scholarly journals IMPROVEMENT OF PUBLIC ADMINISTRATION OF THE MEDICAL REHABILITATION SYSTEM AS AN INTEGRAL PART OF PUBLIC HEALTH POLICY

2021 ◽  
Vol 2 (16) ◽  
pp. 63-69
Author(s):  
A.O. Nagoriyanskii
Keyword(s):  
Public Health ◽  
Health Care ◽  
Public Administration ◽  
Health Care System ◽  
The State ◽  
Medical Rehabilitation ◽  
State Management ◽  
Theoretical Approaches ◽  
Rehabilitation System ◽  
Care System

Objective of the study: to substantiate the theoretical approaches and develop priority areas for improving public administration to ensure the system of medical rehabilitation and recreation in Ukraine. Material and methods. To achieve this goal, a set of interconnected and complementary general and special research methods was used, in particular, specific search methods (detection, selection, theoretical analysis, synthesis, updating, classification) were used to summarize regulatory, documentary, printed and electronic sources of information on public administration of the system of medical rehabilitation and sanatorium services. Results. Theoretical principles of public administration of the medical rehabilitation system are investigated. The current state of medical rehabilitation and sanatorium treatment in the health care system of Ukraine is analyzed, namely: regulatory and legal support of medical rehabilitation and sanatorium treatment in the health care system of Ukraine. The priority directions of improvement of the state administration concerning maintenance of system of medical rehabilitation and recreation in Ukraine are substantiated and the ways of improvement of the state management of system of medical rehabilitation as a component of the state policy in the field of public health services are offered. Findings. Support for the development of sanatorium-resort activities should be carried out using the methodology of program-targeted management, which provides for the development and adoption of comprehensive programs aimed at implementing specific measures to develop resort potential, improve quality and efficiency of sanatorium-resort services, strengthen the material and technical base of resort management at the level of the state and regions.

scholarly journals State regulation of the healthcare management system as a strategic imperative in the context of external challenges

2021 ◽  
pp. 5-8
Author(s):  
Oleksandr RADCHENKO
Keyword(s):  
Health Care ◽  
Public Administration ◽  
Health Care System ◽  
Regional Governance ◽  
Healthcare Management ◽  
State Regulation ◽  
Medical Services ◽  
State Management ◽  
Medical Sector ◽  
Care System

The study identified key factors in the effective management of the health care system. Emphasis was placed on defining mechanisms and tools for public administration of the national health care system, which determine profound systemic changes in the reform of the industry and developed an improved methodology for assessing the results of effective development of public administration mechanisms through the transformation of procedures and rules governing the interaction of agents. market of medical services of Ukraine. These provisions, in fact, necessitate an analysis of the development of public administration mechanisms in the field of health care in Ukraine as a subject of study, and their interaction in the process of systemic changes in the industry to establish links between major categories. Based on the analysis of the results of the study, the current state of the health care system of Ukraine as a prerequisite for the modernization of the medical sector and increase its competitiveness. State regulation of the health care system should be divided into specific types of regulatory actions that would determine the subject, content, structure of the object of regulation and other parameters. The system of public administration is a set of rules, laws and procedures governing the interaction of participants at the national level. The determinants of the development of mechanisms of state management of the medical sector of Ukraine (socio-political, economic, demographic, socio-cultural) are determined and substantiated. The main reasons that hinder the development of the market of medical services in Ukraine are identified and the main directions and tools for overcoming these obstacles are outlined. The concept of systemic transformation of public administration mechanisms in the field of health care is substantiated, which defines the basic principles, among which are decentralization, democratization, self-regulation, autonomy, intensification, optimization of functions, which provides for diversification of ownership, sectoral governance reform, improving regional governance, financial reform, etc.

scholarly journals EFFICIENCY OF APPLICATION OF DIGITAL TECHNOLOGIES IN THE INFORMATION AND COMMUNICATION SYSTEM OF PUBLIC ADMINISTRATION IN THE FIELD OF HEALTHCARE

2021 ◽  
Author(s):  
Lilia Krinichko ◽  
◽  
Oleksiі Motaіlo ◽  
Keyword(s):  
Health Care ◽  
Public Administration ◽  
Health Care System ◽  
Communication System ◽  
The State ◽  
Health Care Institutions ◽  
Computer Technologies ◽  
Information And Communication ◽  
Different Levels ◽  
Care System

In modern conditions, the effectiveness of management of facilities largely depends on the quality of information support of the management of these facilities. The availability of reliable, timely and optimal information on the state of facilities and trends in their development should facilitate the development and adoption of the most optimal and effective decisions on health care management in both the industry and specific health care institutions. The article identifies the importance and significance of the use of information and computer technologies in public administration of the health care system. The place of public administration in the processes of application of information and computer technologies is considered. The levels of introduction of information and computer technologies in the state management of the health care system are characterized. The peculiarities of using the eHealth system for the purpose of digitalization of public administration and realization of medical services in Ukraine are determined. It has been proven that the implementation of eHealth in the health care system requires careful monitoring and communication process between healthcare professionals, patients, end users of health services. The characteristic of the technological accounting tool, which is the main component of the eHealth system, is given. The process of eHealth implementation in the modern healthcare system in Ukraine is analyzed. The main advantages and problems of the implementation and development of a single electronic health care system eHealth are described. The directions of improvement of the process of introduction of information and computer technologies in the information and communication system of public administration in the field of health care of different levels are investigated, namely: realization of the project of development of innovative information and computer system on communication between health care institutions concerning treatment patient, implementation of the project of development of the database on doctors and personnel reserves of different levels, implementation of the project of development and formation of the database on the state of public health.

The 1st All-Ukrainian Conference of Urologists

1934 ◽  
Vol 30 (11-12) ◽  
pp. 1200-1201
Author(s):  
B. V. Ognev
Keyword(s):  
Public Health ◽  
Health Care ◽  
Health Care System ◽  
The State ◽  
Public Health Care ◽  
Insufficient Attention ◽  
History Of Development ◽  
History Of ◽  
Care System

On the first program topic concerning urology in the Soviet health care system were reports by Prof. I. V. Kudintsev on the state and history of development of urological care in the Ukrainian SSR. Prof. Voytashevsky made a report on the state and development of minor urology. Prof. P. M. Fronshtein, like the previous speakers, pointed out the insufficient attention to the teaching of urology in the system of public health care.

scholarly journals Public administration models and healthcare system regulation in foreign countries

2021 ◽  
pp. 11-16
Author(s):  
N. Hrazhevska ◽  
А. Tyngisheva
Keyword(s):  
Public Health ◽  
Health Care ◽  
Public Administration ◽  
Health Care System ◽  
Health Care Systems ◽  
Public Health Care ◽  
Individual Responsibility ◽  
Care Systems ◽  
Low Efficiency ◽  
Care System

The article examines main models of public administration and regulation of health care systems, assessed with an account for their organizational and financial characteristics: predominantly state, predominantly social and insurance, predominantly private models. The predominantly state model characterized by a significant role of the state is observed in the UK, Greece, Denmark, Norway, Portugal, Sweden, etc., the predominantly social and insurance model is found in Austria, Belgium, Netherlands, Germany, France, Switzerland, and Japan with the predominantly private model followed in the USA, South Korea, and other counties. The international ranking on the effectiveness of health systems is attained in terms of their response to challenges of the global COVID-19 pandemic. Based on the analysis, the critical issues for the health care systems were highlighted: insufficient funding of the public health care system, irrational distribution of health care costs, as well as the fact that health care systems were not designed for an emergency situations. The irrational distribution of public funds is a consequence of the low efficiency of health care management at all levels, which leads to concomitant problems in health care, such as staffing and material support. Based on the study of the main foreign models of public administration and regulation of the health care system, it was shown that for the Kazakh and Ukrainian models of the health-care system public administration, it is feasible to follow Germany and Singapore with their developed health insurance system based on a combination of the principles of individual responsibility and universal affordable medical care, as well as the well-coordinated systemic work of public health authorities in a state of emergency. Thus, further improving the efficiency of health care system management is one of the main tasks for social policy in Kazakhstan and Ukraine. Dealing with this task largely depends on the correct choice of the appropriate model of the health-care system public administration.

scholarly journals An Economic Evaluation of Disallowing Body Checking in 11- to 12-Year-Old Ice Hockey Leagues

2021 ◽  
pp. 194173812110215
Author(s):  
Gillian R. Currie ◽  
Raymond Lee ◽  
Amanda M. Black ◽  
Luz Palacios-Derflingher ◽  
Brent E. Hagel ◽  
...  
Keyword(s):  
Public Health ◽  
Health Care ◽  
Health Care System ◽  
Policy Change ◽  
National Policy ◽  
Ice Hockey ◽  
Public Health Care ◽  
Public Health Care System ◽  
Body Checking ◽  
Care System

Background: After a national policy change in 2013 disallowing body checking in Pee Wee ice hockey games, the rate of injury was reduced by 50% in Alberta. However, the effect on associated health care costs has not been examined previously. Hypothesis: A national policy removing body checking in Pee Wee (ages 11-12 years) ice hockey games will reduce injury rates, as well as costs. Study Design: Cost-effectiveness analysis alongside cohort study. Level of Evidence: Level 3. Methods: A cost-effectiveness analysis was conducted alongside a cohort study comparing rates of game injuries in Pee Wee hockey games in Alberta in a season when body checking was allowed (2011-2012) with a season when it was disallowed after a national policy change (2013-2014). The effectiveness measure was the rate of game injuries per 1000 player-hours. Costs were estimated based on associated health care use from both the publicly funded health care system and privately paid health care cost perspectives. Probabilistic sensitivity analysis was conducted using bootstrapping. Results: Disallowing body checking significantly reduced the rate of game injuries (−2.21; 95% CI [−3.12, −1.31] injuries per 1000 player-hours). We found no statistically significant difference in public health care system (−$83; 95% CI [−$386, $220]) or private health care costs (−$70; 95% CI [−$198, $57]) per 1000 player-hours. The probability that the policy of disallowing body checking was dominant (with both fewer injuries and lower costs) from the perspective of the public health care system and privately paid health care was 78% and 92%, respectively. Conclusion: Given the significant reduction in injuries, combined with lower public health care system and private costs in the large majority of iterations in the probabilistic sensitivity analysis, our findings support the policy change disallowing body checking in ice hockey in 11- and 12-year-old ice hockey leagues.

scholarly journals Modelling the dynamics of a public health care system: evidence from time-series data

2011 ◽  
Vol 44 (23) ◽  
pp. 2955-2968 ◽  
Author(s):  
Fabrizio Iacone ◽  
Steve Martin ◽  
Luigi Siciliani ◽  
Peter C. Smith
Keyword(s):  
Public Health ◽  
Health Care ◽  
Time Series ◽  
Health Care System ◽  
Time Series Data ◽  
Public Health Care ◽  
Series Data ◽  
Public Health Care System ◽  
Care System
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