scholarly journals MODERNIZATION OF STATE ADMINISTRATION SYSTEM IN THE HEALTH CARE SPHERE OF UKRAINE

2019 ◽  
Vol 72 (5) ◽  
pp. 887-891
Author(s):  
Serhii V. Knysh ◽  
Sergiy M. Gusarov ◽  
Nikolay L. Shelukhin ◽  
Ivan F. Kharaberiush ◽  
Viktoriia R. Bila
Keyword(s):  
Health Care ◽  
Health Care System ◽  
Point Of View ◽  
Eu Member States ◽  
Medical Reform ◽  
Legal Method ◽  
Medical Sector ◽  
Medical Institutions ◽  
State Administration ◽  
Care System

Introduction: A new medical reform started in Ukraine from January 1, 2018, new bills were drafted and the current legislation was amended. The legislator began to gradually abandon organizational and legal ways to improve the functioning of medical institutions in order to develop the market of medical services, as well as to ensure the protection of patients’ rights. The main issue of health care reform was the improvement of state administration, in particular the creation of new mechanisms for financing medical institutions. The aim: The objective of the article is to conduct theoretical study of the specific features of state administration in the health care sphere in Ukraine and to substantiate practical recommendations for its improvement taking into account the European integration processes. Materials and methods: The author of the article has used the methods of analysis and synthesis, as well as a comparative legal method. The analysis of the current legislation and world experience in reforming the medical sector assisted to determine the problematic issues of this publication, as well as to formulate the author’s point of view on the ways to improve state administration through the health care system under conditions of medical reform in Ukraine. Review: The author has studied the directions for the modernization of state administration by the health care system in the context of medical reform in Ukraine. Conclusions: It has been emphasized that the management reform by its nature does not pay enough attention to ensuring the medical rights of citizens, as evidenced by the legislation’s provisions regulating the access to a patient data. Improving public administration of the health care sphere is possible through the involvement of a group of international experts from among the EU Member States to determine the optimal mechanism for transitioning to the system of compulsory state health insurance.

scholarly journals The Health Care System Debate and the Health Care Policy of a Unified Nation Immediately after the Liberation

2021 ◽  
Vol 30 (3) ◽  
pp. 499-545
Author(s):  
Jinhyouk KIM
Keyword(s):  
Health Care ◽  
Health Care System ◽  
Social Evolution ◽  
The United States ◽  
Medical Systems ◽  
The South ◽  
American System ◽  
Medical Institutions ◽  
State Administration ◽  
Care System

Immediately after the liberation, the health care system debate was studied focusing on the orientation of the American and Soviet medical systems, roughly divided into Lee Yong-seol and Choi Eung-seok. However, the existence of people who are not explained in the American and Soviet health care systems’ orientation led to the need to reconsider the existing premise. Therefore, this study identifies the characters that were not explained in the perspective of existing studies, and reevaluates the arguments of Lee Yong-seol and Choi Eung-seok. This paper raises the following questions: First, what is the background of the policy orientation that Lee Yong-seol and Choi Eung-seok had? Second, if there are people who made different arguments from Lee Yong-seol and Choi Eung-seok, what direction did they set and argue? third, how the orientations of Lee Yong-seol and Choi Eung-seok and etc. converge into the answer to the Joint Soviet-American Commission? In response to theses questions, this study confirms the following: first, Lee Yong-seol’s and Choi Eung-seok’s health care policies were established based on realism and empiricism. As a policyholder, Lee Yong-seol emphasized withholding medical state administration and raising the level of medical education and medical systems according to the condition at that time, although the American system was mobilized by Lee as the basis for his judgment and administrative assets. On the other hand, Choi Eung-seok aimed for a Soviet-style systems in health care but this was realistically put on hold. Choi insisted on the establishment of the Medical Service Associations and rural cooperative hospitals that appeared in Japan’s medical socialization movement. In summary, immediately after the liberation, Lee Yong-seol’s and Choi Eung-seok’s policy arguments were based on policies that could be implemented in Korea, and the American system and Soviet system served as criteria for the policy resources. Second, Jeong Gu-chung and Kim Yeon-ju show that the topography of the health care debate immediately after the liberation was not represented only by Lee Yong-seol and Choi Eung-seok. Both Jeong and Kim were consequently led to medical socialization, which was the implementation of a health care system that encompasses social reform, but the context was different. Jeong drew the hierarchy of the health care system, which peaked in the United States, from the perspective of social evolution based on his eugenics, but the representation suitable for Korea was the Soviet model absorbed into his understanding. On the contrary, Kim argued that representations suitable for Korea should be found in Korea. As national medical care, Kim’s idea aimed at a medical state administration that provides equal opportunities for all Koreans. Third, the aspect of convergence to the Joint Soviet-American Commission reply proposal was complicated. Among the policies of Lee Yong-seol, the promotion of missionary medical institutions and the gradual planning of medical institutions converged into the three organizations’ proposal, and Choi Eung-seok’s policy was almost the same as that of the Democracy National Front and the South Korean Labor Party. However, the medical system of Japan, the colonial home country, appears to have been based on Lee Gap-soo, chairman of the Korean Medical Association in the colonial period, and the plan was in line with the use of the union system of the left-wing organizations’ proposal in the south. It was in accordance with a common task to expand health care from colonial conditions to different status.

STRUCTURAL COMPONENTS OF THE PRIVATE MEDICAL SECTOR ACTIVATION MECHANISM

Economical ◽  
2019 ◽  
Vol 2 (2(21)) ◽  
pp. 170-177
Author(s):  
Anzhela Bairak ◽  
Keyword(s):  
Health Care ◽  
Health Care System ◽  
Activation Mechanism ◽  
Practical Significance ◽  
Structural Components ◽  
Medical Sector ◽  
Analysis And Synthesis ◽  
Private Medicine ◽  
Care System

The article examines the problems of private medicine in the health care system of the country. The aim of the article is to determine the structural components of the mechanism of activation of the private medical sector as a reserve for the provision of quality and affordable medical services and a driver for the development of the medical industry. The descriptive-analytical method, methods of analysis and synthesis, comparison, statistical, analysis and scientific generalization were used in the paper. The study substantiates the strengthening of the role of the private medical sector in the health care management system. The key problems of the domestic private medical sector and the restraining factors of its development are identified. It is concluded that it is necessary to develop a mechanism to promote the development of private medicine through a policy of active change in the health care system. The directions of activation of the private medical sector as a target reference point in the process of determining the structural elements of the organizational and economic mechanism are outlined. The structural detail of the mechanism of activation of the private medical sector for optimization of the health care system is offered. The practical significance of the obtained results is that the results of the research presented in the article are a practical basis for the development and improvement of mechanisms of public administration in the field of health care.

Organizational and legal basis of formation of the electronic system of healthcare in the conditions of medical reform

2020 ◽  
pp. 67-73
Author(s):  
O.O. Punda ◽  
D.A. Arziantseva ◽  
N.P. Zakharkevych
Keyword(s):  
Health Care ◽  
Health Care System ◽  
Medical Information ◽  
Electronic System ◽  
Information Policy ◽  
Cloud Services ◽  
Free Access ◽  
Medical Reform ◽  
Electronic Health ◽  
Care System

The article is devoted to the issues of informatization of health care in the context of medical reform in Ukraine. It was emphasized that the service component of health care reform should open free access to information for patients, in connection with which the eHealth system (electronic health care system) is being introduced in Ukraine. eHealth provides the exchange of medical information and the implementation of the program of medical guarantees of the population. It is substantiated that in order to effectively implement the state information policy in the medical field it is necessary to develop and adopt a legal act at the level of law, for example, the Law of Ukraine “On the functioning of the electronic health care system in Ukraine”. The task of such an act should be to determine the subjects of information policy in this area, the powers of individual bodies and non-governmental organizations or economic entities involved in the development and operation of electronic health care system. An important element of regulation should be to address the issue of cybersecurity when using eHealth and to determine the responsibility of specific entities for possible violations or threats to the system. It is determined that eHealth should cover all areas of medical services, including “military” and “departmental medicine”. It is emphasized that an important element of the reliable functioning of eHealth should be the training of medical staff to work with databases. At the same time, the provision on the possibility of providing “cloud” services related to the functioning of the electronic health care system should be taken into account during the creation of the draft law “On cloud services”. The possibility of using “cloud” storage of medical data and requirements for the use of “cloud” information services provided from territories of a jurisdiction other than the national one requires is assessment.

Economic development trends and aspects of healthcare reform in Russia under COVID-2019 pandemic

2021 ◽  
Vol 17 (4) ◽  
pp. 503-513
Author(s):  
Natalya Krivenko
Keyword(s):  
Health Care ◽  
Health Care System ◽  
Socioeconomic Development ◽  
Large Scale ◽  
Mutual Influence ◽  
Health Financing ◽  
The State ◽  
Point Of View ◽  
State Of The Economy ◽  
Care System

The article is aimed at studying the state of the Russian economy and health care system before and after the COVID-2019 pandemic, identifying the main trends in the economy and health care, regardless of the pandemic, as well as its impact on the socioeconomic development of the country. The interrelation and mutual influence of the levels of development of the economy and health care of the country is noted. An analysis of the state of the economy and health care system in Russia for 2017–2019 is presented, problems and achievements in the pre-pandemic period are identified. The COVID-2019 pandemic is considered not only from the point of view of a medical manifestation but as a powerful trigger that provoked large-scale socioeconomic changes in the world, as a bifurcation point in world development, requiring states to objectively assess the state of the economy and healthcare, revise the current coordinate system, getting out of the state of uncertainty and choosing promising areas of socioeconomic development. A cross-country analysis of the response of various health systems to the COVID-19 pandemic has shown the advantages of countries with centralized management, health financing, and subordinate sanitary and epidemiological services. Along with the achievements of Russia in the fight against COVID-19, the existing specific problems of the domestic health care system are noted, which negatively affected the preparedness for a pandemic. Analyzed the consequences of the COVID-2019 pandemic for the socio-economic state of countries at the global level. The change in socio-economic indicators in Russia in 2020 compared to 2019 is presented as a result of the consequences of the COVID-2019 pandemic. The main results of the study are to identify the main trends in the development of the economy and the healthcare system in Russia in the context of the ongoing COVID-2019 pandemic, defining the directions of reforming the national healthcare, trajectories of increasing the level of socioeconomic development of the country

BME and the improvement of doctors

1929 ◽  
Vol 25 (5) ◽  
pp. 570-573
Author(s):  
R. A. Luria
Keyword(s):  
Health Care ◽  
Medical Care ◽  
Health Care System ◽  
Medical Knowledge ◽  
Advanced Training ◽  
Medical Institutions ◽  
Individual Doctor ◽  
Special Scientific ◽  
Life Itself ◽  
Care System

The issues of raising the qualifications of doctors occupy a prominent place in the Soviet health care system and it can be said without exaggeration that improvement is currently the task of each individual doctor, both in the periphery and in the center. This task is given to him every day by life itself, starting with the exuberant growth of the population's needs for qualified and special medical care and ending with a huge network of preventive and medical institutions of the People's Commissariat for Health, constantly in need of not only doctors in general, but especially demanding specialists who are at the height of modern medical knowledge. The institutes for advanced training of doctors, numerous special scientific Institutes of the People's Commissariat of Health, various kinds of individual courses of all kinds are conducting intense and fruitful work to replenish the knowledge of a doctor and to develop scientifically educated specialists in all fields of medicine

scholarly journals WAYS TO IMPROVE THE SYSTEM OF MEDICAL PROVIDING OF PUPILS IN UKRAINE

2020 ◽  
Vol 73 (10) ◽  
pp. 2261-2264
Author(s):  
Tatiana V. Peresypkina
Keyword(s):  
Health Care ◽  
Health Behavior ◽  
Health Care System ◽  
School Health ◽  
Legal Framework ◽  
Educational Process ◽  
School Age Children ◽  
School Age ◽  
Medical Sector ◽  
Care System

The aim: Of this article was analysis of the existing health care system for school-age children in Ukraine and the identification of ways to improve and develop the school health care system like a topical issue of pediatrics. Materials and methods: The analysis of the state of health of children in Ukraine, the questionnaire of the participants of the educational process regarding the expedient and expected types of medical care, the WHO publications on the medical provision of schoolchildren were analyzed. Conclusions: The analysis of the legal framework in Ukraine in the period of reforming the medical sector has allowed to identify the problematic issues, the solution of which will contribute to ensuring the quality of the medical aid system for school-age children, improving the level of health, shaping the health behavior of health behavior. These include improving the legal framework on some issues, defining the functional authority and structure of the school health care system.

scholarly journals Opinions on changes in the Romanian health care system from people's point of view: a descriptive study

Health Policy ◽  
2003 ◽  
Vol 66 (2) ◽  
pp. 123-134 ◽  
Author(s):  
Ana-Claudia Bara ◽  
W.J.A van den Heuvel ◽  
J.A.M Maarse ◽  
Jitse van Dijk ◽  
Luc P de Witte
Keyword(s):  
Health Care ◽  
Health Care System ◽  
Descriptive Study ◽  
Point Of View ◽  
Care System

scholarly journals Change Management in Medical Institutions: Implementation View

2021 ◽  
Vol 3 (2) ◽  
pp. 161-168
Author(s):  
Said Said Elshama ◽  
◽  
Keyword(s):  
Health Care ◽  
Medical School ◽  
Health Care System ◽  
Change Process ◽  
Resistance To Change ◽  
Daily Work ◽  
Efficient Management ◽  
Medical Institutions ◽  
Suitable Climate ◽  
Care System

Change is a learning process modeling the attitudes and values of the involved staff to adapt and show the change in daily work life. Leading the change in medical schools or in the health care system is considered one of the assignments of successful leadership that can achieve an effective organizational change under complex conditions. This review aims to show an implementation view about how to manage the change in medical institutions and how to overcome obstacles, and how to face the challenges. The resistance to change represents a major obstacle to the change process in any medical school or health care system. Thus, it should address this resistance by creating a suitable climate for carrying out the change based on a flexible strategy that may be translated into practical steps during the implementation. Moreover, the change should be institutionalized wherein new behaviors are persisting and generalizing in the medical school or the health care system as a result of the change application. In addition, the successful management of change in any medical school or system requires a well-functioning and efficient management system for achieving the intended results. Therefore, many benefits may be gained as a result of the success of a change process in any organization wherein it improves the effectiveness and efficiency of organizational and staff performance besides creating an opportunity for getting the best practices.

scholarly journals The Health Care System of the Semipalatinsk Region of the Steppe Territory: Stages of Formation (60s of the 19th Century — the Beginning of the 20th Century)

2021 ◽  
pp. 13-18
Author(s):  
A.I. Vlasova
Keyword(s):  
Health Care ◽  
19Th Century ◽  
Health Care System ◽  
Health Care Services ◽  
Care Services ◽  
Mass Migration ◽  
Medical Institutions ◽  
Statistical Surveys ◽  
The 19Th Century ◽  
Care System

On the basis of different sources, mainly annual regional statistical surveys, the stages of the formation of the health care system of the Semipalatinsk region of the Steppe Governor General are revealed. At the first stage, the end of the 60s — 80s of the 19th century, the accession of the Steppe Territory to the Russian Empire was completed. The integrating policy of this ethnoregion into the political-legal and socio-economic space of the empire was initiated. In the social sphere, it led to the creation of a health system. The procesas had a number of specific features due to the absence of zemstvos and zemstvo medicine and the predominance of Kazakh nomads in the ethnosocial structure of the region. Therefore, in contrast to the central regions of Russia, the development of the health care system in the Steppe Territory was dealt with by the provincial and regional administrations. The second stage (the end of the 80s 19th century — 1917) is associated with the beginning of the mass migration of peasant migrants from the European part of Russia to the Steppe Territory. This stage is characterized by the expansion of the network of regional and county medical institutions, the improvement of their material and technical base, the expansion of the specialization of practicing doctors, and the solution of the personnel problem. Also, at that stage, the system of management of medical institutions was improved and government organizations, for example, the Resettlement Department, were involved in solving problems related to health care services for the p opulation. In general, statistics show that by 1917 the quality of health care services and the percentage of population involvement remained at a low level.

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