scholarly journals Legal regulation of the institute of family medicine

2020 ◽  
pp. 45-50
Author(s):  
V.V. Mirgorod-Karpova ◽  
B.O. Pavlenko ◽  
V.V. Smal
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Family Medicine ◽  
Health Care System ◽  
Family Doctor ◽  
Legal Regulation ◽  
Medical Services ◽  
The Family ◽  
Care System

The article is devoted to the issue of legal regulation of medical services in Ukraine. The main focus is on family medicine and regulation of the relationship between the family doctor and the patient with whom the declaration was signed, as well as the topic of reforming the health care system of Ukraine, which began in 2015. After all, it was the reform of the health care system that opened such a state institution for Ukraine as family medicine. The relevance of this research topic is that the quality of medical services is one of the main indicators of the effective functioning of the health care system. It is the factor of proper provision of medical services that contributes to: population size, mortality, life expectancy and, in general, public health and population demographics. These important factors determine the development of the state and its socioeconomic situation. If we do not take into account the modern fundamental factor of quality, the medical system will not be able to function properly, and as a result will have problems and shortcomings that will prevent the country from moving forward, both in medicine and in other areas. After the implementation of the first stage of reform, the Ukrainian health care system has undergone significant changes. The main of which was family medicine and all its principles and innovations. The topic of family medicine in Ukraine is quite important, because the family doctor is almost the first to whom the patient turns, so attention should be focused on primary care in order for this institute of medicine to function well and efficiently. Today, Ukraine faces a problem such as the COVID-19 pandemic, which has led to certain gaps in health care, such as inefficient and poor quality of primary care services, lack of responsibility for quality on the part of both doctors and patients, and society. dissatisfied with the reform of the health care system in Ukraine, and the lack of legal force in declarations between family doctors and patients is also a problem today. These problems were not so obvious and noticeable before the COVID-19 epidemic, but it is this situation with the coronavirus that highlights all the above gaps.

The essence, content and characteristics of medical services’ quality

2021 ◽  
pp. 40-43
Author(s):  
Constantin Etco ◽  
Keyword(s):  
Health Care ◽  
Quality Improvement ◽  
Health Care System ◽  
Health Care Quality ◽  
Services Quality ◽  
Care Quality ◽  
Medical Services ◽  
Total Quality ◽  
Care System

One of the priorities of the health care system in Moldova is the medical services’ quality improvement. Th is article presents various defi nitions for health care quality and the principles connected with quality improvement. An important part in this article is allocated to the structure and main principles of total quality management in the health care system. Th is part reveals the problems of the commissions that are studying the quality of medical services in healthcare establishments.

scholarly journals CHALLENGES AND PROBLEM IN PRIMARY HEALTH CARE IN GEORGIA

2018 ◽  
pp. 259-262
Author(s):  
TENGIZ VERULAVA TENGIZ VERULAVA
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Primary Health Care ◽  
Health Care System ◽  
Family Doctor ◽  
Continuous Medical Education ◽  
International Standards ◽  
Primary Health Care System ◽  
Primary Health ◽  
Care System

Primary health care has an important role in the organizational arrangement of health care system. Without a fundament of primary health care system it is impossible to build anything. The primary health care system reflects on the quality population health, the availability of health services and the cost of spending on the health care. The family doctor›s institute and primary health care system in Georgia have not been developed with regarding international standards. The lack of primary care system in Georgia indicates that the referral to outpatient medical facilities is considerably lower than the European countries. The reason for this is the lack of confidence in primary care institutions and the absence of comprehencive primary health care system in the country. It is nessesery to develop a family doctor›s institute in Georgia. This requires the promotion of continuous medical education of family doctors, optimal geographical distribution of primary health care institutions.

scholarly journals Prawne formy podejmowania i prowadzenia działalności leczniczej jako element systemu ochrony zdrowia w Polsce. Wybrane aspekty

2018 ◽  
Vol 114 ◽  
pp. 121-138
Author(s):  
Eryk Kosiński
Keyword(s):  
Health Care ◽  
Private Sector ◽  
Health Care System ◽  
Legal Regulation ◽  
Right To Health ◽  
Medical Services ◽  
Access To Health Services ◽  
Right To Health Care ◽  
Legal Forms ◽  
Care System

LEGAL FORMS OF UNDERTAKING AND CONDUCTING MEDICAL SERVICES ACTIVITY AS AN ELEMENT OF HEALTH CARE SYSTEM IN POLAND. CERTAIN ASPECTSThe health care system in Poland is characterized by big diversity on side of patients, services delivered by medical services organizations, and medical services organizations entities. The meaning of health care in terms of modern state is quite blatant. The appropriate legal regulation and the structural organization constitutes one of biggest challenges which now-a-days states face. A constitutional provision that guarantees right to health care and to access to health services “right to medical care”, “right to health”. In Poland such right is guaranteed by art. 68 secs. 1–5 of the Polish Constitution. There are many legal forms entities of medical services organizations. Those organizations may be divided into entrepreneurs and non-entrepreneurs. Such division is provided by the Polish act on medical services activity of April 15, 2011. Among entrepreneurs there are all entities which are undertakings according to Polish law, and research institutions, foundations, associations, organizational units of associations with legal entity, and units which function under laws regulating relations of the State with diff erent churches. There are additionally private medical practices conducted by medicine doctors and nurses. Among non-entrepreneurs there are so-called public independent health care units, budget units and military units. Moreover, one of the most important issues in the area of health care is a phenomenon of confl ict of interests. It relates to medicine doctors who are employed at the same time in public medical services organizations and in the private sector of health care, or the owners of the private sector medical services organizations, including private medical practice. It seems that such a confl ict of interests should be stopped by non-compete clauses provided in contacts concluded with public medical services organizations. Another possibility is to provide a general prohibition of combining both employment in public medical services organizations with private activities in this sector, including any form of capital involvement in this area.

scholarly journals THEORETICAL APPROACHES TO DETERMINING THE ESSENCE OF STRATEGIC DEVELOPMENT MANAGEMENT OF DENTAL MEDICAL INSTITUTIONS

2021 ◽  
Vol 23 (1(78)) ◽  
pp. 162-172
Author(s):  
A.I. TERNAVSKYІ
Keyword(s):  
Health Care ◽  
Health Care System ◽  
Dental Care ◽  
Medical Services ◽  
Strategic Development ◽  
Theoretical Approaches ◽  
Modern Health Care ◽  
Medical Institutions ◽  
Care System

Topicality. Reforming the modern health care system requires comprehensive strategic measures that will help improve the management of modern health care facilities, including dental health facilities. The market of dental medical services is an important component in the structure of the market of medical services, as evidenced by the intensive development of dental services, expansion of not only medical but also cosmetic services, improving their quality and level of service. Therefore, there is an urgent need to determine the essence of the management of strategic development of dental institutions. Aim and tasks. Purpose and objectives: to determine the fundamental theoretical approaches to understanding the essence of management of strategic development of dental institutions. Research results. The level and quality of medical services characterize the sustainable development of the country, as other areas cannot be fully developed if the health care system is low. Formation and development of strategic management is an important part of corporate management not only of the production enterprise, but also of health care institutions, and it acquires especially important participation in the conditions of medical reform with the purpose of further social, medical, financial and economic competitive advantages in the medical services market. Without effective medical care, citizens are not interested in solving secondary problems, because the issue of preserving and maintaining health is always in the first place. With the spread of market development priorities, the management of medical institutions in general and dental medical institutions in particular is becoming important. Conclusion. Management of strategic development of dental medical institution is aimed at introducing new dental medical technologies, improving the level of professional training of medical staff of dental medical institutions and improving the quality of dental care using new standards in dentistry. Management of strategic development of dental medical institutions is possible only with the support of the dental care system by the state, through standardization, certification and financial support, observance of human rights in the health care system and state support of dental care to socially vulnerable groups.

scholarly journals LEGAL ASPECTS OF MEDICAL REFORM’S IMPLEMENTATION: POLAND’S EXPERIENCE FOR UKRAINE

2020 ◽  
pp. 128-138
Author(s):  
Olesia Dubovych ◽  
◽  
Nataliia Vasylieva ◽  
Iryna Drohomeretska ◽  
◽  
...  
Keyword(s):  
Health Care ◽  
Health Insurance ◽  
Health Care System ◽  
Legal Regulation ◽  
Legal Aspects ◽  
Medical Reform ◽  
Academic Paper ◽  
The Individual ◽  
Care System

The academic paper has analyzed the experience of implementing the reform of the health care system in Poland, taking into account the legal regulation of the measures taken.The attention is focused on the basic stages of the medical reform, as well as the features of each stage. The legal aspects of the process of reforming the health care system in Poland have been investigated; they determine the sources and methods of financing health services, the level of quality of health care and the functioning of the health care system in general. The individual components of the health care system related to compulsory health insurance have been described. Based on the analysis, it has been proved that in practice there is no single universal model of financing the health care system. The experience of the functioning of health care in Poland has shown that the experience of reforming the health care system in Poland can be successfully implemented in the practice of medical reform in Ukraine, provided that the historical, economic and cultural features of the country are taken into account. It has been concluded that in order to improve measures to reform the medical system of Ukraine it is necessary to develop and implement measures aimed at the development of health insurance and medical self-government. Introduction of health insurance in Ukraine will help improve medical services, improve the management of the entire health care system and its financing.

scholarly journals The Formation and Development of the Legal Status of a Consumer of Paid Medical Services in the Russian Health Care System in the XVIII – Early XX Centuries

2020 ◽  
Vol 17 (3) ◽  
pp. 300-309
Author(s):  
Mariya Soboleva
Keyword(s):  
Health Care ◽  
Health Care System ◽  
Legal Status ◽  
Legal Regulation ◽  
Russian Empire ◽  
Medical Services ◽  
Soviet Period ◽  
Care Organization ◽  
The Russian Empire ◽  
Care System

The socio-economic situation in Russia over the past decades has undergone serious changes that could not but affect the health system. There have been prerequisites for the development of private medicine, which has been supported by the state. Currently, there is an increase in the share of medical services provided on a paid basis. Widespread private practice, covering the chronological period of the Russian Empire, was interpreted by the authorities in the Soviet period as a relic of the capitalist system, contrary to the basic principles of proper health care organization. The Soviet period of Russian history appears to us as a chronological gap, that is, a time gap that characterizes the specifics of the linear existence of paid medical services. In this regard, it seems relevant and timely to conduct research on the historical aspects of the formation and development of the legal status of consumers of paid medical services in the Russian Empire. In our opinion, such research is of both theoretical and practical interest. The first is due to the lack of development of this topic in the historical and legal literature. The second one will allow us to identify existing shortcomings in legal regulation in the sphere of public health protection based on the generalization of historical experience and formulate practical recommendations for improving the legislation of the Russian Federation in this area. From the perspective of this work, we aim to assess the legal status of consumers of paid medical services in the XVIII – early XX century, comprehensively examining such elements of legal status as rights, freedoms, interests and duties. The article analyzes the influence of belonging of the inhabitants of the Empire to a particular social group on the formation of the legal status of consumers of paid medical services. For the first time, the main types of rights of consumers of paid medical services are separated from the regulatory legal acts in the field of healthcare of the Russian Empire and formed into a group. Based on the results of a detailed analysis, we conclude that in the Russian Empire, the duties of consumers of paid medical services took priority over the rights, since it was believed that if the obligations were met, the rights would exist regardless of their formal Declaration. The analysis helps to understand the development of regulation of health ser-vices and allows us to draw historical parallels with the existing regulatory framework of the health care system in Russia.

Assisting People With Their Living, Not Their Dying: Health Professionals’ Perspectives of Palliative Care and Opioids in ILD

2021 ◽  
pp. 104990912110186
Author(s):  
Lauren Russo ◽  
Karen Willis ◽  
Natasha Smallwood
Keyword(s):  
Quality Of Life ◽  
Health Care ◽  
Palliative Care ◽  
Health Care System ◽  
Therapeutic Relationships ◽  
Specialist Palliative Care ◽  
Cross Sectional ◽  
Symptom Palliation ◽  
Care System

Objectives: Interstitial lung disease (ILD) is a debilitating and life-limiting condition, requiring multi-disciplinary care. While guidelines recommend early specialist palliative care referral to improve symptoms and quality of life, few patients access such care towards the end-of-life. This study aimed to explore clinicians’ perspectives regarding specialist palliative care and opioids to understand barriers to optimal care and guide clinical practice improvement initiatives. Methods: A cross-sectional, exploratory, qualitative study was undertaken with Australian respiratory clinicians caring for people with ILD (n = 17). In-depth, semi-structured interviews were audio-recorded, transcribed verbatim and coded. Thematic analysis was undertaken to extrapolate recurring ideas from the data. Results: Four themes were identified: 1) understanding how to improve patient care and support, 2) the need to dispel stigmatized beliefs and misconceptions, 3) the importance of trusted relationships and good communication and 4) the challenges of navigating the health-care system. Participants discussed the need to implement early specialist palliative care and symptom palliation to alleviate symptoms, provide emotional support and augment quality of life. Participants described challenges accessing palliative care and opioids due to stigmatized beliefs amongst patients and clinicians and difficulties navigating the health-care system. Trusted therapeutic relationships with patients and strong inter-disciplinary partnerships with collaborative education and communication were perceived to improve patients’ access to symptom palliation. Conclusion: Specialist palliative care and opioids were believed to improve patients’ quality of life, however, many barriers can make accessing such care challenging. To address these issues, multi-disciplinary collaboration, high-quality communication and trusted therapeutic relationships are crucial throughout the ILD illness journey.

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