OPHTHALMOLOGICAL CARE IN UKRAINE. STATUS AND PERSPECTIVES OF IMPROVEMENT (literature review)

Abstract

The aim: to conduct an analysis and generalization of scientific publications regarding the current state and prospects for further development of the ophthalmological care system in Ukraine. Materials and methods. An analysis and generalization of scientific research and publications regarding the current state and prospects for further development of the ophthalmological care system in Ukraine has been carried out. Methods were used: systematic approach, bibliosemantic, analytical. Results and discussion. According to medical statistics, the most common eye pathology is inflammatory eye diseases, which in 80% of cases lead to temporary disability. Age-related macular degeneration occupies the leading position in the world ranking of causes of blindness. On average, the incidence is about 15 people per 1,000 population, increasing significantly with age, for example, in the age group from 52 to 64 years it is 1.6%, from 65 to 74 years - 15%, from 75 to 84 years - 25% , and among people over 85 years old – 30%. The strategic areas of WHO activity are embodied in the national health care policy of Ukraine. When developing programs to preserve and improve the health of the population of disabled age at the state and regional levels, attention should be paid to measures against the most common age-related pathology. In addition, issues of ensuring the availability of high-quality ophthalmic care remain unresolved; the activity of the ophthalmology service in conditions of deficit of budget funding of the health care system; reduction of the cost of ophthalmic care against the background of maintaining its high quality; modernization of the system for managing the efficiency and quality of ophthalmic care, etc. Conclusions. The analysis of the domestic and foreign experience in the theory and practice of quality assurance and management in health care, its types, approaches and methods showed that one of the priority directions of the development of the domestic health care system at present is the creation and development of the management system of health care , in particular in the system of ophthalmological care for the population.