CHARACTERISTICS OF ILLNESS AMONG HEALTHCARE EMPLOYEES

Lina O. Rudakova, Vasyl M. Mikhalchuk
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Abstract

The aim of the work is to characterize and assess the state of health of health care workers and to find out which diseases are most common among health care workers and which list of diseases requires treatment on the basis of social health insurance. Materials and methods. In the course of the research, 550 health care workers were interviewed and surveyed regarding the feasibility of implementing social insurance for health care workers in the city of Kyiv and medical and preventive institutions in the Kyiv region. Evaluating the classification of commercial and social insurance in Ukraine, the authors noted that 9% of them do not support any type of insurance at all, 5% support commercial insurance, and 85% support social insurance, 1% refrained from answering. The results. As of January 1, 2022, the number of insured persons in the Social Insurance Fund of Ukraine was 4,236,285, of which: legal entities – 2,548,964, individuals – 1,714,321, voluntarily insured persons – 52. In 2021, the fund's income amounted to UAH 17,753.1 million, or 99.3% of the plan, including insurance contributions of policyholders and insured persons – UAH 16,858.8 million, which is 99.2% of the plan [1]. The article provides a thorough characterization of statistical information, which includes the processing of the primary documents "Occupational Disease Record Card (Occupational Injury)", compiled for all cases of occupational diseases first detected and registered in Ukraine for the specified years; conducted questionnaires and interviews of health care workers (employees of health care institutions in the city of Kyiv and Kyiv, Khmelnytskyi, Odesa, Cherkasy, and Sumy regions). The number of appeals for qualified specialized medical care and issuance of disability certificates was studied. The formation of occupational diseases of health care workers was also determined and their statistical information was provided. Conclusions. For the high-quality functioning of the health care sector and the reduction of mortality among medical workers, it is necessary to implement the proposed model of social insurance for health care workers. It is this kind of insurance that will ensure the proper life of health care workers, preserve and restore their working capacity, reduce the rate of deaths among them with a low financial loss for them and their family members.
医护人员的疾病特征
这项工作的目的是描述和评估医护人员的健康状况,了解哪些疾病在医护人员中最常见,哪些疾病清单需要根据社会医疗保险进行治疗。 材料和方法。在研究过程中,就基辅市及基辅地区医疗和预防机构实施医护人员社会保险的可行性对 550 名医护人员进行了访谈和调查。在对乌克兰商业保险和社会保险的分类进行评估时,作者指出,9%的人完全不支持任何类型的保险,5%的人支持商业保险,85%的人支持社会保险,1%的人拒绝回答。 结果是截至 2022 年 1 月 1 日,乌克兰社会保险基金的参保人数为 4 236 285 人,其中:法人--2 548 964 人,个人--1 714 321 人,自愿参保者--52 人。2021 年,基金收入为 177.531 亿乌吉亚,占计划的 99.3%,其中投保人和被保险人缴纳的保险费为 168.588 亿乌吉亚,占计划的 99.2%[1]。 文章对统计信息进行了详尽的描述,其中包括对 "职业病记录卡(工伤)"原始文件的处理,该文件是针对乌克兰在特定年份首次发现和登记的所有职业病病例编制的;对医疗工作者(基辅市和基辅、赫梅利尼茨基、敖德萨、切尔卡瑟和苏梅地区医疗机构的员工)进行了问卷调查和访谈。 对申请合格的专业医疗护理和发放残疾证的数量进行了研究。此外,还确定了医护人员职业病的形成原因,并提供了相关统计信息。 结论为了保证医疗保健部门的高质量运作和降低医务工作者的死亡率,有必要实施拟议的医疗 保健工作者社会保险模式。正是这种保险将确保医护人员的正常生活,保持和恢复他们的工作能力,降低他们的死亡率,同时减少他们及其家庭成员的经济损失。
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