THE HEALTH PROTECTION SYSTEM OF THE KYIV METROPOLITAN AREA: STATUS AND PROSPECTS OF THE INNOVATIVE DEVELOPMENT

O. Korniychuk
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Abstract

The article reveals the state and prospects of innovative development of the health care system of the metropolitan area of Kyiv. It is related to the creation and establishment of effective mechanisms for the coordination of the health care system in the city of Kyiv within its own metropolitan area. The effectiveness of the provision of primary medical care in the metropolitan area of Kyiv was evaluated in a certain way by comparing the coefficients of calls to emergency medical care per 100,000 of the average annual population of Kyiv and Kyiv for 2010, 2013-2014, and 2018-2020 regions that are included in the zone of its metropolitan attraction. This applies to Kyiv, Zhytomyr, Cherkasy, Chernihiv and partially Vinnytsia regions. For Kyiv, the increase in calls for emergency medical assistance in 2019 (before the pandemic) compared to 2010 is more than 43%, and in the Vinnytsia region - by 21.3%. At the same time, in the Kyiv, Zhytomyr, Chernihiv and Cherkasy regions, a noticeable decrease in these indicators is observed. In general, the effectiveness of the health care system of the city of Kyiv for the specified period was assessed in a certain way by analyzing its impact on the specifics of the disease on socially dangerous diseases. This applies to the population aged 18 and older per 10,000 of the average annual population. At the same time, the peculiarities of the change in the share of pensioners in the average annual number of the population and primary care physicians (PRM) . The innovativeness of the development of the health care system of the metropolitan area of Kyiv should be based on a conceptual model that will take into account the successful experience of advanced countries and Ukrainian realities. First of all, this concerns the need for strategic actions to reform PMD on the basis of family medicine and emergency medical care, prevention of cardiovascular diseases, reducing the dynamics of the spread of HIV and mortality from AIDS and Covid-19, as well as protecting the health of the population, primarily mental in conditions large-scale war of the Russian Federation against Ukraine. This will require the consolidated actions of such government institutions as the President of Ukraine, the Parliament, the Government, the Mayor and the Kyiv City Council, as well as the scientific and expert environment, non-governmental organizations and the city community for the successful completion of the decentralization reform and the development of a competitive healthcare system in the metropolitan area
基辅大都市区卫生保障体系:创新发展的现状与展望
文章揭示了基辅大都市区卫生保健系统创新发展的现状和前景。这与建立和建立有效的机制来协调基辅市在其自己的大都市区内的卫生保健系统有关。通过比较2010年、2013-2014年和2018-2020年包括在其大都市吸引力区域内的基辅和基辅的平均年人口每10万人呼叫紧急医疗服务的系数,以某种方式评估了基辅大都市区提供初级医疗服务的有效性。这适用于基辅、日托米尔、切尔卡西、切尔尼耶夫和部分文尼察地区。对于基辅来说,2019年(大流行之前)紧急医疗援助的请求比2010年增加了43%以上,在文尼察地区增加了21.3%。与此同时,在基辅、日托米尔、切尔尼耶夫和切尔卡西地区,这些指标明显下降。总的来说,通过分析其对特定疾病对社会危险疾病的具体影响,以某种方式评估了特定时期基辅市医疗保健系统的有效性。这适用于年平均人口中每1万人中18岁及以上的人口。与此同时,养老金领取者在人口和初级保健医生(PRM)平均年数量中的份额变化的特殊性。基辅大都市区医疗保健系统发展的创新性应基于一个概念模型,该模型将考虑到先进国家的成功经验和乌克兰的现实。首先,这涉及需要采取战略行动,在家庭医学和紧急医疗护理、预防心血管疾病、减少艾滋病毒传播的动态、艾滋病和Covid-19的死亡率以及在俄罗斯联邦对乌克兰大规模战争的情况下保护人口健康,主要是精神健康的基础上改革PMD。这将需要乌克兰总统、议会、政府、市长和基辅市议会等政府机构以及科学和专家环境、非政府组织和城市社区的联合行动,以成功完成权力下放改革,并在大都市地区发展具有竞争力的医疗保健系统
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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