Школа громадського здоров’я

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Browsing Школа громадського здоров’я by Author "Yurochko, Tetiana"

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    Bridging gaps: improving the access of primary health care in rural Ukraine through mobile health units
    (2024) Suzyma, Valentyna; Yurochko, Tetiana
    Rural healthcare is an integral part of the Ukrainian healthcare system. However, access to healthcare for the rural population is uneven due to poor development of medical infrastructure and staffing. The problem of access to medical care in rural areas has been exacerbated by the full-scale war. The objective: to study and analyze the current state of accessibility of primary health care in rural areas in Ukraine, followed by a discussion of promising areas for the introduction of mobile health units as a tool for implementing the "Medical Guarantees" program in hard-to-reach regions of Ukraine. Materials and methods. The study included data from official statistical reports, regulatory documents and scientific sources. The methodology includes bibliosemantic, medical and statistical methods and the method of structural logical analysis. Results. It has been established that the low level of access to primary health care for the rural population of Ukraine has been significantly exacerbated by the devastating impact of the war on medical and transport infrastructure, especially in the frontline and recently de-occupied rural areas, and by migration processes. The situation is complicated by the fact that most patients in rural areas are elderly people who are physically unable to use public transportation, even if it is available. The analysis of international practice has shown that mobile health units can be introduced into the public healthcare system as a temporary measure to meet the urgent needs of the Ukrainian population, especially in rural areas. Integration of mobile health units into the state program "Medical Guarantees" can effectively address the urgent health care needs to increase access to health care for the rural population of Ukraine. State regulation of the division of these units will eliminate problems such as duplication and uneven service delivery and will create a transparent system of remuneration for the staff included in these units. Conclusions. The results of the study suggest that the practice of mobile medical units should be introduced as a tool for implementing the "Medical Guarantees" program for regions/locations of Ukraine with low access to medical infrastructure, namely remote rural areas and areas that have been devastated by the war. Mobile medical units will ensure the stability of access to primary health care services and contribute to improving the health of the population.
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    Countermeasure policy for chronic noncommunicable diseases in Ukraine
    (2023) Yurochko, Tetiana; Kondratiuk, Viktoriia
    Background: Noncommunicable diseases (ncd) are main reason for disability and precocious mortality rate in ukraine. they are determining main socio-economic consequences for countrys development and need urgent intervention in political decisions and coordinated actions on all levels. Objective: Comprehensively assess situation of countermeasures, consolidate data from pre-war period about ncd preventive conditions in strategy development of post-war health care system restoration in Ukraine. Methods: The assessment was done accordingly to who methodology "effective treatment of non-communicable diseases: challenges and solutions for the healthcare systems" within the Ukrainian-switzerland project " act for health " Results: The major NCDS are not only part of irreversible losses because of mortality but factors in reducing life expectancy. contribution of ncds is significant, mainly cardiovascular disease, as Ukraines overall disease burden (dalys) which were 8/9 of total years of life lost for women and - for men. There are gaps in primary care in prevention and control of ncds, despite its importance and work done by the system to overcome the epidemy of cardiovascular disease (CVD), diabetes, and oncology diseases in Ukraine. nevertheless, mortality rate from these pathologies remains high, showing a systemic fracture in patient group management system and lack of attention to prevention and financial support. As a result, unhealthy lifestyle practices lead to a high level of CVD spread. the number of neglected cases of diabetes and their complications caused by uncontrolled disease courses remains high. Oncology treatment spending from the government and patient budget remains an acute problem. Conclusions: Results of research show gaps in the pre-war periods activities, which significantly increased due to the destructive impact of war that system passes. Health care system post-war restoration plan development should be based on challenges and barriers depending on populations health condition analysis and pre-war system work.
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    Current challenges in accessibility to ophthalmological care in Ukraine
    (2024) Skrypnikova, Olena; Yurochko, Tetiana
    Aim: The purpose of the study is to identify challenges in the organization and access to ophthalmic services through the analysis of expert opinion of practitioners and government officials. Materials and Methods: Materials developed during expert interviews with practitioners and government officials were used in the study. We also used materials worked out within the project ID 22120107 supported by Visegrád Fund. Conclusions: Despite all the challenges in access to high-quality ophthalmology services, practitioners and government officials have common opinions on how to improve the organization of eye services, how to make care more inclusive and effective, so that the development of blindness and visual impairment does not cause a burden on the state and society.
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    Environmental competencies for healthcare management at a 2nd education level as a component of strategic management
    (2024) Turianytsia, Solomiia; Yurochko, Tetiana; Balashov, Kostyantyn; Hulchiy, Olesya
    Aim: To present the results of the analysis of educational standards and curricula of the second educational level of training of specialists, who may be managers of healthcare, on the content of the environmental component as an element of strategic management. Materials and Methods: Content analysis 24 educational standards of the Ministry of Education and Science of Ukraine for 6 fields of knowledge and 200 master’s curricula from 87 institutions of higher education of Ukraine. Conclusions: There is a distribution of basic leadership and management competencies both by types of these competencies and between specialties. The requirements for the inclusion of the environmental component in the framework documents are poorly expressed. The content of environmental issues in the curricula is insufficient.
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    How much can we learn from each other? Polish and Hungarian good practices in financing ophthalmology care as a proposal for implementation in Ukraine
    (2024) Więckowska, Barbara; Byszek, Katarzyna; Rękas, Marek; Yurochko, Tetiana; Shevchenko, Maryna; Skrypnikova, Olena; Dozsa, Csaba; Toth, Melanie
    The article aims to compare payment schemes for cataract, glaucoma, vitrectomy, cornea transplantations, DME, and AMD across Hungary, Poland, and Ukraine, and to identify implementable practices in Ukraine within the context of ongoing healthcare reforms.
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    Organization of ophthalmological care in Ukraine
    (2023) Skrypnikova, Olena; Yurochko, Tetiana
    The aim: To consider the organization of ophthalmological care in Ukraine for cataract and glaucoma and +nd out whether it is appropriate to implement advanced good practices of reference countries for Ukraine. Materials and methods: The method of desk review was used, supported by secondary analysis of data, in particular legislative acts. The research included conducting expert interviews with ophthalmologist of the public and private sectors, heads of public healthcare institutions, and management of the National Health Service of Ukraine. We also used materials on good practices from partners within the project ID 22120107 supported by Visegrád Fund. Results: Since the burden of ophthalmological pathologies is increasing and processes of reforming the health care system are taking place, changes in the organization and +nancing of ophthalmological services are taking place. Within the framework of the partner project, "Access to healthcare services in the context of +nancing mechanisms. The case of ophthalmology" identi+ed good practices in the organization of ophthalmological care in the context of improving access to services and improving quality. The results of interviews with key stakeholders led to the fact that the respondents generally support all the good practices proposed by the partner countries and indicate their arguments why the proposed practices are (not)appropriate to implement in Ukraine. Conclusions: The organization and +nancing of healthcare in Ukraine still require the study and implementation of good practices so that patients can have access to quality services and treatment.