CURRENT ISSUES OF REORGANIZATION OF REGIONAL MEDICAL INSTITUTIONS. EVOLUTION OR REVOLUTION

One of the leading trends in healthcare is the reorganization of the majority of hospitals by merging them into large multidisciplinary hospitals. Recently, new powerful multidisciplinary hospitals have been established in various regions of Ukraine. This model has already proven itself from various positive sides.Aim. Analysis, evaluation, discussion of experiences and nuances of formation of a new capable network and creation of large competitive multidisciplinary clinical centers with the beginning of the second stage of medical reform.Research materials and methods. A retrospective analysis of the experience of merging the Dnipropetrovsk Regional Children’s Clinical Hospital and the Dnipropetrovsk Regional Perinatal Center was conducted.Research results. The article describes the main steps of the reorganization of two large multi- faceted medical centers and the creation of a new institution – «Regional Medical Center of Family Health» DOR», which in terms of size and range of medical services became the second children’s hospital in Ukraine.Conclusions. The creation and development of large competitive multidisciplinary clinical centers with the beginning of the second stage of medical reform in the form of the creation of a multidisciplinary hospital is the most expedient, which is confi rmed by the economic performance of the institution during the reorganization process and after its completion.