scholarly journals ANALYSIS OF THE CONDITIONS, FACTORS AND TENDENCIES OF DEVELOPMENT OF THE INTERNATIONAL MARKET OF MEDICAL SERVICES

Author(s):  
Pavel Sergeevich Kotov ◽  
Viktor Georgievich Akishkin ◽  
Antonina Ramazanovna Nabieva

Medical service is a process of interaction between a doctor and a patient in order to improve health outcomes. The quality of medical services is influenced by various factors: a lack of equipment in the preventive health care facilities, pharmaceutical products supply, coordination of appointments of the patients, etc.). Accordingly, there appears a tendency to increase the demands for provision of medical services. The social significance of healthcare services renders the process of their provision as the category of mandatory measures for governmental control and regulation in all countries, with the purpose to provide access for all strata of the population and maintain the appropriate quality level. Therefore, the standards of medical services have become the main line of activity for many specialized international organizations and governments (personnel requirements, medical products and medicines, regulation of medical insurance, etc.). In turn, standardization creates significant entry barriers in the market of medical services. The need of implementing international and national standards for the provision of medical services and their convergence are stipulated by the specificity of the healthcare sector. International medical service trade, implementation of telemedicine technologies and innovative methods of treatment, standardization of production and consumption of medical services are modern trends that lead to the formation of the international market for medical services. The provision of medical services to patients of other countries in more than 50 countries is defined as one of the main directions of national development. Since the cost factor is an important determinant of competitiveness, patients from countries with highly developed health care system go to developing countries where they receive medical services of good quality at lower prices. In light of the above, the article analyzes the stages of development of the medical service market depending on the level of economic development, preconditions for developing competitive advantages and the global factors that shape the trends of development of the international market of medical services.

2018 ◽  
Vol 1 (2) ◽  
pp. 148-156
Author(s):  
Delfina Gusman ◽  
Marryo Borry WD

Clinics are health care facilities that provide individual health services that provide basic medical and / or specialist services. Primary Clinic is a clinic that provides basic medical services both general and special. To establish primary clinics until they can operate through a series of licensing processes, namely the Hinder Ordonnantie (HO) Permit, Clinical Establishment Permit (IMK) and Clinical Operational Permit (IOK). The results of the process are overlapping or suggesting requirements that make the process ineffective and inefficient


Author(s):  
V. V. Chorna ◽  
V. M. Makhniuk ◽  
S. S. Khliestova ◽  
N. I. Gumeniuk

The mental state of the mentally ill is one of the most important factors in the treatment of the patient by a medical professional. But aggression, high-pitched communication, indifference of a doctor or health care worker can negatively affect the outcome of treatment and recovery of a patient with mental and behavioral disorders. The problem of modern medical deontology in Ukraine is the stigmatization of health workers to patients with mental disorders, which lead to self-stigmatization of both patients and their families. The purpose of the study is to enable the relatives of mentally ill people undergoing long-term inpatient treatment, to determine the quality of medical services in a psychoneurological hospital, to identify ethical and deontological shortcomings in the doctor’s relationship with relatives of mentally ill person, to determine the level of self-stigmatization in relatives of the patient by medical staff. The analysis of domestic and foreign scientific sources, bibliosemantic, analytical and statistical research methods were used in the work. A questionnaire was conducted (using a specially designed questionnaire) with elements of interviews of 92 respondents (relatives of mentally ill patients who were treated at a psychoneurological hospital in Vinnytsia). The results were processed using the licensed standardized package "Statistica 6.1". The need to comply with state building codes for health care facilities in accordance with European requirements has been proven. This will eliminate the feeling of hopelessness during hospitalization in public psychoneurological hospitals, which are a great trauma for relatives of patients. It has been shown that in order to prevent stigmatization of relatives of patients in psychoneurological hospitals, it is necessary to conduct trainings and interviews after training, which will determine the degree of stigmatization and subsequent preventive measures. It is shown that for relatives of mentally ill on the basis of psychoneurological hospitals it is necessary to equip rooms for psychodiagnostics and further psychocorrection. Development of affordable correctional programs for relatives of patients will reduce maladaptation and improve life satisfaction.


2021 ◽  
pp. 53
Author(s):  
Viktoriia Adamyk ◽  
Khrystyna Shcherbiak

Introduction. The development of bilateral relations in the context of globalization and European integration involves expanding the range of forms of cooperation, as well as those areas covered by cooperation. The implementation of medical reform in Ukraine necessitates the intensification of the exchange of experience in the medical field with other countries, including Poland. The rapid processes of digitalization against the background of the Kovid-19 pandemic determine the modernization of communication tools and cooperation in the field of health services.The purpose of the article is to study the state and prospects of exchange of experience in the field of medical services between Ukraine and Poland.Research methods. To achieve the goal set in the article, general scientific and special methods were used, namely: analysis and synthesis, induction and deduction, abstraction and concretization, systematization, as well as elements of comparative analysis. The methodological basis for the study are national and international regulations of Ukraine and Poland, which regulate the functioning of health care and bilateral relations in the field of medical services, scientific works of domestic and foreign researchers, statistical reports and more.Results. The exchange of experience in the provision of medical services between Ukraine and Poland is carried out in a slightly different state of health care and taking into account Ukraine’s integration intentions using tools such as conferences, seminars, webinars, academic mobility of scientists and students, bilateral agreements between medical institutions with the support of local governments and self-government, etc. Digitalization, on the one hand, expands opportunities for collaboration, and on the other - necessitates the need to improve the quality of technical equipment of hospitals and makes new demands on human capital. Improving the exchange of experience in the field of  medical services is enhanced by receiving technical assistance from Polish partners, including under the auspices of international institutions, such as the EU, WHO, UNICEF, etc. Perspective areas are the introduction of the eHealth system in Ukraine, as well as the involvement of Polish specialists to modernize the management system in domestic health care facilities. The article details the recommendations for intensifying the exchange of experience between Ukraine and Poland in areas and tools.Perspectives. Future research is important to focus on an interdisciplinary analysis of the consequences of health care reform in Ukraine and Poland in the context of the impact on the well-being of citizens.


Author(s):  
Surya Bali

Healthcare sector is now using telemedicine solutions to increase the reach of its services to population. Target areas are highly sparsely distributed devoid of basic amenities which makes the job of Governments difficult. Further people don't have enough disposable income to travel long distances and take preventive health care from urban areas. Problems are uniformly the same across the developing countries. The mindboggling developments in Information and Communication Technologies (ICT) particularly the web based technologies have opened up exciting new possibilities for health care across the world. These developments have evoked significant policy response in developing countries where the quality of health care is poor, resources are scarce and demands have to be immediately met. Telemedicine is gradually coming up as a viable policy option for the Governments in developing countries. This chapter gives an account of the telemedicine initiatives taken in India, describes emerging regional cooperation and its contribution for Sustainable Development Goals.


2019 ◽  
Vol 11 (1) ◽  
pp. 229 ◽  
Author(s):  
Xuan Sun ◽  
Tao Sun ◽  
Yushan Jin ◽  
Ya Ping Wang

To address the low performance of health care service delivery in the half-market system, the Chinese government has begun to advocate the medical alliance (MA) recently. Instead of strict regulations on the procedure of diagnosis and treatment, flexible resource sharing among medical institutions of different grades inside each MA is encouraged. By now, many attempts have been made for MA establishment from different perspectives, but there is no effective model maturely developed. For the promotion of the spatial accessibility to medical services at different levels, it is important to organize the hierarchial medial services according to the distributions of different grades of health care facilities in a city. With the city proper of Tianjin as the study case, we explored the optimal establishment of MAs using the geographic information system (GIS). By means of the Voronoi Diagrams, the service regions of different medical institutions were precisely defined and the organizational structure of hierarchical medical services in MAs was determined. Through interpolation analysis, accessibility to different levels of medical services was measured, and on this basis, discussions were conducted on the service efficiency of the MAs. According to the results from Tianjin, (1) under the proposed organizational model for MAs, the fit of the service regions of the first grade and the other two higher grades of medical institutions was good. but the fit of the second and the third grade medical institutions was insufficient. (2) Although the overall service efficiency was excellent, there were still deficiencies in a number of the MAs. (3) Increasing the number of second and third grade medical institutions in specific regions near the city’s edge, as well as the number of first grade institutions, could further improve the performance of hierarchical medical services.


2021 ◽  
Vol 12 (1) ◽  
Author(s):  
Tatyana Faiberg ◽  
Irina Scherbakova

To form an effective mechanism for financial support of health care in Russia, it is necessary to introduce into scientific and practical activities clearly-defined concepts that characterize medical services and sources of their financing. The analysis of the definitions such as «medical care» and «medical services» described in this article showed a lack of orderliness in basic terminology, as well as the possibility of replacing these concepts in practice. The article discusses the types of medical services in relation to the Program of state guarantees for providing citizens with free medical care. The sources of financial support for medical services in Russia are systematized and their features are highlighted. The research of the problems of financing health-care expenditures from various sources made it possible to suggest the main criteria for sharing these expenditures among the budgets of the budget system of the Russian Federation. The volume of budget financing of healthcare in Russia, compulsory and voluntary health insurance, and paid services in the healthcare sector are evaluated in the article, and also, the problems of estimating the volume of medical care in total from all sources, including the income of private medical organizations are identified.


2021 ◽  
Vol 37 (1) ◽  
pp. 80-83
Author(s):  
A.M. Shakhaeva ◽  
◽  
D.A. Verdieva ◽  

The relevance of the research topic is determined by the importance of medicine for modern society. The right of a citizen to timely medical care is enshrined in the Constitution of the Russian Federation and is one of the most important social obligations of the state. The need for legal regulation of this sphere arises from the variety of types of medical care and the variety of medical services. Taking into account that medicine affects the health of citizens and if the quality of services is inadequate, it can lead to significant harm to the patient, up to death, the legal basis for providing medical services should be elaborated in detail and avoid double interpretation of various legal norms. With the introduction of market principles in Russia, a new sphere of providing medical services to the population – paid. This allowed us to solve a number of problems related to improving the quality of medical services, their availability in terms of receiving highly specialized care, and reducing the burden on the insurance medicine system. At the same time, the need for a detailed legal justification for the provision of such services has become obvious, and, first of all, the issues of the contract for paid medical services, as the main form of business relations, enshrined in civil law. It is necessary to pay attention to the fact that in modern Russian legislation there is a certain discrepancy between the social significance of the health care industry, as well as the constitutional status of the right to health protection and an unreasonably low level of theoretical justification for the branch legal regime in this area of health care. Therefore, it is necessary to further modernize certain provisions of medical law that regulate various aspects of the provision of medical services. This includes issues related to the contract for paid medical services.


2020 ◽  
pp. 19-30
Author(s):  
Alina Zhukovska

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.


2019 ◽  
Vol 96 (4) ◽  
pp. 396-399
Author(s):  
I. A. Mishkich ◽  
E. N. Kadyskina ◽  
E. A. Baimakov ◽  
O. B. Aluf

The research includes the assessment of the lifestyle factors of the major players of the educational process (students and teachers) in the modern medical school, the analysis of sources of knowledge on a healthy lifestyle and preventive measures, the awareness of a healthy lifestyle; the development and testing of new educational programs for training students and teachers, developing tactics on improving medical education to meet practical needs of the network of health care facilities and institutions of the Russian Federal Service for Surveillance on Consumer Rights Protection and Human Wellbeing (Rospotrebnadzor). Medical and sociological studies of lifestyle factors of students showed 62.9% of respondents to have insufficient sleep duration. Lack of exercise is the second most frequent factor(51.7%). 31.1% of students noted disturbances of the dietary pattern. 20.0% of the surveyed students were cigarette smokers. 12.7% of students regularly gambled mostly with the use a computer. 2.8% of respondents admitted that they regularly used drugs and 1.7 % of respondents drank alcohol every day. The data obtained show the lifestyle of a substantial proportion of the future doctors to be failed to be considered healthy. Analysis of the sources of students’ knowledge on a healthy lifestyle shows 59.9% of them to gain knowledge in the process of becoming a doctor, 42.7% - from specialized professional literature. However, a substantial proportion of the students receive the information about the preventive health care measures from the nonprofessional sources. For the improvement of the educational process and preservation of health of major players we consider a comprehensive interdisciplinary program that includes specialized courses for the first and fifth year students, advanced training sessions for teachers and the consolidated program on preventive health care and health promotion in all disciplines of undergraduate training to be necessary.


1973 ◽  
Vol 3 (2) ◽  
pp. 237-244 ◽  
Author(s):  
G. W. Shannon ◽  
J. L. Skinner ◽  
R. L. Bashshur

Time and distance, the two common measures of travel, are examined as they relate to the use of various types of medical service facilities, using correlation and regression analysis. Different conclusions about the relative accessibility of health care facilities for selected sub-population groups result from the use of each measure separately. Differences in travel patterns to hospitals and those to physicians and dentists are observed when measured by time alone or by linear distance alone. Methodologic and health care implications are discussed.


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