Школа охорони здоров’я

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Adoption of the governmental affordable medicines programme by Ukrainians
(2020) Shevchenko, Maryna; Yurochko, Tetiana; Skrypnikova, Olena
Ensuring that the local population has access to medicines is one of the functions of a modern democratic state and an important element of social policy. The question of the affordability of medicines to the public is extremely important. This is also due to the fact that, unlike in European countries, Ukraine did not have a system of medicines reimbursement. To date, the reimbursement Affordable Medicines Programme has been in effect since April 2017 and is applicable to patients with cardiovascular disease, bronchial asthma, and type II diabetes. In total, 258 medicines are included in the Programme, 64 of which can be obtained free of charge and the others with a small extra payment. The respondents' perceptions of the Programme were conducted through a secondary analysis based on the third wave of the "Health Index. Ukraine" which was held in 2018 by the International Renaissance Foundation, the School of Public Health of the National University of Kyiv Mohyla Academy, and the Kyiv International Institute of Sociology. This study aims to present the results of the research of the attitude of Ukrainians to the government Affordable Medicines Programme and their perception of its implementation. The total number of respondents to this survey totaled more than 10,000 household representatives. The results of the research indicate a positive assessment of the respondents who participated in the survey "Health Index. Ukraine" (76% in 2018), which is confirmed by other research of the Kyiv International Institute of Sociology (63% in 2019) and by international experts. The results of the survey do not allow us to draw any official conclusions about the impact of the Programme on the health of Ukrainians, but during the interview 60.6% of the respondents said that the Programme "helped improve health"; in addition, positive changes in health were indicated by the most financially vulnerable categories of the population. It is also noted that 80–82% of prescriptions were reimbursed to Programme participants.
Comprehensive assessment of influence of the innovative development asymmetry on functioning of the industrial enterprise
(2020) Sahaidak, Mykhailo; Tepliuk, Mariia; Dykan, Volodymyr; Popova, Nataliia; Bortnik, Anastasiia
Purpose. To develop and test a methodological approach to assess the impact of the asymmetry of innovative development on the activities of an enterprise based on a combination of statistical, economic, graphical methods of analysis. Methodology. The study used a set of general and special methods of cognition: logical generalization, qualimetric comparison, taxonomic and index analysis, graphical visualization, scientific abstraction and systematization of data. Findings. The research established that the current stage of innovative development of economic entities of Ukraine is characterized by asymmetry of the components of the resource portfolio, which in turn actualizes globalization, European integration processes, which emphasizes the importance of the innovative component of development. A comprehensive methodological approach to assess the impact of asymmetry of innovation development on the enterprise, the approbation of which allowed identifying key components of the resource portfolio, characterizing trends and identifying major problems of innovative development of economic entities under the influence of asymmetric fluctuations. An algorithm of use of resource combinations on the basis of asymmetric innovative development of the enterprise is offered. Originality. In the course of the research a scientific and methodological approach to a comprehensive assessment of the impact of the asymmetry of innovative development on the activities of the enterprise was developed. In contrast to the existing ones, this approach includes: methodological principles of indicative analysis of the effectiveness of the processes of rationalization of the asymmetry of enterprise development based on the expansion of the system of indicators related to the assessment of funding sources. It allows assessing the potential of the chosen strategy of formation of its development resources, recommending methodical approaches to determining the efficiency of resource usage of the enterprise on the basis of comprehensive diagnostics of the resource portfolio, Practical value. The results of the study can be used by practitioners, scientists, government officials to monitor the asymmetry of innovative development of the enterprise, as well as to improve measures of state regulatory influence on economic entities to enhance innovative development of the country and bring the results of scientific research in line with the current needs of the real sector of the economy. Keywords: asymmetry
The development and initial validation of the Russian version of the BASIS-24
(2022) Madden, Lynn; Farnum, Scott; Bromberg, Daniel; Barry, Declan; Mazhnaya, Alyona; Fomenko, Tetiana; Meteliuk, Anna; Marcus, Ruthanne; Rozanova, Julia; Poklad, Iurii; Dvoriak, Sergii; Altice, Frederick
Background: Efficient and linguistically appropriate instruments are needed to assess response to addiction treatment, including severity of addiction/mental health status. This is critical for Russian-speaking persons in Eastern Europe and Central Asia (EECA) where Medications for Opioid Use Disorder (MOUD) remain underscaled to address expanding and intertwined opioid, HIV, HCV and tuberculosis epidemics. We developed and conducted a pilot validation of a Russian version of the 24-item Behavior and Symptom Identification Scale (BASIS-24), an addiction/mental health severity instrument with six subscales, previously validated in English. Methods: Using the Mapi approach, we reviewed, translated, and back-translated the content to Russian, pilot-tested the Russian-version (BASIS-24-R) among new MOUD patients in Ukraine (N = 283). For a subset of patients (n = 44), test-rest was performed 48 h after admission to reassess reliability of BASIS-24-R. Exploratory principal component analysis (PCA) assessed underlying structure of BASIS-24-R. Results: Cronbach alpha coefficients for overall BASIS-24-R and 5 subscales exceeded 0.65; coefficient for Relationship subscale was 0.42. The Pearson correlation coefficients for overall score and all subscales on the BASIS-24-R exceeded 0.8. Each item loaded onto factors that corresponded with English BASIS-24 subscales ≥ 0.4 in PCA. Conclusion: Initial version of BASIS-24-R appears statistically valid in Russian. Use of the BASIS-24-R has potential to guide MOUD treatment delivery in the EECA region and help to align addiction treatment with HIV prevention goals in a region where HIV is concentrated in people who inject opioids and where healthcare professionals have not traditionally perceived MOUD as effective treatment, particularly for those with mental health co-morbidities.
Do people expect the healthcare reform? (Results of the national representative survey "Health Index. Ukraine")
(2018) Stepurko, Tetiana; Betliy, O.; Semigina, Tetyana; Tymoshevska, Victoriia
Метою цієї наукової розвідки є вивчення реформи системи охорони здоров’я в Україні з перспективи споживачів медичних послуг, у роботі досліджуються власне сприйняття та розуміння реформи. У цілому, країна успадкувала численні державні інституції та організаційну культуру від Радянського Союзу, які не були реформовані до недавнього часу. Стаття базується на результатах двох хвиль дослідження "Індекс здоров’я. Україна". Дослідження містить запитання щодо сприйняття реформи, наприклад, "Чи потрібна реформа системи охорони здоров’я?" та "Чи реформа відбувається в Україні". У 2017 році ми додали нове додаткове запитання щодо змісту реформи. Дані були зібрані в Україні у травні-липні 2016 року та 2017 року з використанням репрезентативної вибірки дорослих людей віком до 18 років (на рівні країни та на рівні області). Загальний обсяг вибірки становить понад 10 000 респондентів (в один рік).
Early Detection and Screening as the Main Components of the Cancer Prevention Strategy
(2019) Skrypnikova, Olena; Yurochko, Tetiana
Purpose: to analyze current incidence and mortality rates of cancer; a role of early detection or screening in reducing high cancer mortality; and approaches of screening in the world and Ukraine, particularly. Materials and Methods. A bibliosemantic, structural-logical, and comparative analysis and analytical method were used in the research. Results and Discussion. The incidence and mortality from cancer are increasing rapidly worldwide. The causes are complex, but reflect aging and population growth, as well as changes in the prevalence and distribution of major cancer risk factors, some of which are related to socio-economic development. The problem of high mortality from oncological diseases is very acute for all countries of the world, including economically developed ones. Between 30 % and 60 % of patients are died from cancer because of the late diagnosis. The analysis showed that the strategies for cancer control based on the WHO Resolution on Cancer in Great Britain, France, Poland, and the United States of America include prevention, diagnosis, and screening. It was possible to reduce mortality rate from cancer due to the wide use of the cancer screening system in routine medical practice. There are three mandatory screening tests for breast, cervix, and prostate cancer in Ukraine. However, these screening programs for cancer are currently ineffective. In fact, early diagnosis of cancer still comes from the patient’s alertness to changes in health and self-examination for cancer. Conclusions. According to research released by WHO, millions of deaths due to different types of cancer have been recorded worldwide annually. However, it has been proven that early diagnosis and rational treatment of cancer can reduce incidence or mortality rates. The experience of Western Europe countries and the United States shows that the systematic work in early detection and screening allows reducing cancer incidence and mortality. In Ukraine, there are mandatory screening tests for breast, cervix, and prostate cancer but they have still related to non-systematic and, as a result, are ineffective.
Eating behavior of international students in Ukraine
(2021) Yurochko, Tetiana; Shevchenko, Maryna; Wenom, Anthony
The aim: Investigate the eating behaviour of international students in Ukraine. Materials and methods: A cross-sectional quantitative research approach was taken in conducting this study. 193 international students (98 males, 95 females) filled the questionnaire assessing their diet for the past 7 days, perceived changes made to their diet since their arrival to Ukraine, knowledge of healthy dietary habits, and perceived barriers to maintaining a healthy diet. At the time of this study, the students were between the ages of 18 and 36 years, of 11 nationalities, and enrolled at both undergraduate and postgraduate levels in 12 Ukrainian tertiary institutions. Results: Assessment of the students' diet quality reveals that 75.1% of the students consume fruits at least 2 times/day and 73.1% consume vegetables at least 3 times/day. More students consume poultry daily and fish at least twice a week than beef and pork daily. More than half of the students consume starchy foods, mostly rice daily. Only 7.3% of the students consume up to 1 alcoholic beverage daily. Gender significantly affects the consumption of alcohol, dairy products, low fat milk and milk products, and marginally affects beef and dark chocolate. 95 % of the student have made changes to their diet since coming to Ukraine. Conclusions: The dietary behaviour of international students in Ukraine is characterized by: high consumption of fruits and vegetables, high intake of lean meats and fish, higher consumption of unsaturated fats and oils than saturated ones, and low consumption of soft and alcoholic drinks.
Factors of working environment influencing occupational stress among primary health care doctors in Ukraine
(2019) Shevchenko, Maryna; Yurochko, Tetiana; Hrechko, I.
Introduction: Stress is considered to be a very common pathology among primary care doctors, since practically any professional activity requires significant emotional, mental and practical efforts. The aim has determined the factors associated with occupational stress and compare the difference of behavior patterns which is used to reduce stress among primary care doctors in Ukraine. Materials and methods: The authors used medical-statistical methods as well as analyzed questionnaires of the sociological survey conducted among general practitioners and family doctors of the primary care level from various regions of Ukraine. Results: Occupational stress is a common symptom among primary care physicians of different ages and genders in Ukraine. For primary care doctors the most common symptoms related to occupational stress were found to be burnout (n=93), poor night’s sleep (n=84) and tiredness (n=84). Female doctors experience more often symptoms such as frequent headaches tiredness, burnout, whilst for male doctors feelings of irritation and anxiety are more common indicators of occupational stress. Work experience also has a strong association with experiencing stress related to "unrealistic expectations from their patients with complex medical and social problems" (s.df=.082). Young doctors with work experience of less than 5 years and those who have worked for more than 20 years in the industry similarly find it stressful to deal with such "complex patients". Conclusions: Primary care doctors in Ukraine, from many different demographic backgrounds, experience high levels of occupational stress; this is a common health condition, which can have devastating personal and professional consequences.
Financing mechanisms of ophthalmological care in Ukraine: current state and main problems
(2022) Skrypnikova, Olena; Yurochko, Tetiana
Changes in the current healthcare system began with the reform in 2018. During this time, it was possible to transform the primary level of medical care, to introduce the concept of a family doctor in all public and most private healthcare facilities, and to expand the pool of family doctors. Further reform of the healthcare system involves the development of powerful and high-quality specialized medical care. Since the most important and complex treatment usually takes place at the secondary and tertiary levels of medical care, it is clear that a lot of effort and resources are required to maintain high-quality services and access to them. Also, during changes to any system, its weaknesses are revealed, which must be strengthened or completely eliminated. Therefore, the main goal of the study was to analyze the organization of specialized medical care for cataract and glaucoma, in particular, the mechanisms of financing specialized medical care and state financial guarantees of medical care for the population with ophthalmic diseases, both in public and private healthcare facilities. In order to study the above-mentioned issues, the main regulatory legal acts that are governed by the Ministry of Health of Ukraine, the National Health Service of Ukraine, the Cabinet of Ministers of Ukraine and other government institutions were analyzed. Also, in order to reach research questions, the requirements and specifications of the packages of the Programme of Medical Guarantees 2020—2022 were considered. The results of the analysis showed that the treatment of cataract and glaucoma is carried out both on an inpatient and outpatient levels, including 1-day hospitalization. The state financial guarantees of medical care that the government offers to the public do not currently cover all the needs of patients with cataract and glaucoma. Also, most ophthalmic services are provided in private healthcare facilities due to the availability of a wider range of ophthalmic services and quality treatment. Further directions of research will concern a deeper and more detailed analysis of the conditions of financial guarantees of ophthalmic services offered in the public and private sectors.
The healthcare preferences of pregnant women for traditional birth home and hospitals in Calabar, Nigeria
(2019) Duke, A.; Shevchenko, Maryna
Purpose – to understand the awareness and healthcare preferences of pregnant women in Calabar municipal for traditional birth homes and hospitals. Materials and methods. The research is a qualitative phenomenology research, based on interpretative phenomenology, involving focus group discussion that explored the views of the traditional birth attendants on the reason for their patients’ preferences as well as indebt interviews that explored the pregnant women patronizing traditional birth homes preferences. Focus group discussion consisted of four major steps and included research design, data collection analysis and reporting of results. We used purposive sampling by taking from the list of registered midwives or traditional birth attendants (TBAs) of cross-river state Association, Calabar municipality chapter. The number of participants were 15 TBAs. Results. Results showed that there is diversity when considering the individual’s values. The TBAs in their focused group discussion attempted to emphasize on the importance of patience. Though they all consider that without patience, one cannot be a TBA and it is the secret of their patients’ attraction. Conclusions. There is no one «standalone» reason for the use of traditional birth attendant homes instead of the government hospital, but there is a mix of the reasons with some outstanding factors that influences Calabar pregnant women choice on the use of traditional birth homes instead of government hospitals.
HIV non-occupational post-exposure prophylaxis in Ukraine
(2020) Salnikova, Anna; Shevchenko, Maryna
Aim. To assess the state of non-occupational HIV post exposure prophylaxis (nPEP) use in Ukraine through exploring the service delivery algorithm, consumption of service, awareness of beneficiaries. Methods. The research has explorative and qualitative design. In-depth semi-structural interviews with experts were conducted. For recruitment snowball sampling technique is used. Geography of the study is Kyiv, Ukraine. Results. Legislative framework of nPEP is established in Ukraine. NPEP is provided in specialized medical facilities with continuous access to the prevention. In order to increase effectiveness in nPEP delivery particular stages of nPEP complex have potential for improvement. Risky sexual behavior and contacts with used syringe or needle are the most common reasons to apply for nPEP. Applications for nPEP include emergency single contacts and cases of multiple appeals from the same persons. Prevention strategy nPEP may be underutilized and require further examination. Awareness of nPEP is considered to be low or insufficient in beneficiaries. Conclusions. 1) It is recommended to analyze the best practices of nPEP delivery and design/adapt supplementary tools in order to increase effectiveness in service delivery. 2) Prevention strategy nPEP may be underutilized. Utilization and potential beneficiaries of nPEP are the directions for further study. For the nPEP adequate targeting purpose, the linkage between nPEP and PreP prevention strategies ought to be established. 3) Low awareness of nPEP and its factors is the topic for further examination.
The influence of the regulatory system on the study design and data management practices in clinical trials
(2022) Yashchenko, Mariia; Yurochko, Tetiana; Soroka, Ivan
The aim: To review real-life regulatory-dependent study design and data management practices of post marketing multicenter studies of medical devices conducted in 2021 in Ukraine and Poland. Materials and methods: This article presents the case study of 4 post marketing multicenter studies of medical devices conducted in 2021 in Ukraine and European Union. Results: The case study presented effective cross-border cooperation between Ukrainian and European actors. Despite the gaps in Ukrainian legislative framework on medical devices, complex solutions on employment of the most stringent regulatory provisions led to appropriate study design. Usage of the highly compliant electronic data capture led to fast-track study start-up and solid clinical data collection. Conclusions: Publications on real-life regulatory-dependent clinical trials conduct might be essential to innovate the regulatory system in Ukraine. The cross-border cooperation might assist the advancement of clinical trials industry in Ukraine. Gaps in medical devices regulations in Ukraine impede the context-specific clinical trials solutions for biotech industry in Ukraine. The regulatory framework and practice in Ukraine may be perceived as externally driven due to gaps in medical devices regulations, lack of capacities of domestic notified bodies and business interests of Sponsors.
Long-term care provision in Europe: Results of a desk research study
(2019) Manolova, Slavena; Pavlova, Milena; Stepurko, Tetiana; Tambor, Marzena; Groot, Wim
This paper describes the provision of long-term care across Europe based on data gathered in a desk research. The aim is: (1) to identify indicators of long-term care provision; and (2) to compare the provision of formal and informal care across the European countries. For this purpose, a narrative literature review was carried out to identify relevant indicators. Subsequently, a descriptive analysis was performed to analyse the indicatorrelated data. The results suggested that there are important differences in the long-term care provision in Europe. Long-term care is provided both at public and private institutions. The entitlement criteria vary among countries. In general, Western and Northern European countries have more generous provision of residential care compared to Eastern and Southern European countries. At the same time, informal care has different roles and it is extremely important in Eastern and Southern European countries. Among all countries, more than half have quality assurance regulations for residential care. However, most of the Southern and Eastern European countries lack information about the quality assurance regulations. In order to monitor the long-term care provision, it is recommended that European countries establish a reporting system to provide annual data. These annual data should be based on identical measurement mechanisms and standardised reporting structure to allow for comparison and improvements of long-term care systems.
Primary Health Care Reform in Ukraine: Results of the Nation-Wide Survey "Health Index. Ukraine"
(2019) Semigina, Tetyana; Stepurko, Tetiana; Tymoshevska, Victoriia
This paper is aimed to present how people respond to some innovations introduced within the Ukrainian health care system by legislation adopted in 2017. It is focused on issues of choosing family doctors and on perception of e-health by population. The survey "Health Index. Ukraine" has been launched in 2015 by the International Renaissance Foundation, School of Public Health of National University of Kyiv-Mohyla Academy and Kyiv International Institute of Sociology. In 2018, the questions on primary health care reform (choosing the primary health care provider, perception of e-health) were added to the research instrument of “Health index. Ukraine”. This paper analyses data collected in 2018 only, because the users’ experience of choosing family doctor and perception of e-health variables are available for 2018 data solely. The third wave of the survey took place in June - July 2018 and overall 10219 respondents were interviewed in Ukraine. At the moment of the third wave of survey, 42% of respondents reported that all their household members including themselves had their declarations signed with family doctors, 5.8% reported that some of their household members had their declarations signed, and 52.2% more informed that none of their household members had his/her declaration signed. Households with children were more active: 52% of them had their declarations signed with doctors. 12.4% of household representatives reported that do not plan to choose a family doctor. 59.5% of respondents reported that they did not experience problems in the process of choosing a family doctor. There is no significant difference in rates of declarations signing between different type of areas, education levels, and health self-assessment status. Regional difference in signing declarations (self-reported) by all household members reaches up to 52.4%. The survey results demonstrate that patients want their medical records to be visible by different doctors (29.9%) and by patients themselves (28.9%), and only 19.8% believe the e-health instrument is not necessary at all. Those self-assessing their health as very bad or bad are three times more critical about the electronic system as those self-assessing their health as very good.
A qualitative exploration of daily path and daily routine among people in Ukraine who inject drugs to understand associated harms
(2022) Owczarzak, Jill; Chien, Jessie; Tobin, Karin; Mazhnaya, Alyona; Chernova, Olena; Kiriazova, Tetiana
Background: Patterns of movement, heterogeneity of context, and individual space-time patterns affect health, and individuals’ movement throughout the landscape is shaped by addiction, meeting basic needs, and maintaining relationships. Place and social context enable or constrain behavior and individuals use social networks and daily routines to accomplish individual goals and access resources. Methods: This article explores drug use as part of daily routines and daily paths among people who inject drugs in Dnipro City, Ukraine. Between March and August 2018, we interviewed 30 people who inject drugs living in Dnipro City, Ukraine. Study participants completed a single interview that lasted between 1 and 2 hours. During the interview, participants described their daily routine and daily path using a printed map of Dnipro as a prompt. Participants were asked to draw important sites; give time estimates of arrival and departure; and annotate on the map the points, paths, and areas most prominent or important to them. Participants also described to what extent their daily routines were planned or spontaneous, how much their daily path varied over time, and how drug use shaped their daily routine. Results: We identified 3 major types of daily routine: unpredictable, predictable, and somewhat predictable. Participants with unpredictable daily routines had unreliable sources of income, inconsistent drug suppliers and drug use site, and dynamic groups of people with whom they socialized and used drugs. Participants with predictable daily routines had reliable sources of income, a regular drug dealer or stash source, and a stable group of friends or acquaintances with whom they bought and/or used drugs. Participants with somewhat predictable daily routines had some stable aspects of their daily lives, such as a steady source of income or a small group of friends with whom they used drugs, but also experienced circumstances that undermined their ability to have a routinized daily life, such as changing drug use sites or inconsistent income sources. Conclusions: Greater attention needs to be paid to the daily routines of people who use drugs to develop and tailor interventions that address the place-based and social contexts that contribute to drug-use related risks.
Qualitative exploration of the early experiences of opioid use disorder patients from private clinics after Russia's invasion of Ukraine in five major cities in Ukraine
(2023) Mazhnaya, Alyona; Meteliuk, Anna; Pykalo, Iryna; Altice, Frederick Lewis
Introduction: Following the full-scale invasion of Ukraine by the Russian Federation on 24 February 2022, over 6,000 patients were at risk of potential disruptions in treatment with medications for opioid use disorder (MOUD) in Ukraine. Before 2022, privatized MOUD clinics had emerged, partly driven by restrictive governmental policies and practices in state-funded facilities. Nevertheless, scant information exists regarding their operation and the patient’s experiences, especially during crises. This study seeks to elucidate the initial lived experiences of patients utilizing private MOUD clinics, integrating these insights with an analysis of the responding health system during war. Methods: The findings are derived from 20 qualitative semi-structured interviews conducted between March and June 2022, engaging participants from five major Ukrainian cities: Kharkiv, Kyiv, Odesa, Poltava, and Zaporizhzhya. Employing a rapid analysis procedure, we examined the data through descriptive and analytical summaries aligned with the domains of the data collection instrument. Results: Emergent themes encompassed stress and uncertainty following the invasion’s onset, challenges accessing MOUD, and consequent perceptions concerning state-funded versus private clinics. The study identified disruptions in the operation of private MOUD clinics across most cities examined. Issues pertaining to MOUD medication availability were linked to dosage reductions at state-funded clinics or pharmacy medication shortages or closures. Despite varied experiences at different MOUD clinics and cities, most participants continued their treatment. Discussion: This qualitative exploration provides a perspective on lived experiences with MOUD treatment at private clinics amidst the initial months of the invasion, illuminating how the early days’ stress, access challenges, varied responses from private MOUD clinics, and precarious conditions informed or altered preferences regarding MOUD treatment options. Moreover, these findings corroborate previously documented efforts by myriad stakeholders to mitigate war-related disruptions to MOUD delivery. These insights contribute to the international understanding of health system navigation and resilience during major crises, offering valuable lessons for preparedness development.
Real-life approaches employed by recognized governments to ensure health coverage of citizens in fragile settings, including the population of the disputed territories, struggling for independence
(2021) Yashchenko, Mariia; Yurochko, Tetiana
The aim: To review real-life approaches employed by recognized governments to ensure health coverage of citizens in fragile settings, including the population of the disputed territories, struggling for independence. Materials and methods: Content analysis of documents, the peer-reviewed articles, open-access databases, policy documents and original sources were utilized in order to archive the study aim. Multidimensional approach to source selection was chosen for objective assessment of the current policy- and decision-making practices. Conclusions: Protracted nature of conflict leads to health system fragility resulting in adverse effects on conflict-affected population health coverage. Health policy in such settings is often externally-driven due to lack of capacities of recognized government and reliance on external funding. Safety and political concerns impede imposition of the context-specific durable solutions for the universal health coverage. Recognized governments lack access to real data to perform evidence-based decision-making.Conventional decision-making based on external demand leads to permanent underperformance of health governance.
Short-term education for health care administrators in Ukraine: Swiss-Ukrainian collaboration
(2017) Stepurko, Tetiana; Riabtseva, Nataliia; Kovtoniuk, Pavlo; Raab, Martin; Hoffmann, Axel
The Ukrainian health care sector has remained largely unreformed over the last twenty years with its obsolete medical infrastructure inherited from the Soviet time, ineffective payment mechanisms, underpaid staff and insufficient quality of care. The system needs change agents to promote and implement modern and efficient principles of health care service financing and organization The Swiss-Ukrainian Mother and Child Health programme generated reform experiences in education (clinical and managerial) and in introducing reforms in mother and child health care. In order to continue the momentum of health care quality improvement, the previous Swiss-Ukrainian collaboration suggests to place further importance on educational activities and related capacity building. The Summer School "Healthcare System Transformation.: Eastern Europe" (2014) had been initiated during the Swiss-Ukrainian collaboration and was inspired by the Lugano Summer School Health Policy, Economics and Management in Switzerland. In 2015, the Summer School has become the international event for Eastern Europe region It aims at stimulating reforms in healthcare system through high quality training courses. It further serves as a networking platform for health care managers and policy makers across the Eastern Europe. By providing new knowledge insights and innovative practical instruments the Summer School stimulates the transformation of healthcare system in Ukraine and in Eastern European countries. It also serves as the possibility to exchange the experience from different countries, widens the horizons of participants, facilitates ‘out of the box thinking’ that helps to find better solutions for existing challenges. Knowledge, skills and tools presented in Summer School facilitate efficient and evidence-based managerial practices at health care facilities and therefore lead to increa.sing access and quality of health care services.
Socio-psychological readiness for management of future health care managers
(2022) Bazyl, Tamara; Yurochko, Tetiana; Shevchenko, Maryna; Bronikova, Svitlana; Skrypnikova, Olena
The aim: To determine the content, components and levels of formation of social and psychological readiness of future managers of the health care system for management activities. Materials and methods: The research was conducted among students of master’s programs that prepare future managers for the health care system of Ukraine. The basic motivators of their social and psychological activity as a person, the formation of metacognitive strategies, the diagnosis of communicative and characterological features of personality and signs of leadership are determined. Results: These studies indicate the readiness of students for future activities. 80% of respondents were diagnosed with a high level of such potential, 20% – medium. The results indicate that the respondents have a significant potential of communicative and characterological abilities that can affect their further professional activity: intellectual (4,11±0,66) and volitional (4,17±0,33) traits, attitude to themselves (4,02 ± 0,36), focus on achieving goals (4,22 ± 0,42). The evaluation of the above characteristics was made on a 5-point scale. Future managers have formed a metacognitive "profile", identified high levels of metacognitive abilities (47,6 ± 4,182 points). Conclusions: It is established that the respondents have a high and appropriate moderate level of formation of the main components of readiness for managerial activity and have the appropriate managerial potential.
The strategy-oriented aspects of enterprise capitalization
(2019) Shevchuk, Nataliia; Bortnik, Anastasiia
The present article provides the argumentation of the theory of enterprise capitalization, based on the interrelation of basic categories of strategic management (capacity, resources, value) and financial management (assets, added value, value). The work represents the results of streamlining of scientific approaches to the study of capitalization of an enterprise. There were determined the main areas of study of the enterprise capitalization within the framework of strategy-oriented approach, on the basis of three-pronged understanding of content and processes of capital formation.
Ukrainian response to the COVID-19 pandemic: governmental interventions
(2020) Bakhnivskyi, Valentyn
In this article, the governmental response to the COVID-19 pandemic in Ukraine is described, starting from the first detected cases, up until the summer of 2020. Pandemic caught Ukraine’s health care system in the midst of a reform. At the time of COVID-19 outbreak, the first steps of primary health care reform were already being implemented while the reform at the secondary health care level were about to started. However, changes of the political environment (due to the elections 2019), two changes of the Minister of Health (since the beginning of the pandemic), the absence of the general plan of action followed by the inconsistent political decisions, and the uncertainty in financing mechanisms of the secondary health care facilities, made the COVID-19 pandemic challenging for Ukraine. The Ukrainian government had difficulties in devoting additional recourses to medical facilities to protect medical professionals and provide treatment for patients. Instead, as a main intervention to combat COVID-19, the government implemented lockdown from 12 of March to 12th of May that only postponed the raise of infections, preserved lives. While the pandemic still had a highly negative impact on the economy, initial analysis indicate that lockdown could be considered effective from the economics point of view.

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