scholarly journals Analysis of the current state of health care state regulation

2021 ◽  
pp. 63-70
Author(s):  
Dmytro Riabets
Keyword(s):  
Health Care ◽  
Natural Resources ◽  
Medical Care ◽  
Economic Activity ◽  
State Regulation ◽  
Living Environment ◽  
The State ◽  
Cash Income ◽  
State Of Health ◽  
Current State

The purpose of the article is to analyse the current state of regional media platforms, identify development problems and justify solutions. Methodology. General scientific methods are used in the research, in particular: theoretical generalization – to determine the main provisions of health care; statistical analysis – to study the dynamics of medical care funding of state structures employees; methods of positive and normative analysis – to develop recommendations for improving the provision of medical services and the state of health care. Results. It was studied that in 2019, among 14,934.9 households, only 8.7% considered their income level sufficient. And 40.2% of households could not afford basic necessities other than food. More than 50% of households said that if incomes increased, they would spend more on treatment. The largest share of households that noted the need for additional treatment costs has an average per capita equivalent cash income per month at the level of 1,920.1–2,640.0 UAH. At the same time, out of the total number of 14,644.5 thousand households, 98.4% noted the need for health services during the year. Statistics show that in 2019, compared to 2018, the number of households that were unable to receive medical care, medicines and medical supplies for family members during the year increased. This trend is observed for both urban and rural residents. As a result, the ecological situation and the human living environment are deteriorating. Threats are created not only for the current population, but also for the lives of future generations. And according to the self-assessment of the health status of the Ukrainian population in 2019, only half of the population (50.4%) marked their condition as good, the rest reported satisfactory (39.5%) and poor (10.1%). Practical meaning. It is revealed that the state of the environment is under threat due to certain prohibitions and restrictions on the control of economic activity in order to ensure favourable conditions for business development which creates an uncontrolled situation of use of natural resources (water, air, land) included in domestic turnover. Prospects for further research. According to the Law of Ukraine “On Basic Principles of State Supervision (Control) in the Field of Economic Activity” it is necessary to warn in advance and clearly define the list of issues and indicators of the economic activity inspection. This distorts the real picture of possible damage to the environment from improper economic activities and unbalanced use of natural resources.

Main improvement organizations of federal specialized (oncologic) institute as a unit of health system

2015 ◽  
Vol 6 (4) ◽  
pp. 116-123
Author(s):  
Andrey Petrovich Karitsky
Keyword(s):  
Health Care ◽  
Health System ◽  
Medical Care ◽  
National Health System ◽  
Medical Insurance ◽  
State Regulation ◽  
The State ◽  
Insurance Companies ◽  
Medical Services ◽  
Research Institute

Recently economic analysis of health care is demanded and actual due to becoming more and more urgent need for restructuring and a choice of priorities for this boundary section of medicine. In the article are considered strong and weaknesses of health system models, including in option of a so-called transitional economy on the example of federal N. N. Petrov Research Institute of Oncology. Now the N. N. Petrov Research Institute of Oncology can call establishment of national health system with state regulation of programs of general obligatory medical insurance. In this model of health care the state obliges employers and citizens to deduct part of the income on the health insurance, and producers of medical services to provide the population with medical care, including with mediation of insurance companies within obligatory medical insurance. Introduction of this model allowed to provide citizens with full medical care at the expressed reduction of expenses (to 8-12 % of gross domestic product). In the majority of medical institutions medical care is “free”, therefore, to maintain market balance at increase in demand for service, "waiting lists" are entered, patients with “priority” diseases are exposed to treatment, often there are complaints to the unfriendly attitude towards patients. The ideal health system has to provide medical services in unlimited volume without insurance premiums, deductions or individual share at a full freedom of choice of the doctor. Common problem for all systems, mentioning in no small measure functioning of oncologic establishments, is uncertainty of a state role and involvement of each of participants (the state, insurance companies, suppliers of medical services) in realization of various potential functions and problems of health care.

scholarly journals Preference measurement in health using experiments

2021 ◽  
Author(s):  
Peter Zweifel
Keyword(s):  
Health Care ◽  
Discrete Choice ◽  
Discrete Choice Experiments ◽  
State Of Health ◽  
Preference Measurement ◽  
Health Econ ◽  
Economic Criterion ◽  
Lay Persons ◽  
Current State ◽  
Treatment Of Diabetes

AbstractThis contribution has three objectives. First, it seeks to justify the use of the economic criterion, “Provision of health care in accordance with the preferences of current and potential patients” for guiding decisions concerning the adoption of costly innovation in health. Next, it proposes the measurement of these preferences in the guise of willingness to pay (WTP) values through Discrete Choice Experiments (DCEs). Third, it purports to examine two popular arguments against accepting lay persons´ preferences, viz. that they are unwilling or unable to express preferences with regard to health and health care, and that their preferences are unstable, depending on the current state of health. Both of these arguments are refuted by the findings of four DCEs designed to measure WTP for attributes of health insurance and of the treatment of diabetes, respectively [Zweifel in J Regul Econ 29(3): 319–332, 2006; MacNeil Vrooman and Zweifel in Eur J Health Econ 12(1): 87–95, 2011; Sennhauser and Zweifel in: Jakovlijevic M (ed.), Health Economics and Policy Challenges in Global Emerging Markets. NOVA Publishers, Hauppauge NY, 2016].

scholarly journals Medical support in children's camp: problems and solutions

2021 ◽  
Vol 65 (4) ◽  
pp. 310-317
Author(s):  
Anna S. Sedova ◽  
Leonid M. Protsenko
Keyword(s):  
Medical Care ◽  
Rest Period ◽  
Medical Personnel ◽  
Legal Regulation ◽  
The State ◽  
State Of Health ◽  
Medical Support ◽  
Medical Problems ◽  
Additional Information ◽  
Problems And Solutions

Introduction. High-quality medical support is an essential component of effective and safe recreation of children in the camp. Aim is a scientific substantiation of improving the system of medical care in the camps. Material and methods. A survey of 353 directors of day and stationary camps was conducted in the fall of 2020. Results. The most pressing medical problems of the system of medical care of children in the camp were identified: lack of medical personnel (in 46.3% of camps); difficulties with licensing medical activities in the camp (in 15.8% of camps); low qualifications of medical personnel and medical literacy of pedagogical personnel in matters of medical support for camps (in 7.1% and 10.7% of camps, respectively); the inaccuracy of information available in the camp about the state of health of children in the medical certificates of children (in 22.6% of camps). 74.6% of directors pointed to the problems of interaction with the parents of children (unwillingness to provide children with medical certificates or necessary additional information about the state of health of children, refusal to receive treatment prescribed in the camp, etc.). Conclusion. It is necessary to improve the legal regulation in the field of children’s recreation; provision of camps with qualified medical personnel; educational programs on medical care for children in the camp for teachers; increasing the responsibility for the health of children during their rest period of medical organizations that draw up medical documents for children in front of the camp, as well as parents of children.

scholarly journals Medical Care for Residents of Ivanovo, Kostroma and Yaroslavl Regions in Virgin Lands in 1954–1964 Years

2020 ◽  
Vol 20 (3) ◽  
pp. 405-410
Author(s):  
Andrei A. Rybin ◽  
Keyword(s):  
Health Care ◽  
Medical Care ◽  
Health Care System ◽  
Far East ◽  
The State ◽  
Present Stage ◽  
The Far East ◽  
Medical Institutions ◽  
Qualified Personnel ◽  
Unused Land

The problem of the introduction of unused land into agricultural turnover is currently relevant in society, since at the present stage the state is implementing a campaign to develop the uninhabited territories of the Far East of the country. During this period, a large number of studies on virgin lands were published, but today many questions remain open. In particular, the problem of medical care in the virgin lands is not sufficiently studied by historians. The article defines the stages of development of medicine in the areas of development of new lands, also considers the problem of lack of medical institutions and qualified personnel. Finally, medicine was developed in the virgin lands, in particular, it was possible to move from small medical stations to the polyclinic health care system.

scholarly journals SUBMISSION OF ADMINISTRATIVE DECISIONS OF USING RECREATION AND TOURIST TERRITORY AND DEVELOPMENT OF ALTERNATIVE ACTIVITY TYPES

2018 ◽  
Vol 20 (3(68)) ◽  
pp. 107-114
Author(s):  
К.O. KOSTETSKA
Keyword(s):  
Natural Resources ◽  
Economic Activity ◽  
Economic Effect ◽  
Developed Countries ◽  
The State ◽  
Environmental Damage ◽  
Main Task ◽  
Control Functions ◽  
Business Entities ◽  
Recreational Resources

Topicality. All relationships in the field of nature use begin with the legislative framework on the protection of nature and its individual components, which defines the functions of the state regulating environmental activities, as well as defined rights and responsibilities of environmental users. In most developed countries, it is a law on nature conservation or environmental acts that establishes the general principles and objectives of a policy designed to ensure the conceptual uniformity and integrity of all legislative practice in the use, protection and restoration of natural resources. System and methods of administrative management in using natural resources are based on: system of legislative acts of the country and the region; a system of normative-directive and methodological (obligatory to use) documents of state bodies; system of plans, programs, projects, tasks; operational management system. Aim and tasks. The purpose of the article is to justify institutional reforms in order to ensure the implementation of environmental legislation, the division of powers of environmental authorities at the national, regional and municipal levels on the procedure for decision-making and its implementation. Research results. The lack of coordination control functions using natural resources, namely the lack of a horizontal connection between the supervisory authorities, leads to the fact that many bodies control the same natural resource. First of all, the uncontrolled tourism activity with the use of recreational resources is observed. Thus, the main task of the state administration should be to assess the quantitative and qualitative equivalents of existing and potential natural resources and determine the strategic directions of their management, their use and protection by business entities and households. In this case, it is necessary to determine with which mechanisms to achieve the optimal use of recreational and tourist resources while minimizing environmental damage, minimizing costs and maximizing the social, economic and environmental effects of their use.Conclusions. Taking into account the economic effect that the country can have, it is expedient to take into account not only the economic potential of the recreational and tourist territory, but also the development of alternative activities on it. Control the enterprises located in this territory and conduct their economic activity with the use or extraction and subsequent resale of the recreational resource. Principal is the redistribution of taxes from economic activity to the restoration of recreational resources at the urban level. It is necessary to provide methodological explanations regarding tax provisions and benefits to enterprises involved in this process, taking into account the status of the territory in which the recreation process has arisen, taking into account the medical characteristics of the territory and the extraction of natural resources in this territory.

scholarly journals Modern state of the health of the popuation in Ukraine

2021 ◽  
Vol 100 (3) ◽  
pp. 4-12
Author(s):  
I.P. Kryvych ◽  
◽  
Yu.Yu. Chumak ◽  
H.M. Gusieva ◽  
◽  
...  
Keyword(s):  
Health Care ◽  
Behavioral Disorders ◽  
The State ◽  
Vulnerable Groups ◽  
Health Improvement ◽  
Health State ◽  
State Of Health ◽  
Ministry Of Health ◽  
Holistic View ◽  
Mental And Behavioral Disorders

A retrospective and prospective analyses of the rate of incidence and prevalence of diseases of the population of Ukraine over 1990-2017 were carried out on the basis of sectoral statistical reports and professional editions, which made it possible to characterize the current state of health and identify the tendencies in the incidence and disease prevalence in the country. Objective: We studied and analyzed the tendencies of the health state of the population in Ukraine. Materials and methods: We used the data of the sectoral statistical reports and professional editions over 1990-2017, as well as the annual report “On the State of Health of the Population, Sanitary-and-Epidemiological Situation, and Results of the Activity of Health Care System” by the Ministry of Health of Ukraine, State Institution «Ukrainian Institute for Strategic Studies, Ministry of Health of Ukraine». The method of the statistical analysis of the factual and analytical material was used as a main one, it forms a holistic view of health and medico-demographic situation in the country. Results: During the years of Ukraine's independence, insufficient attention has been paid to the problems of health improvement. The population numbers is falling sharply. In Ukraine, health care costs are low in comparison with the European countries. The structure of morbidity has changed over the last 10-15 years. The most vulnerable groups: children and adolescents, the elderly are of particular concern. An important role in the formation of morbidity rates is played by chronic non-communicable diseases, their level increased significantly in 2005-2010. The general pathological incidence of school-age children in those years also increased and had a significantly higher level among girls than boys. The incidence rate of mental and behavioral disorders in Ukraine has increased. The prevalence of mental and behavioral disorders had its own features in different regions. The rates of incidence and prevalence of diseases in the children of 0-17 years old of age were quite high and had a wavy nature. Conclusions: The implementation of the state and sectoral measures for the improvement of the health of the population of Ukraine, a cardinal reconstruction of the public view regarding the causes and consequences of a significant deterioration in the health of the population can be solved by a radical way of the preservation and strengthening of both personal and public health.

scholarly journals COVID-19: Capitalist and postcapitalist perspectives

2020 ◽  
Vol 13 (3) ◽  
pp. 305-309
Author(s):  
Anitra Nelson
Keyword(s):  
Health Care ◽  
The State ◽  
Industrial Agriculture ◽  
Mutual Aid ◽  
State Of Health ◽  
Latent Potential ◽  
Neoliberal Policies ◽  
Novel Coronavirus

The Covid-19 pandemic has exposed weaknesses of capitalism as an economy and polity, and revealed the latent potential of postcapitalism. A novel coronavirus is more likely to arise given massive industrial agriculture; the state of health care sectors is a result of neoliberal policies; the pandemic’s impacts were characterised by capitalist inequities; economic repercussions expose a crisis-prone system. Conversely, responses included pandemic solidarity and sharply increasing mutual aid groups. Postcapitalist currents have been arguing for localisation of economies and autonomous governance for decades; the Covid-19 pandemic reveals the rationale for these calls and the urgency to apply such approaches.

scholarly journals Improving Medical Communication: Skills for a Complex (And Multilingual) Clinical World

2014 ◽  
Vol 21 (2) ◽  
pp. 89-91 ◽  
Author(s):  
Peter G Brindley ◽  
Katherine E Smith ◽  
Pierre Cardinal ◽  
Francois LeBlanc
Keyword(s):  
Health Care ◽  
Medical Care ◽  
Health Care System ◽  
Communication Skills ◽  
Clinical Medicine ◽  
Significant Proportion ◽  
The State ◽  
Medical Communication ◽  
Ongoing Care ◽  
Acute Medical Care

It has been reported that suboptimal communication represents the largest source of preventable error during acute medical care. Because a significant proportion of ongoing care relies heavily on verbal communication, it is incumbent on clinicians to develop, hone and maintain these skills in the interests of their patients and, at the same time, contribute to a more reliable and patient-focused health care system. This review briefly discusses why communication matters, practical strategies from both inside and outside clinical medicine, the implications of poor translation and the state of medical communication in Canada.

INCREASING THE EFFICIENCY OF REGULATING DEMOGRAPHIC PROCESSES IN THE REPUBLIC OF UZBEKISTAN

2020 ◽  
pp. 19-22
Keyword(s):  
Health Care ◽  
Population Growth ◽  
Economic Efficiency ◽  
Healthcare Costs ◽  
State Regulation ◽  
The State ◽  
Demographic Processes ◽  
The Republic ◽  
Population Demographic ◽  
Health Care Efficiency

The article considers economic and health care efficiency of population growth in the Republic of Uzbekistan and develops scientific proposals and recommendations for improving the state regulation of demographic processes. Keywords: population, demographic processes, economic efficiency, healthcare costs.

Sign in / Sign up

Export Citation Format

Share Document