ORGANIZATION OF MEDICAL CARE FOR INFECTIOUS PATIENTS IN UKRAINE: THE PRIMARY ISSUES OF THE CURRENT TIME

L. Lytvynova, N. V. Hrechyshkina, O. Donik, L. Artemchuk, O. Tonkovyd
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Abstract

Aim. Analyze changes in the performance of specialized institutions providing medical care to infectious patients in the context of the Covid-19 pandemic, compare them with the “pre-Covid” period (2015–2019) and suggest ways to improve the activities of the infectious service. Material and methods. The materials of the study were the official statistical data of the reports of the Center for Medical Statistics of the Ministry of Health of Ukraine "Medical personnel and the network of healthcare institutions of the system of the Ministry of Health of Ukraine" for 2015-2020. Results. The dynamics of providing medical care to infectious patients is analyzed. A decrease in the provision of the population with doctors and infectious beds against the background of a decrease in the incidence of certain infectious diseases was determined. The inefficient use of beds with an infectious profile was established. The main reasons for the problems of organizing an infectious disease service have been established, taking into account the experience of medical institutions in the context of the Covid-19 pandemic. Conclusions. Possible ways of optimizing medical care for infectious patients are identified: improving the epidemiological monitoring of infectious morbidity and calculating the needs of medical support, taking into account regional characteristics, improving the training of family doctors in the diagnosis and treatment of infectious diseases.
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乌克兰传染病患者的医疗保健组织:当前的主要问题
的目标。分析2019冠状病毒病大流行背景下,为传染病患者提供医疗服务的专业机构的绩效变化,并与“疫情前”(2015-2019年)进行比较,提出改进传染病服务活动的方法。材料和方法。研究材料为乌克兰卫生部医学统计中心2015-2020年报告《乌克兰卫生部系统医务人员与医疗机构网络》的官方统计数据。结果。对传染病患者提供医疗护理的动态进行了分析。已确定在某些传染病发病率下降的背景下,减少向人口提供医生和传染病床位。具有传染性的床位使用效率低下。考虑到医疗机构在2019冠状病毒病大流行背景下的经验,确定了组织传染病服务存在问题的主要原因。结论。确定了优化对传染病患者的医疗护理的可能方法:改进对传染病发病率的流行病学监测和计算医疗支助需求,考虑到区域特点,改进对家庭医生在传染病诊断和治疗方面的培训。
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0.10
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发文量
34
审稿时长
12 weeks
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