scholarly journals The Current Issues of the Sustainable Development of the Health Care System

Author(s):  
I.A. Gareeva
Economical ◽  
2020 ◽  
Vol 1 (1(22)) ◽  
pp. 36-47
Author(s):  
Катерина Ягельська ◽  

The issue focuses on the health care system as a key element of the structure of the sustainable development economy. The first stage of the study was to determine the factors and initial conditions for building an effective health care system in Ukraine. It is argued that the initial conditions for building the effective health care system in countries vary widely and are characterized by varying strengths of challenges and threats. It is concluded that Ukraine’s economic development is largely determined by global determinants along with national ones, among them the most influential are: capital, success and effectiveness of structural reforms, effective changes in industrial policy, transformations in public consumption, investment-innovation and technological policy, institutional development infrastructure of small and medium business. The systemic problems of the domestic economy and the health care system have been identified. The planned financing of health care elements for 2021 has been analyzed and its weaknesses have been identified. Emphasis is placed on the contradictions between the priorities of the state budget and its coverage. The problem of potential sources of expansion of general expenses is considered. The basic elements that are necessary for the development of the health care system of Ukraine in modern conditions have been identified. The content of economic, ecological and social components of the transformation of the health care system, which are realized through the active participation of the state, private sector and society in the development of the medical sphere of the country, is revealed. The environmental component in the aspect of health care is revealed through crisis determinants that qualitatively change the indicators of health system efficiency. A set of determinants of health care functioning on a global scale is described, among which economic, political, ecological threats, educational crisis; threats of global terrorism are singled out. The basic requirements to the health care system are defined and substantiated on the basis of the analysis of the health care market of Ukraine, the analysis of the purposes of the health care system functioning and the purposes of sustainable development in Ukraine. The content of the basic requirements for the health care system, which corresponds to the formulated basic principles of the effective health care system, is revealed. The priorities for formulating the requirements for the health care system in the conditions of sustainable development of economic relations have been formulated.


Author(s):  
Vira Kutsenko ◽  
Iryna Kinash ◽  
Hanna Yevtushenko

The article reveals the essence of the category of "population health", the methodology and methods of its cognition, the main methods and techniques of the empirical and theoretical levels of research, the technology of their practical use in ensuring sustainable socio-economic development of the country. The main attention is paid to the analysis and assessment of the health status of the population – the main productive force of society, on the basis of which it is concluded that in Ukraine there is a deterioration in the corresponding characteristics. It is noted that this is primarily influenced by insufficient financial and resource support of the medical industry as a whole. Other factors that negatively affect the health of the Ukrainian population are also indicated. An important role in overcoming these negative phenomena is played by the modernization of the medical industry, the rational use of its resource potential, the formation of a civilized market of medical services. In this regard, it is emphasized that the activities of the health care system of Ukraine should be based on unified national principles, including the formation of economically viable systems for organizing medical care, taking into account the real needs of the population, the possibilities of meeting them, as well as the most appropriate allocation of resources and their effective use. The peculiarities of the current situation with the spread of coronavirus, which led to the exacerbation of existing problems, which require the search for new approaches to their solution, related to the adoption of fundamental decisions, especially at the state level are taken into account. In addition, the article provides an assessment of the main results of the ongoing reforms in the health care system of Ukraine. In the course of the study, considerable attention is paid to structural and typological features, as well as the conditions for the formation and strengthening of public health - an important factor in increasing labor productivity, developing the economy based on the principles of sustainable development. The economic, innovative and technological aspects of the development of the health care system are summarized. New approaches to further strengthening and preserving the health of the population in the context of implementing the tasks of sustainable development are substantiated.


REGIONOLOGY ◽  
2020 ◽  
Vol 28 (3) ◽  
pp. 598-623
Author(s):  
Igor O. Marinkin ◽  
Elena G. Kondyurina ◽  
Elena A. Aksenova ◽  
Elena A. Pushkareva ◽  
Stanislav V. Sokolov ◽  
...  

Introduction. It is not possible to create an adequate human resources policy only through the efforts of heads of medical organizations. There is a need to integrate the efforts of governments, educational institutions and employers to improve the human resources policy for regional health care. The article presents the strategy of personnel policy perfection on the basis of Russian and international organizations’ experience, research of personnel imbalance of regional public health care system and results of own researches. Materials and Methods. The research materials were statistical data on the staffing of the regional health care, including a database of job opportunities for medical workers in the labor market, materials from a sociological survey of managers on ways to improve personnel policies and its impact on the sustainable development of health care organizations. Results. The study of personnel policy that affects the sustainability of the development of medical organizations has shown that an important aspect of achieving long-term goals of the organization is the introduction of improvements in accordance with the modern strategy of health development. The authors identified the problems of staffing the health care system in the Novosibirsk region (a surplus of trained specialists in both outpatient and inpatient units; an imbalance of specialists with a shortage of doctors in the primary sector; there is a significant need for specialized specialists, whose training takes place through training in residency, etc.). Special attention is paid to the problem of training personnel based on continuing medical education programs. The authors focus on the need to train specialists in the region under the program “Lean medicine” for the qualitative introduction of a new model of primary health care. Discussion and Conclusion. The main results of our work are that the regional health development strategy depends on the integration of efforts of the Ministry of Health of the region, healthcare organizations and higher educational organizations. Against the background of personnel imbalance, it is necessary to ensure the training of specialists for implementing regional health development programs in a short time. At the same time, graduate specialists should be willing to work in conditions of constant changes and at the same time contribute to the sustainable development of healthcare organizations. The results of the study are important for specialists at various levels of health authorities, higher education institutions and medical organizations.


2014 ◽  
Vol 4 (1) ◽  
pp. 23-29
Author(s):  
Constance Hilory Tomberlin

There are a multitude of reasons that a teletinnitus program can be beneficial, not only to the patients, but also within the hospital and audiology department. The ability to use technology for the purpose of tinnitus management allows for improved appointment access for all patients, especially those who live at a distance, has been shown to be more cost effective when the patients travel is otherwise monetarily compensated, and allows for multiple patient's to be seen in the same time slots, allowing for greater access to the clinic for the patients wishing to be seen in-house. There is also the patient's excitement in being part of a new technology-based program. The Gulf Coast Veterans Health Care System (GCVHCS) saw the potential benefits of incorporating a teletinnitus program and began implementation in 2013. There were a few hurdles to work through during the beginning organizational process and the initial execution of the program. Since the establishment of the Teletinnitus program, the GCVHCS has seen an enhancement in patient care, reduction in travel compensation, improvement in clinic utilization, clinic availability, the genuine excitement of the use of a new healthcare media amongst staff and patients, and overall patient satisfaction.


2007 ◽  
Vol 38 (1) ◽  
pp. 18
Author(s):  
KEVIN GRUMBACH ◽  
ROBERT MOFFIT

2007 ◽  
Vol 40 (1) ◽  
pp. 6
Author(s):  
KEVIN GRUMBACH ◽  
ROBERT MOFFIT

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