Tasks, shortcomings and reservations in the process of reforming the specialized dermatovenereological sector of health care

V. Kravchenko, V. Stepanenko, A. Dashchuk, A. V. Kravchenko
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Abstract

Objective — to draw the attention of the Ukrainian health care management, the National Health Care Service (NHCS) and dermatovenereologists to urgent issues of reforming the industry, identifying shortcomings in the reform and presenting the views of experienced professionals on correcting organizational measures.Official statistics was used based on the materials of leading specialists of Kharkiv Research Institute of Dermatology and Venereology, scientific and practical institutions of Ukraine, the forecast of «GlobalData» analytical and statistical company on the trend of syphilis in the world, the results of discussion of current reform issues with leading specialists in dermatovenereology.The interpretation of the modern epidemiological panorama of skin and venereological pathology, the current state of organizational and material support of dermato-venereology institutions are presented. Some specific shortcomings and miscalculations in the process of reforming are revealed from the point of view of experienced specialists in the field, the authors’ vision of ways to improve the organization and activity of the dermatovenereological service of the country is presented.The need for correction in the process of reforming the specialized dermatovenereological service by resolving the urgent issue of organization in the areas of round-the-clock bed stock within reasonably adjusted limits and their financial and material support is substantiated. Calculations of the needs of round-the-clock inpatient beds in the regions should be carried out in the NHCS with the participation of the leadership of the Ukrainian Association of Dermatovenereologists and Cosmetologists (UADVC). The reforming of the dermatovenereology service should become a truly effective compo­nent of the generally progressive system of health care reform, taking into account the international medical and statistical forecasts.
皮肤性病专科医疗改革中的任务、不足与保留
目的:引起乌克兰卫生保健管理、国家卫生保健服务(NHCS)和皮肤性病学家对行业改革的紧迫问题的注意,确定改革中的缺点,并提出经验丰富的专业人员对纠正组织措施的意见。官方统计数据是基于哈尔科夫皮肤病和性病研究所的主要专家,乌克兰的科学和实践机构,“GlobalData”分析和统计公司对世界梅毒趋势的预测,以及与皮肤性病学主要专家讨论当前改革问题的结果。解释现代流行病学全景皮肤和性病病理,组织和物质支持皮肤性病机构的现状。从该领域经验丰富的专家的角度,揭示了改革过程中的一些具体缺点和误判,并提出了作者对改善国家皮肤性病服务组织和活动的方法的看法。通过在合理调整的范围内解决24小时病床存量领域的紧迫组织问题及其财政和物质支持,在皮肤科性病专科服务改革过程中进行纠正的必要性得到证实。在乌克兰皮肤性病学家和美容师协会(UADVC)领导的参与下,应在国家卫生保健中心对各地区24小时住院病床的需求进行计算。考虑到国际医学和统计预测,皮肤性病服务的改革应该成为普遍渐进的医疗改革体系中真正有效的组成部分。
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