Aktual''ni Pitanna Farmacevticnoi i Medicnoi Nauki ta Praktiki最新文献

{"title":"Conceptual bases for reforming the national health care system: to the formulation of principles","authors":"H. S. Stetsenko","doi":"10.14739/2409-2932.2020.2.207207","DOIUrl":"https://doi.org/10.14739/2409-2932.2020.2.207207","url":null,"abstract":"The article is devoted to the problems of reforming domestic health care. First of all, what is worth paying attention to is the formulation of principles. Principles for public administration in the field of public health. The aim. Formulation and justification of principles on which the reform of domestic health care should take place. Materials and methods of research. The dialectical method was used to analyze the current state of domestic medicine. The system-structural method was used to analyze the public availability of care and to organize it was provision at the primary level. The introduction of compulsory health insurance in Ukraine was investigated using methods of analysis and synthesis. Results. Having extensive experience in the organization of public health protection both in Soviet times and in the conditions of independent Ukraine, the author states the following: public access to medical care consists in the possibility of equal access of citizens to the possibilities of medicine regardless of property or social situation, place of residence and the like. In the context of today's attention is focused: it is not about ensuring quality, comfort, namely the availability of medical care. The first two factors really depend first and foremost on the financial capabilities of the person, we are talking about accessibility here. And ensuring accessibility is a state task. Any state tries to promote it. It is argued that the fact that most patients receive medical care at the primary care level is not a secret. Focuses on the introduction of compulsory health insurance. Realities show that most of the world's leading countries have chosen this path in the organization of medical activities. The organizational and legal advantages of this type of insurance are undoubted. First of all, it is the introduction of contractual relations between the subjects of health insurance (patient, medical institution, insurance medical company, employer), changes in the system of financing the medical sphere, and improvement of control over the quality of rendering medical services. Conclusions. It is stated that the basic requirements for the principles of public health management should be: realism, complexity, and perspective.","PeriodicalId":31170,"journal":{"name":"Aktual''ni Pitanna Farmacevticnoi i Medicnoi Nauki ta Praktiki","volume":"13 1","pages":"288-292"},"PeriodicalIF":0.0,"publicationDate":"2020-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67212120","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The main tendencies of the current reform of the Ukrainian legislation in the field of health care","authors":"M. Anishchenko","doi":"10.14739/2409-2932.2020.2.207205","DOIUrl":"https://doi.org/10.14739/2409-2932.2020.2.207205","url":null,"abstract":"The purpose of the research –  to study the basic development directions of the legislation of Ukraine in the field of health care, to identify problems of reformation of the above legislation, to outline ways of their solution. Materials and methods.  Regulatory framework of Ukraine, method of analysis, method of synthesis, comparative-legal method, structural-system method. Results.  The main tendencies of the current reform of the legislation in the field of health care are the following directions of its development: change of the concept of financing of health care institutions, the digitization of the health care sphere, improvement of the system of transplantation of anatomical materials to a person, change of requirements to the professional competencies of executives of health care institutions. increase public health impact, increase access to medicines and blood components for patients, increase anti-corruption requirements for healthcare facilities. In addition, there is an attempt to introduce self-government. Conclusions.  In spite of the positive tendencies in the overall reform of the health care legislation, there are some problems with its transformation, which need urgent resolution at the legislative level. Thus, when reforming the financial legislation in the field of health care, it is necessary to remember the norms of the Constitution of Ukraine, which say that the current network of health care institutions cannot be reduced. In addition, it is necessary to develop a package of amendments to the legislation, which should clearly regulate the implementation of medical and diagnostic work of scientific and scientific-pedagogical workers of institutions of higher (postgraduate) medical education and medical research institutions in the conditions of modern healthcare transformation, because such work is a prerequisite for ensuring educational and scientific processes. There is also a need to expand the introduction of health digitization, including for the purpose of fixing acts of will, which is very relevant in the context of providing informed consent to medical intervention by a patient or his legal representative. In addition, we believe that in the current conditions of development of medical education, the granting of access to the medical professions based on the decisions of medical self-government bodies is inappropriate.","PeriodicalId":31170,"journal":{"name":"Aktual''ni Pitanna Farmacevticnoi i Medicnoi Nauki ta Praktiki","volume":"13 1","pages":"278-287"},"PeriodicalIF":0.0,"publicationDate":"2020-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67211841","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The effectiveness of endobronchial therapy in patients with chemo-resistant tuberculosis when specific process is localized in the lungs apical segments","authors":"V. Khlystun","doi":"10.14739/2409-2932.2017.2.103767","DOIUrl":"https://doi.org/10.14739/2409-2932.2017.2.103767","url":null,"abstract":"Objective – to study the effectiveness of the additional methods of endobronchial pathology treatment in patients with chemo-resistant tuberculosis (CRTB) of lungs, that aimed to treat a specific process in bronchi when destructions are localized in the apical segments (S 1+2 ) of lungs. Materials and methods. In order to investigate effectiveness of the additional methods of endobronchial pathology treatment of bronchial mucosa 79 patients with CRTB of lungs were examined. They were divided into 3 groups: basic 1 group, which included 27 patients who were treated by using antimycobacterial drugs endobronchial introduction to S 1+2 with further implementation of intraorganic electrophoresis in S 1+2 zone in combination with systemic receiving of antimycobacterial drugs; the comparison basic 2 group 27 patients who were treated with systemic antimycobacterial therapy in combination with antituberculosis drugs inhalations; and the group included – 25 patients who received only systemic antimycobacterial therapy. Groups were compared by the severity of the process, age and gender. Tracheobronchial tree fiber-bronchoscopy in patients with CRTB of lungs was carried out on the basis of phthisiology and pulmonology department of ZSMU in communal institution \"Zaporizhzhia regional antituberculosis dispensary\", by the author on their own. Character of bronchial mucosa was examined under anesthesia by fiber-bronchoscopes of company \"Olympus\" (Japan). Bronchial tree pathology was described according to N. V. Shesterynoy, A. N. Kaliuk (1975) classification. Results of the study were processed with modern methods of analysis on a personal computer with using the Statistical Package license software Statistica ® for Windows 6.0 (StatSoft Inc., № AXXR712 D833214FAN5). Results. The use of antimycobacterial drugs endobronchial introduction to S 1+2 with further implementation of intraorganic electrophoresis in S 1+2 zone contributed significantly increase the frequency of bacterial excretion completion in 1.6 times, the frequency of destructions healing – in 1.8 times with healing time reducing by 1.5 months. It allowed reduce incidences of S 1+2 segmental bronchi meta-tuberculosis stenosis in 4.1 times, which contributed to increase the effectiveness of treatment by 36.6 %. The using of antituberculosis drugs inhalations allowed significantly increase the frequency of bacterial excretion completion in 1.4 times and reduce incidences of S 1+2  segmental bronchi meta-tuberculosis stenosis in 2.4 times that contributed to increase the effectiveness of treatment by 28.9 %. Conclusions. When combined use of antimycobacterial drugs endobronchial introduction to S 1+2 with further implementation of intraorganic electrophoresis in S 1+2 zone in combination with systemic receiving of antimycobacterial drugs, it allows to direct the maximum drug concentration in the affected area, that increase the effectiveness of treatment by 36.6 %.","PeriodicalId":31170,"journal":{"name":"Aktual''ni Pitanna Farmacevticnoi i Medicnoi Nauki ta Praktiki","volume":"14 34 1","pages":"181-185"},"PeriodicalIF":0.0,"publicationDate":"2017-06-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67211532","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Pharmacognostic Research of L. luteus L.","authors":"O. Grechana","doi":"10.14739/2409-2932.2014.1.24522","DOIUrl":"https://doi.org/10.14739/2409-2932.2014.1.24522","url":null,"abstract":"","PeriodicalId":31170,"journal":{"name":"Aktual''ni Pitanna Farmacevticnoi i Medicnoi Nauki ta Praktiki","volume":"13 1","pages":"9-12"},"PeriodicalIF":0.0,"publicationDate":"2014-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67211416","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}