandemic. The main results of the study are to identify the main trends in the development of the economy and the healthcare system in Russia in the context of the ongoing COVID-2019 pandemic, defining the directions of reforming the national healthcare, trajectories of increasing the level of socioeconomic development of the country

scholarly journals Management of COPD within the Brazilian Unified Health Care System in the state of Bahia: an analysis of real-life medication use patterns

2019 ◽  
Vol 45 (1) ◽  
Author(s):  
Charleston Ribeiro Pinto ◽  
Antônio Carlos Moreira Lemos ◽  
Lindemberg Assunção-Costa ◽  
Aramis Tupiná de Alcântara ◽  
Laira Lorena Lima Yamamura ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care System ◽  
Pharmacological Treatment ◽  
Real Life ◽  
The State ◽  
Public Health Care ◽  
Cross Sectional ◽  
Long Acting ◽  
Severe Copd ◽  
Care System

ABSTRACT Objective: To describe COPD pharmacological treatment patterns in the state of Bahia, Brazil, and to evaluate the extent to which these patterns conform to clinical guidelines for the management of COPD. Methods: This was a cross-sectional study of 441 patients referred from the Public Health Care Network of the state of Bahia to a public referral outpatient clinic of a COPD management program of the Brazilian Unified Health Care System. Individuals with a spirometry-confirmed diagnosis of moderate to very severe COPD were included in the study. Patients were evaluated as to whether they had used any COPD medications in the last seven days. The appropriateness or inappropriateness (undertreatment or overtreatment) of the patient’s pharmacological treatment was evaluated by comparing the patient’s current treatment with that recommended by national and international guidelines. Results: A total of 383 individuals were included in the analysis. Approximately half of the patients (49.1%) used long-acting bronchodilators. These patients were older and had had the disease longer. Of the sample as a whole, 63.7% and 83.0% did not receive pharmacological treatment in accordance with international and national recommendations, respectively. Inappropriateness due to undertreatment was indentified in more than half of the patients. Conclusions: Long-acting bronchodilators are frequently underused in individuals with moderate to very severe COPD within the Brazilian Unified Health Care System in the state of Bahia. Most patients in our sample were treated inappropriately, and undertreatment predominated. Strategies to improve access to long-acting bronchodilators and the quality of COPD pharmacological management are required.

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