scholarly journals THE CURRENT STATE OF MENTAL HEALTH IN THE XXI CENTURY IN THE CONTEXT OF HEALTH CARE REFORM

Author(s):  
Chorna Valentyna ◽  
◽  
Anatolii Shevchuk ◽  

The monograph provides a comparative analysis of the medical and demographic situation in Ukraine in recent years: population, birth and death rates, natural increase (decrease) in citizens, average life expectancy at birth, disability, morbidity. Also, an analysis of the Human Development Index in Ukraine and other countries according to the UN (2018) is carried out. From the investigation of the report of statistical data of the Ministry of Health of Ukraine on the structure of hospitalized patients in hospitals of Ukraine for 2019 adult population among all diseases: the first place has occupied by diseases of the circulatory system – 23.19% (including coronary heart disease – 10.93%, cerebrovascular diseases – 5.95%, angina – 4.02%), second place-diseases of the digestive system – 9.07%, third place belongs to tumors – 8.96%, fourth place respiratory diseases – 8.04%. At the same time, the state of mental health of the population of Ukraine is not insignificant, and according to the statistics of the Ministry of Health of Ukraine in 2019, cerebral and behavioral disorders amounted to 4.54% and diseases of the nervous system – 4.16%. The average length of stay of adult patients in psychiatric institutions is from 33.3 to 48.7 days in Ukraine compared to European countries in Lithuania up to 20.8 days, in the Republic of Poland up to 20.3 days. In Ukraine, the treatment of patients with mental disorders and behavior remained as in Soviet times, the Semashko health care model, the priority of inpatient treatment in the old premises that have been building in the XVIII-XIX centuries, and therefore there is a crisis in the field of mental health and mental health. The reform of mental health facilities in European countries has been completing in 2000, and they have moved to a multidisciplinary model for the treatment of the mentally ill. For people with changes in mental health, new Mental Health Centers have been building, and the old premises of psycho-neurological hospitals have been reconstructing for comfortable stay of patients, creation of "therapeutic, healing environment" for quick marriage, return of patients to society. A comparative description of the provision of medical workers in the field of health care in Ukraine with similar indicators of the EU countries is provided. The study aims to analyze the ways of reform in the EU and Ukraine, to show mistakes in the incomplete health care reform of Ukraine and examples of overcoming the crisis and improving the mental health of the population as in European countries. Ukraine should learn from the experience of other European countries by increasing funding for health care and prevention measures to reduce disease and improve the mental health of the population. One way to overcome the crisis is to have a strong link between the various Ministries of Social Policy, Health to provide timely health care to vulnerable populations and to stratify socio-demographic and lifelong mental health indicators as in the EU. It is possible to strengthen the mental health care system through highly institutionalized services to public/religious organizations that are more person/ patient-oriented.

Author(s):  
Leonid Anatolievich Denisov ◽  
Mikhail Sergeevich Pakhomov

The article is devoted to a historical event that occurred 250 years ago in Moscow. The authors draw analogies between the plague epidemic and the current situation associated with a new coronavirus infection, and note what unites these events. It shows the dedicated work of doctors in the conditions of complete ambiguity of the causes and spread of these infections, in the absence of effective treatment methods, what was the behavior of the population, how prevention measures were developed, and what is the role of the authorities of Moscow and St. Petersburg in the fight. How the state of medical science and the level of health care, referred to by economists as the non — material sphere, can affect the physical and mental health of the population and the economic situation of the city, country and the whole World.


2014 ◽  
Vol 62 (1) ◽  
pp. 37-45
Author(s):  
Patrícia Maria Costa de OLIVEIRA ◽  
Léa Maria Bezerra de MENEZES ◽  
Maria Vieira de Lima SAINTRAIN ◽  
Paulo César de ALMEIDA ◽  
Maria Eneide Leitão de ALMEIDA

OBJECTIVE: This study aimed to know the understanding of Oral health indicators recommended by the Ministry of Health by dentists in the family health strategy of the state of Ceará in 2008. METHODS: It is a descriptive, cross-sectional study in which it was used a questionnaire to obtain the data concerning the way information on oral health actions performed in Family Health Care Units and other social spaces are registered, as well as investigate their knowledge about oral health indicators. The calculation of the sample of dentist-surgeons adopted an absolute sampling error of 6.8% and a significance level of 5%, resulting in an initial sample of 175 dentists; however, only 159 participated in this study according to the inclusion criteria. For instance, they should have been working in the service in the period from 2001 to 2007. In all, 32 cities participated in the research, distributed in 18 Regional Health Cells selected by drawing lots. The data were processed in the program SPSS version 17.0 and considered statistically significant the inferential analyses with p < 0.05. RESULTS: it was observed that there are differences between the interpretation of the indicators objectives and the data relating to oral health actions recorded by dentist-surgeons from the Family Health Strategy. They also differ from the guidelines of the Ministry of Health. CONCLUSION: The pregnant present some knowledge about oral health that can be improved by means of educational, preventive and healing programs. This group exert big it influences in the family ambit, could act as agents multipliers and avoiding the child's precocious contamination.


Krmiva ◽  
2020 ◽  
Vol 61 (2) ◽  
pp. 75-80
Author(s):  
Zvonko Antunović ◽  
Đuro Senčić ◽  
Josip Novoselec ◽  
Danijela Samac ◽  
Željka Klir

The aim of the present study was to analyze the situation in organic livestock farming in Croatia and Europe. In the European countries in the year 2017, around 4.5 million cattle, 5.2 million sheep, 1 million pigs and 50 million poultry were registered in organic farming. The highest share of organically registered domestic animals compared to the total population in Europe and the European Union-28 was in cattle (3.5% and 5.2%) and sheep (3.4% and 5.0%), and the lowest in pigs (0.6% and 0.7%). In Croatia the highest share is in sheep (8.57%) and the lowest in poultry (0.02%) number. The largest increase in recent ten years in the EU has been in the number of poultry (by 103%) and the smallest in the number of pigs (by 47.6%), while the increase was the number of cattle and sheep was around 76% and 74%, respectively. In Croatia organic sheep production increased the most (by 65.0%), while the number of cattle and poultry increased by 62 and 64%, and the smallest increase is in the number of pigs (by 24%). The majority of organic meat of all species of domestic animals is produced in France and in United Kingdom, while organic milk is produced mostly in Germany and France. During the year 2018, most organic beef was produced in the UK and France, organic pork in France and Finland, organic sheep meat in Spain and the UK, organic goat meat in Spain, while most of organic poultry was produced in France and in the UK. A significant increase in the number of livestock in organic farming in Europe and in Croatia indicates an increasing interest in organic livestock farming, not only increase of farmers and processors but also increase of consumers of organic products in European countries.


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