scholarly journals ANALYSIS OF THE PROVISION OF MEDICAL PERSONNEL TO THE POPULATION OF UKRAINE DURING THE REFORM PERIOD OF THE HEALTH SYSTEM

Author(s):  
N.V. Hrechyshkina ◽  
L.A. Lytvynova ◽  
E.N. Donik ◽  
L.I. Artemchuk ◽  
O.B. Tonkovуd

The relevance of the work is due to the need for constant monitoring of the staffing of the medical industry, especially in modern conditions, complicated by the reform of the healthcare system against the backdrop of a pandemic. Aim. Analyze the dynamics of the staffing of the medical industry in Ukraine in the period from 2012 to 2019 in order to determine the main trends and their reasons, to give suggestions for improving the staffing situation. Material and methods. The material for the study was the official statistical data of the reports of the Center for Medical Statistics of the Ministry of Health of Ukraine "Medical personnel and the network of healthcare institutions of the system of the Ministry of Health of Ukraine" for 2012-2019. Results. As a result of the study, the negative dynamics of the provision of the population of Ukraine with doctors and nurses in recent years, the territorial and professional imbalance in the provision of medical personnel were determined. The persistence of a shortage of personnel in medicine cannot but affect the health of Ukrainian citizens in the future. The main reason for this situation is the lack of a clear strategy regarding personnel policy in the health care system against the background of its reform. Conclusion. The main conclusion of the study is that the process of reproduction, preservation and distribution of medical personnel in institutions and territories is poorly managed, it needs regulation and improvement. Personnel policy should include the following aspects: material and moral incentives for medical workers, ensuring the protection of their rights and social security, creating appropriate working and rest conditions for them.

2021 ◽  
Vol 2 (48) ◽  
pp. 49-55
Author(s):  
Y. M. Malihon ◽  
◽  
O. V. Motailo ◽  

The article aims at studying the features of the legal regulation on the state personnel policy in the field of health care in Ukraine. It is determined that the creation of a legal framework for the effective functioning and development of the state personnel policy as for the healthcare system is a priority for improving the effectiveness of the healthcare industry. The article analyzes the existing legal regulation on improving the staffing of the healthcare system in Ukraine, namely: articles of the Constitution of Ukraine, provisions of the Labour Code, articles of the Law of Ukraine «On Employment», articles of the Law of Ukraine «On Collective Bargaining Agreements», articles of the Law of Ukraine «On Labour Protection», provisions of the Law of Ukraine «On Vacations», articles of the Law of Ukraine «On Labour Remuneration», provisions of the Law of Ukraine «Fundamentals of Legislation of Ukraine on Health Care», and provisions of the Law of Ukraine «On Improving the Accessibility and Quality of Healthcare in the Countryside». It is determined that the Labour Code of Ukraine is the main source of employment and labour law and the state regulation of labour relations, regardless of the industry. The main elements (features) of a collective bargaining agreement are studied, namely: individual and personal feature, organizational feature, material feature, regulatory feature, subject feature. The principles of state policy in the field of labour protection are determined. The Ministry of Health orders for 2020 – early 2021 on personnel policy issues in the field of health care are analyzed, conclusion is made that the Ministry of Health, being an immediate subject in the case, is highly interested in the creation of a legal framework on the state personnel policy as for the healthcare system in Ukraine.


Author(s):  
Mamatkhanova G.M. ◽  
◽  
Ismailov S.I. ◽  

In this article, the authors give an idea of the importance of analyzing large amounts of data on the development of information systems in health care, and the importance of statistical data collected by them in the system of the Ministry of Health, as well as the accurate, reliable filling and storage of documents by medical personnel in any health department.


2021 ◽  
Vol 2021 (2b) ◽  
pp. 95-99
Author(s):  
V.S. Hrynovets ◽  
◽  
U.D. Telishevska ◽  

This year, the dental community had a great honor to celebrate the 80th anniversary of the outstanding personality of Ukrainian dentistry — doctor, scientist, organizer of the medical industry, teacher Valentin Fedorovich Makeev. Valentin Fedorovich – representative of the first graduation of the Faculty of Dentistry of the Lviv State Medical Institute in 1963. During his many years of scientific activity, Professor V.F. Professor V. F. Makeev is the author of over 400 scientific and scientific-methodical works, incl. 16 monographs, 25 copyright certificates and 23 patents of Ukraine, 3 methodological recommendations and 15 innovations were published in the sectoral register of the Ministry of Health of Ukraine for practical health care, as well as a dictionary of dental terminology. Professor VF Makeev trained 2 doctors of medical sciences, 35 candidates of medical sciences, 35 masters of medicine in the specialty “orthopedic dentistry”.


Author(s):  
Iñaki Gutiérrez-Ibarluzea ◽  
James Cercone ◽  
Daniel Bronstein ◽  
Luis Tacsan ◽  
Pablo Morales ◽  
...  

INTRODUCTION:Faced with increasing financial challenges to the single-payer social security system and constitutional challenges supporting all citizen's right to health, Costa Rica has endeavored to introduce Health Technology Assessment (HTA) to ensure sustainability and promote the timely introduction of technology innovations in the health system. The Ministry of Health initiated a process to establish an independent, external institution providing leadership in the process of HTA.METHODS:Based on a survey developed by REDETSA/PAHO (HTA Network of the Americas/Pan American Health Organization), an inclusive method of stakeholders participation was used to analyze the strengths, weaknesses, opportunities and threats regarding the implementation of an HTA entity. This was combined with qualitative research methods, market access situation analysis and the review of coverage and provision processes to define the elements for the new HTA institution. The “in-depth” interviews extended to manufacturers, ministry representatives, services providers, purchasers, patients and citizens representatives, judiciary court, professional colleges, academia and non-governmental organizations (NGOs). Analysis of the professional competencies required for the HTA institution was carried out based on best practice analysis of international HTA institutions.RESULTS:The implementation of an HTA unit in Costa Rica was identified by all the actors as crucial to ensuring the health system's sustainability. Costa Rica's health system is based on all citizens right to health and all inputs required delivering health services, judicialization and access to health care have become a big issue. Two main issues were identified as essential to implement an HTA institution: the establishment of a clear framework to provide legal and financial support and the need to have sufficient independence from the Ministry and the Social Security, including maximum transparency and methodological robustness.CONCLUSIONS:The business model for the new HTA institution should consider the participation of all the interested actors. The HTA institution should bridge the gap between technology regulation and health technology management and aim to improve both processes. It should also provide third party independent evidence to inform the constitutional court around health care claims.


Author(s):  
Tiffany I. Leung ◽  
G. G. van Merode

AbstractThe value agenda involves measuring outcomes that matter and costs of care to optimize patient outcomes per dollar spent. Outcome and cost measurement in the value-based health care framework, centered around a patient condition or segment of the population, depends on data in every step towards healthcare system redesign. Technological and service delivery innovations are key components of driving transformation towards high-value health care. The learning health system and network-based thinking are complementary frameworks to the value agenda. Health care and medicine exist in a data-rich environment, and learning about how data can be used to measure and improve value of care for patients is and increasingly essential skill for current and future clinicians.


2021 ◽  
Vol 2 (1) ◽  
pp. 47-53
Author(s):  
Andrey A. Tyazhelnikov ◽  
Alexander V. Yumukyan

Objective. To substantiate the role of teaching technologies in popularizing training for graduates of medical universities for training and further employment in the capital health system. Methods. The analysis of educational technologies aimed at quick adaptation and immersion of young specialists is carried out. The effectiveness of new approaches to training medical personnel was assessed. Results. The system of organizational measures aimed at training young specialists to work in the Moscow health care system allows for the adaptation of new personnel as soon as possible.


2020 ◽  
pp. 36-44
Author(s):  
Valeriy Karavaev

The article presents the authors' view on the state of staffing in healthcare organizations and training of medical personnel within higher education system. The necessity of reviewing approaches to the formation of management in healthcare institutions, to assess the effectiveness of work is shown. Options for improving activity of universities and health care system are proposed.


2007 ◽  
Vol 37 (3) ◽  
pp. 515-535 ◽  
Author(s):  
Asa Cristina Laurell

Last year Lancet published a series of articles on Mexico's 2004 health system reform. This article reviews the reform and its presentation in the Lancet series. The author sees the 2004 reform as a continuation of those initiated in 1995 at the largest public social security institute and in 1996 at the Ministry of Health, following the same conceptual design: “managed competition.” The cornerstone of the 2004 reform—the voluntary Popular Health Insurance (PHI)—will not resolve the problems of the public health care system. The author assesses the robustness and validity of the evidence on which the 2004 reform is based, noting some inconsistencies and methodological errors in the data analysis and in the construction of the “effective coverage” index. Finally, some predictions about the future of PHI are outlined, given its intrinsic weaknesses. The next two or three years are critical for the viability of PHI: both families and states will face increasing difficulties in paying the insurance premium; health infrastructure and staff are insufficient to guarantee the health package services; and the private service contracting will further strain state health ministries' ability to strengthen service supply. Moreover, redistribution of federal health expenditure favoring PHI at the cost of the Social Security Institute will further endanger public health care delivery.


Author(s):  
Albina Balidemaj ◽  
Festina Balidemaj

Kosovo and the region have had a traditionally long history of problems with the health care system. The situation worsened since the ex-Yugoslav conflict in the nineties when Kosovo inherited a large, hierarchical, and centralized healthcare system from socialist Yugoslavia (UNDP, 2013). This paper focuses on the effects of globalization on health in Kosovo; more specifically the effect of Global Food Trade in Kosovo's health and the development of information technology and telemedicine in Kosovo. Further, this paper focuses on the opportunities for Kosovars to obtain healthcare outside of Kosovo as well as prospects for the medical personnel to practice their profession abroad.


1986 ◽  
Vol 15 (1) ◽  
pp. 1-21 ◽  
Author(s):  
Ray Robinson

ABSTRACTSince the election of the Thatcher Government in 1979, public expenditure on the welfare state has undergone a series of changes. The nature of change has, however, often been obscured by the use of inadequate and misleading statistical data. This paper presents a systematic examination of public expenditure on education, health care, housing and social security over the period 1979/80 to 1984/85. It shows that, contrary to much political rhetoric, the major changes in the welfare state have not always arisen from reductions in programme expenditures, but from changes in the composition of expenditure. It is the latter that has often increased economic inequality and can be legitimately referred to as ‘restructuring’.


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