scholarly journals ENSURING THE AVAILABILITY OF MEDICAL CARE AS A BASIC BASIS FOR THE FORMATION OF GOOD HEALTH AND WELL-BEING OF THE POPULATION

2020 ◽  
pp. 60-65
Author(s):  
Inna Irtyshcheva ◽  
Dmytro Ryabets

Introduction. The main priorities for the development and reform of the health care system are to create conditions for improving the quality, life expectancy and efficiency of citizens by increasing the availability of medical services and medical care, improving the quality of medical services, early prevention and prevention of timely medical care. The aim of the article is to develop recommendations for ensuring the availability of medical care as a basic basis for the formation of good health and well-being of the population on the way to achieving the Sustainable Development Goals. Methods (methodology). The general scientific methods, in particular theoretical generalization - for research of theoretical bases of maintenance of availability of medical care are applied in research; system economic analysis - for correlation-regression analysis of the relationship between morbidity, mortality and economic affordability of medical services in Ukraine. Results. The impact of public and private sector expenditures on the level of morbidity was analyzed and compared, which showed that both factors have a positive impact on reducing the incidence rate. At the same time, there is a tendency to increase household spending on health care and the purchase of medicines much faster than at the state level, which confirms the targeted trends in health care reform to significantly reduce the number of free medical services. To a certain extent, these trends are positive, but in the event of a significant deterioration in the situation with the level of morbidity, this financial policy should be revised.


2020 ◽  
Vol 1 (1) ◽  
pp. 106-115
Author(s):  
Yulia Sepreninova ◽  
Inna Makarenko ◽  
Alex Plastun ◽  
Angela Babko ◽  
Gunnay Gasimova

This article summarizes the existing approaches to investigating instruments of responsible investments in the health care system in Europe and in United States. The main research’s purpose is to identify existing instruments of responsible investment under funding Sustainable Development Goal 3: ‘Good health and well-being’. Systematization of scientific sources and approaches on the investigated issue showed no unique approach to forming a list of responsible investment instruments to finance health and well-being in Europe and United States. Hence, existing approaches vary by risk, return, suitability for financing, and so on. Therefore, the analysis and generalization of existing approaches and investigating their implementation-related practical features are the relevant scientific problem. The research’s object is the health care financing approaches of the generally recognized organizations such as the Financial Initiative for Biodiversity under the United Nations Development Program, the United States Agency for International Development and the World Bank (Biodiversity Finance Initiative United Nation Development Program, USAID, World Bank). The authors noted that these organizations contributed greatly to provide funding for these projects at the global level. For gaining the research’s goal, this study was conducted in the following logical sequence. Firstly, the authors characterized the Biofin financial decisions in health care under the United Nations Development Program. Secondly, the study systematized the U.S. Agency for International Development financing approaches regarding the Sustainable Development Goal 3. Then, the authors generalized the practical directions towards realizing the mentioned above instruments while digging into the World Bank responsible investment activity regarding health care. The study suggested the typology method to identify the key criteria for classifying responsible investment instruments. In turn, the mapping method was used to generalize the scientific background concerning health care finance. Therefore, the findings could help scientists further develop and unify the classification of responsible investment instruments regarding sustainable development and health care financing based on EU and US experience. Moreover, the obtained results enrich the existing global approaches in funding the national health care system and reaching the established Sustainable Development Goals 3 ‘Good health and well-being’.





Author(s):  
Catherine García ◽  
Fernando I Rivera ◽  
Marc A Garcia ◽  
Giovani Burgos ◽  
María P Aranda

Abstract Objectives The COVID-19 outbreak has worsened the ongoing economic crisis in Puerto Rico by creating “parallel pandemics” that exacerbate socioeconomic and health inequalities experienced by its most vulnerable residents. Unfortunately, conditions on the island have been largely overlooked by national media outlets and the mainland U.S. population. Thus, this research report aims to draw attention to the disparate burden multiple and compounding disasters have on older island-dwelling Puerto Rican adults’ health and well-being. Methods We characterize the lived experiences of the older population in Puerto Rico by incorporating data from multiple sources and contextualizing the effects of compounding disasters, the fiscal pandemic, and health care challenges to provide a more nuanced portrait of existing compounding factors that negatively affect the health and well-being of older adults in the era of COVID-19. Results We highlight 2 main factors that exacerbate pre-pandemic inequities experienced by the older adult population amid the COVID-19 pandemic in Puerto Rico: (a) the impact of multiple and compounding disasters; and (b) health care challenges. Discussion The human suffering of the Puerto Rican population is compounded by the consequences of fiscal austerity, increasing levels of income and wealth inequality, the debt crisis, significant emigration, and a dysfunctional health care system. Future governmental actions are required to lessen the burden of parallel pandemics on older adults in Puerto Rico.



2016 ◽  
Vol 72 (4) ◽  
Author(s):  
Sophia Chirongoma

Through an exploration of the collapse of the Zimbabwean health delivery systems during the period 2000–2010, this article examines the Karanga people’s indigenous responses to utano (health and well-being). The first section explores the impact of Zimbabwe’s economic and sociopolitical development on people’s health and well-being. The next section foregrounds the ‘agency’ of the Karanga community in accessing and facilitating health care, especially their utilisation of multiple healthcare providers as well as providing health care through indigenous remedies such as traditional medicine and faith-healing. In line with the Sustainable Development Goals (SDGs), particularly SDG 3 which aspires to ensure healthy lives and promote well-being for all at all ages, the concluding section offers insights for developing an indigenous Karanga theology of utano utilising communal resources and illustrating that the concept of ‘development’ should not be confined to rigid Western development perspectives.



2020 ◽  
Vol 8 (2) ◽  
pp. 192
Author(s):  
Susana León-Jiménez

Friendship has been studied along centuries, since ancient times to present-day, as the basis of the social cornerstone, present at all stages of the lifespan and belonging to the world of truthful sentiments. Benefits of friendship on health have been demonstrated. Less is known about the role of friendship on seniors. The aim of this case study has been to show how the end friendship developed in an adults’ school operating for more than 40 years in Barcelona is having a positive impact on the well-being and health of their participants. Through the communicative discussion group, we have deepened in the trajectories of some of the school participants. The results show how participation in the school and the dialogic gatherings have contributed to the emergence of a non-instrumental friendship feeling and to consider an impact on the perceived general wellness and health and an improvement of their life quality. It is discussed how this research provides more elements to the existing literature. More research on how other communitarian environments have similar effects on this population, or on the impact of these dialogical spaces in the development of end friendships in other stages of the life cycle would be of interest.



2021 ◽  
pp. 53
Author(s):  
Viktoriia Adamyk ◽  
Khrystyna Shcherbiak

Introduction. The development of bilateral relations in the context of globalization and European integration involves expanding the range of forms of cooperation, as well as those areas covered by cooperation. The implementation of medical reform in Ukraine necessitates the intensification of the exchange of experience in the medical field with other countries, including Poland. The rapid processes of digitalization against the background of the Kovid-19 pandemic determine the modernization of communication tools and cooperation in the field of health services.The purpose of the article is to study the state and prospects of exchange of experience in the field of medical services between Ukraine and Poland.Research methods. To achieve the goal set in the article, general scientific and special methods were used, namely: analysis and synthesis, induction and deduction, abstraction and concretization, systematization, as well as elements of comparative analysis. The methodological basis for the study are national and international regulations of Ukraine and Poland, which regulate the functioning of health care and bilateral relations in the field of medical services, scientific works of domestic and foreign researchers, statistical reports and more.Results. The exchange of experience in the provision of medical services between Ukraine and Poland is carried out in a slightly different state of health care and taking into account Ukraine’s integration intentions using tools such as conferences, seminars, webinars, academic mobility of scientists and students, bilateral agreements between medical institutions with the support of local governments and self-government, etc. Digitalization, on the one hand, expands opportunities for collaboration, and on the other - necessitates the need to improve the quality of technical equipment of hospitals and makes new demands on human capital. Improving the exchange of experience in the field of  medical services is enhanced by receiving technical assistance from Polish partners, including under the auspices of international institutions, such as the EU, WHO, UNICEF, etc. Perspective areas are the introduction of the eHealth system in Ukraine, as well as the involvement of Polish specialists to modernize the management system in domestic health care facilities. The article details the recommendations for intensifying the exchange of experience between Ukraine and Poland in areas and tools.Perspectives. Future research is important to focus on an interdisciplinary analysis of the consequences of health care reform in Ukraine and Poland in the context of the impact on the well-being of citizens.



2021 ◽  
Vol 75 (Supplement_2) ◽  
pp. 7512515315p1-7512515315p1
Author(s):  
Susan M. Knier ◽  
Julie L. Watson ◽  
Jennifer O’Connor Duffy

Abstract Date Presented 04/22/21 Health care professionals are vulnerable to stress overload and risks that threaten health and well-being. This study investigated the impact of mindful self-compassion (MSC) training on people working in health care. Overall, self-compassion and subscale scores showed significant improvement. Participants indicated that self-compassion and positive mind states were integrated into their lives. OTs could assimilate MSC as an adjunct approach for their clients and their selves. Primary Author and Speaker: Susan M. Knier



2021 ◽  
Vol 27 (6) ◽  
pp. 396-409
Author(s):  
N. P. Sanina ◽  
M. V. Kravtsova

Aim. The presented study aims to identify problems in the implementation of the primary health care modernization program and to propose possible solutions through the example of the Moscow region.Tasks. The authors determine the role of modernization in the health care industry; analyze the experience of implementing the primary health care modernization program in the Moscow region; build a model of demand for medical services that reflects the impact of such factors as physical accessibility and time costs on the achievement of program goals.Methods. This study uses comparative analysis, description, generalization, systematization, and modeling to analyze program data for 2020-2021.Results. Human resources have the most potential for health care activities, which requires support through economic incentives and benefits to stimulate employees. The roles of stakeholders in the organizational management system of the departmental target program are determined, which affects the allocation of limited resources. The spending of budget funds during the unstable growth of modernization costs, where public procurement serves as the main means for achieving goals, is analyzed. Measures to monitor the progress of events and decision-making, engaging specialists and independent experts for a transparent modernization process, are proposed. A model of demand for medical services is built, where time costs are a factor limiting the accessibility of medical care for consumers with low income. It is determined that the demand for medical services becomes more sensitive to changes in time costs, which affects the accessibility of medical care.Conclusions. The health care modernization program is an instrument of state regulation of socio-economic policy in the field of medicine. The results of this study can be used by economic entities to effectively manage government programs with limited resources. Special attention should be paid to logistics, which is a functional area of project management. There is a need for an independent commission to independently evaluate the interim results of the program.



2006 ◽  
Vol 81 (1) ◽  
pp. 27-34 ◽  
Author(s):  
Barbara A. Schindler ◽  
Dennis H. Novack ◽  
Diane G. Cohen ◽  
Joel Yager ◽  
Dora Wang ◽  
...  


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