未来医疗机构的创新活动:克服困境的模式

Valery Kaminskyy, Olena Viesova
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引用次数: 2

摘要

目的:乌克兰人口在高昂医疗费用的前景下得不到充分保护,医疗保健系统的结构性效率低下,而医疗保健筹资手段无效又加剧了这种情况,这仍然是乌克兰医疗保健系统面临的主要问题。可预防死亡率的上升也凸显了卫生系统的缺陷。乌克兰的患者和医疗专业人员一致认为,医疗保健系统需要进行重大改革;然而,当前政府的改革措施并没有得到很好的接受,公众对医学专家的不信任程度之高令人不安。因此,为了实现医疗改革,需要开发新的方法、模式和活动。然而,目前尚不清楚这些倡议付诸实践的程度和范围。方法:对有关乌克兰创新卫生活动的文章进行了文献检索。结果:在这方面,仅有9篇研究论文涉及该主题。很少有研究审查机构和政府一级的创新做法。尽管如此,在国家范围内开展的创新活动比在机构一级开展的要多。一些独特概念的实施尚未充分实现。影响:乌克兰目前正在开展一些创新的保健举措,特别是在国家一级。通过参与这些活动,可以大大提高国家的医疗保健质量。但仍有许多障碍需要克服。尽管有这些困难,所建议的一些模式不仅是原创的,而且是有用的,它们可能被其他国家采纳为模式。需要进行进一步调查,以揭示乌克兰所有种类的创新医疗保健业务。
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Innovative activities in healthcare institutions of the future: models for overcoming dilemmas
Purpose: The Ukrainian population's insufficient protection from the prospect of high medical costs and the system's structural inefficiency, which is aggravated by an ineffective means of financing healthcare, continue to be the main problems facing the Ukrainian healthcare system. Rising rates of preventable mortality also highlight the shortcomings in the health system. Patients and medical professionals in Ukraine concur that the healthcare system needs significant reform; nevertheless, the current government's reform measures are not well embraced, and there is disturbingly high public mistrust of medical experts. Thus, in order to enable healthcare reformation, new methods, models, and activities need to be developed. However, it is not yet clear how well or how widely these initiatives have been initiated into practice. Methodology: A literature search concerning articles looking at innovative health activities in Ukraine was conducted. Results: In this aspect, only nine research papers were concerned with the topic. There were few studies that examined innovative practices at the institutional and governmental levels. Despite this, there were more innovative initiatives conducted on a national scale than at an institutional level. The implementation of several unique concepts has not yet been fully realised. Implications: Ukraine is currently engaged in a number of innovative healthcare initiatives, especially at the national level. The quality of healthcare in the nation could be greatly improved by engaging in these activities. But there are still many obstacles that must be overcome. Despite these difficulties, several of the suggested models are not only original but also useful, and they might be adopted by other countries as models. Additional investigation is required to reveal all the varieties of innovative healthcare operations in Ukraine.
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