scholarly journals CHARACTERISTICS OF THE OPTIMIZED MODEL OF MEDICAL CARE FOR THE POPULATION WITH DISEASES OF BLOOD AND BLOOD-FORMING ORGANS AT THE REGIONAL LEVEL

2020 ◽  
Vol 8 (2) ◽  
pp. 204-209
Author(s):  
V. V. Horokh
Keyword(s):  
Health Care ◽  
Medical Care ◽  
Health Care Reform ◽  
Health Care System ◽  
Regional Level ◽  
Structural Basis ◽  
Industry Standards ◽  
Optimized Model ◽  
Current Health Care System ◽  
Care System

The article presents an optimized model of medical care for the population with diseases of the blood and blood-forming organs at the regional level in modern conditions of health care reform based on the current legislation of Ukraine on health care reform and scientific literature on the organization of medical care for patients with diseases of the blood and blood-forming organs. The scientific substantiation of the optimized model of hematological medical care at the regional level in the conditions of reforming the health care system of the country was carried out within the existing medical-demographic and socio-economic situation, taking into account the positive changes in the future. The model envisages the structure and organization of medical care for patients at all stages and levels of medical care. The structural basis of the model of providing medical care to patients with diseases of the blood and blood-forming organs is the available resources of the current health care system. Its implementation requires additional financial resources for logistics in accordance with industry standards, which should be provided in the provision of medical care and without the implementation of the proposed model. The model provides a concentration of resources, which determines its economic efficiency. The implementation of the proposed optimized model of medical care for the population with diseases of the blood and blood-forming organs at the regional level will provide the population suffering from these diseases to provide affordable medical care in stages and levels of its provision depending on health status.

Administrative and legal aspects of the state policy of ensuring the national security of Ukraine in the field of health care at the present stage

2020 ◽  
Vol 4 (4) ◽  
pp. 167-173
Author(s):  
Oleksandr Komisarov ◽  
Yuriy Shvets
Keyword(s):  
Health Care ◽  
Medical Care ◽  
National Security ◽  
Health Care Reform ◽  
Health Care System ◽  
State Policy ◽  
Legal Aspects ◽  
The State ◽  
Medical Reform ◽  
Care System

The article considers the main administrative and legal aspects of the state policy of national security of Ukraine in the field of health care. On this theoretical basis, the current challenges of medical reform are identified and proposals are developed to find the best ways to prevent and optimize them. Under the administrative and legal support of health care, we understand a set of organizational and legal forms and mechanisms to ensure socio-economic, health, anti-epidemic measures carried out by specialized organizations, the purpose of which is to preserve, strengthen and maintain human health, provide professional, high-quality and high-tech medical care to all who need it, as well as ensuring the availability of such care. It is concluded that the state policy of national security of Ukraine in the field of health care is aimed at creating such conditions for the health care system that allow for health education, disease prevention, provide medical care to citizens, conduct scientific research in the field of health care and training of medical and pharmaceutical workers, to maintain and develop the material and technical base of the health care system. Today in Ukraine the directions of the state policy of national security of Ukraine in the field of health care are determined by the European integration directions of our state and the commitments made by Ukraine in connection with the signing in June 2014 of the Association Agreement between Ukraine, on the one hand, and The EU, the European Atomic Energy Community and their Member States, on the other hand. However, the concept of health care reform in terms of its implementation to meet the relevant obligations has significant differences with the constitutional principle of free medical care, and therefore needs further refinement and improvement. It is substantiated that the highlighted topical issues of administrative and legal provision of health care should be taken into account in the implementation of the second stage of medical reform, which started on April 1, 2020. In addition, the experience of preventing and counteracting the spread of COVID-19 coronavirus infection should be an important aspect of health care reform.

scholarly journals Financing of medical services: experience of foreign countries and Ukraine

2020 ◽  
pp. 9-13
Author(s):  
Nataliia KARPYSHYN ◽  
Iryna SYDOR
Keyword(s):  
Health Care ◽  
Health Services ◽  
Medical Care ◽  
Health Care Reform ◽  
Health Care System ◽  
Health Care Costs ◽  
Medical Services ◽  
Foreign Countries ◽  
Care Costs ◽  
Care System

Introduction. Research into the sources of health care funding is necessary to develop an effective policy to improve the domestic health care system and improve the accessibility and quality of medical care. The purpose of the article is to assess the sources of funding of medical services in foreign countries and in Ukraine in order to identify and analise current trends and prospects for financing the domestic health care system in the implementation of health care reform. Results. An analysis of trends in the financing of health services in foreign countries has shown that there is a certain imbalance between the country's economic growth and its health care expenditures. The share of health services expenditures in GDP averaged 8.8 % or almost $ 4,000 per OECD citizen in 2018 y . This cost figure is 24 times higher than the per capita health care costs in Ukraine and can be a guide to the amount of funding for medicine in the world community. Citizens of OECD countries, unlike Ukrainians, pay an average of 21 % of all health care costs. The priority sources of funding for one group of countries are budget funds (Norway, Denmark, Sweden, Great Britain, Canada), and for another – compulsory health insurance (Germany, Japan, France, etc.). Сonclusion. Funds of the population are the main source of funding for medical services in Ukraine – 53 %. This indicator is critical for the country, as low-income citizens are unable to pay for medical care and the number of chronic diseases, disability and mortality are increased. The transformational reform of the health care system in Ukraine was started in 2015 and according to international experts is successful and meets international practices of accessibility, quality and efficiency of medical services. Further consistent implementation of health care reform can provide financial protection for the population from excessive out-of-pocket spending, improve access to health care, and improve public health.

scholarly journals The impact of the 2006 Massachusetts health care reform law on spine surgery patient payer-mix status and age

2017 ◽  
Vol 27 (6) ◽  
pp. 694-699 ◽  
Author(s):  
Nicolas W. Villelli ◽  
Hong Yan ◽  
Jian Zou ◽  
Nicholas M. Barbaro
Keyword(s):  
Health Care ◽  
New York ◽  
Health Care Reform ◽  
Health Care System ◽  
Spine Surgery ◽  
Private Insurance ◽  
New York State ◽  
Before And After ◽  
The Impact ◽  
Care System

OBJECTIVESeveral similarities exist between the Massachusetts health care reform law of 2006 and the Affordable Care Act (ACA). The authors’ prior neurosurgical research showed a decrease in uninsured surgeries without a significant change in surgical volume after the Massachusetts reform. An analysis of the payer-mix status and the age of spine surgery patients, before and after the policy, should provide insight into the future impact of the ACA on spine surgery in the US.METHODSUsing the Massachusetts State Inpatient Database and spine ICD-9-CM procedure codes, the authors obtained demographic information on patients undergoing spine surgery between 2001 and 2012. Payer-mix status was assigned as Medicare, Medicaid, private insurance, uninsured, or other, which included government-funded programs and workers’ compensation. A comparison of the payer-mix status and patient age, both before and after the policy, was performed. The New York State data were used as a control.RESULTSThe authors analyzed 81,821 spine surgeries performed in Massachusetts and 248,757 in New York. After 2008, there was a decrease in uninsured and private insurance spine surgeries, with a subsequent increase in the Medicare and “other” categories for Massachusetts. Medicaid case numbers did not change. This correlated to an increase in surgeries performed in the age group of patients 65–84 years old, with a decrease in surgeries for those 18–44 years old. New York showed an increase in all insurance categories and all adult age groups.CONCLUSIONSAfter the Massachusetts reform, spine surgery decreased in private insurance and uninsured categories, with the majority of these surgeries transitioning to Medicare. Moreover, individuals who were younger than 65 years did not show an increase in spine surgeries, despite having greater access to health insurance. In a health care system that requires insurance, the decrease in private insurance is primarily due to an increasing elderly population. The Massachusetts model continues to show that this type of policy is not causing extreme shifts in the payer mix, and suggests that spine surgery will continue to thrive in the current US health care system.

BME and the improvement of doctors

1929 ◽  
Vol 25 (5) ◽  
pp. 570-573
Author(s):  
R. A. Luria
Keyword(s):  
Health Care ◽  
Medical Care ◽  
Health Care System ◽  
Medical Knowledge ◽  
Advanced Training ◽  
Medical Institutions ◽  
Individual Doctor ◽  
Special Scientific ◽  
Life Itself ◽  
Care System

The issues of raising the qualifications of doctors occupy a prominent place in the Soviet health care system and it can be said without exaggeration that improvement is currently the task of each individual doctor, both in the periphery and in the center. This task is given to him every day by life itself, starting with the exuberant growth of the population's needs for qualified and special medical care and ending with a huge network of preventive and medical institutions of the People's Commissariat for Health, constantly in need of not only doctors in general, but especially demanding specialists who are at the height of modern medical knowledge. The institutes for advanced training of doctors, numerous special scientific Institutes of the People's Commissariat of Health, various kinds of individual courses of all kinds are conducting intense and fruitful work to replenish the knowledge of a doctor and to develop scientifically educated specialists in all fields of medicine

Monitoring Health Care System Performance in Iowa

1997 ◽  
Vol 10 (1-2) ◽  
pp. 107-112
Author(s):  
J. E. Rohrer ◽  
M. Vaughan
Keyword(s):  
Health Care ◽  
Medical Care ◽  
Ambulatory Care ◽  
Health Care System ◽  
System Performance ◽  
Hospital Admissions ◽  
High Rate ◽  
Average Risk ◽  
Care System ◽  
Ambulatory Care Sensitive

Monitoring the performance of the health care delivery system is a public health function that becomes more important as organized delivery systems begin to take control over large portions of the medical care market. The study reported here illustrates how standard medical care epidemiology can be applied to analysis of health care system performance to aid governmental efforts to monitor new developments in the medical care market. In order to evaluate the efficiency of hospital care delivered in Iowa, age- and sex-adjusted population admission rates for five common procedures were generated for all 99 counties. The five common procedures were defined as follows: hernia, tonsillectomy, cesarean section, hysterectomy, and cholecystectomy. In addition, variations in 11 ambulatory care-sensitive condition rates were analyzed. Residents of at least 15 counties were at significantly greater than average risk for receiving each of the common procedures (χ2 test, P < 0.05). Counties that had a high rate for one procedure tended to have a high rate for at least one other procedure. Several counties had more than twice the mean rate. Even a 10% reduction, when added across all five common procedures, amounts to well over 2000 hospitalizations avoided. It is assumed that reductions would be concentrated in high-rate counties. If a 50% reduction could be achieved in only part of the ambulatory care-sensitive procedures, more than 10 000 hospital admissions could be avoided.

Crisis of Russian healthcare: ‘excess perpetration’ or pre-programmed outcome?

2021 ◽  
pp. 63-71
Author(s):  
O.A. Aleksandrova ◽  
Keyword(s):  
Health Care ◽  
Medical Care ◽  
Health Care Reform ◽  
Health Care System ◽  
Medical Personnel ◽  
Medical Community ◽  
Russian Society ◽  
Sharp Reduction ◽  
Sociological Studies ◽  
Quality Medical Care

The COVID-19 pandemic further exacerbated the issue of the situation in the health care тsystem and the directions for its further reform. An analysis of the transformation of the health care system based on the study of regulatory and other documents, as well as data from sociological studies witnesses that such results of reform as a sharp reduction in the availability of quality medical care, a shortage of medical personnel, etc. are not a consequence of the “excess of the implementer”, but are programmed by the course of health care reform, which was a purposeful and consistent process, the customer of which was international financial organizations and transnational capital. The article examines the problems caused by the significant underfunding of health care, as well as the numerous institutional contradictions generated by the reform. It is concluded that the reforms that led to such results became possible due to, first, the reformers ignoring the opinion of the medical community and, secondly, the lack of the necessary level of solidarity in Russian society.

scholarly journals Utilization, satisfaction and barriers of medical care among adults of Turkish descent in Germany

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
C Dornquast ◽  
S Solak ◽  
M Durak ◽  
L Krist ◽  
K H Jöckel ◽  
...  
Keyword(s):  
Health Care ◽  
Cohort Study ◽  
Medical Care ◽  
Health Care System ◽  
Self Report ◽  
German Health Care System ◽  
Screening Programs ◽  
Preliminary Results ◽  
German Health ◽  
Care System

Abstract Background The growing proportion of people with a migration background poses major challenges for public health and the health care system in Germany. People of Turkish descent represent the largest group within this specific population. The aim of this study was therefore to examine the use and satisfaction of medical services and barriers to health care access among adults of Turkish descent in Germany. Methods A cohort study of a group of nearly 1200 Turkish adults in Berlin and Essen constitutes the basis of this analysis. The baseline examination was carried out as part of the pretests of the German National Cohort study. This follow-up survey assessed utilization, satisfaction and subjectively perceived barriers in the German health care system, as well as socio-demography, lifestyle, health status and quality of life via self-report (paper based or online) in Turkish or German. Descriptive preliminary results are presented in this abstract. Results The first 287 participants interviewed until December 31, 2018 were on average 49 years old, with 64% being female. 90% of the participants had a family doctor and in the last 12 months, 17% were in a hospital for in-patient treatment and 23% in an emergency room. The use of screening programs varied from 15% (skin cancer screening) to 87% (mammography). The most frequently visited physician was the general practitioner (86%). The participants were satisfied regarding many aspects, with the best values for the communication with their doctor. However, 22% reported problems or barriers in the context of medical care in the last five years. Conclusions These preliminary results provide a first insight into the utilization behaviour among adults of Turkish descent, their satisfaction as well as barriers with the German health care system. However, possible consequences of our study should only be discussed after all analyses have been completed. Key messages This is one of the few cohort studies in a migrant population in Germany. Knowledge of barriers could provide indications of problems of adults of Turkish descent in the German health care system.

Polypharmacy: Its Cost Burden and Barrier to Medical Care in a Drug-Oriented Health Care System

1988 ◽  
Vol 18 (2) ◽  
pp. 335-342 ◽  
Author(s):  
Anthony E. Isenalumhe ◽  
Osawaru Oviawe
Keyword(s):  
Health Care ◽  
Medical Care ◽  
Health Care System ◽  
University Teaching ◽  
Therapeutic Implications ◽  
Drug Policies ◽  
Pediatric Outpatients ◽  
Nigerian University ◽  
Cost Of Drugs ◽  
Care System

In order to determine the economic and therapeutic implications of the prescriber habit in a drug-oriented health care system, data were collected on the provisional diagnosis, prescribed drugs, and their cost and procurement pattern among 1450 pediatric outpatients in a Nigerian University Teaching Hospital. It was found that on average, about five drugs were prescribed for each patient, and there was a tendency to prescribe more expensive and sometimes unnecessary drugs. The more the number or higher the cost of drugs prescribed, the less patients procured them. It is therefore recommended that health care authorities and physicians in similar settings should review their drug policies and prescribing habits in order to discourage polypharmacy and the high cost of chemotherapy, with their attendant barrier to medical care.

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