Фінансово-економічні результати та можливості підготовки і підвищення кваліфікації лікарів, провізорів та інтернів в умовах реформування системи охорони здоров'я

Abstract

Aim. to forecast the economic effect of potentialities of the Departments subordinated to the Faculty of Advanced (postgraduate) studies that deals with training of interns and tuition relating to advanced and re-training (refresher) courses for specialists. Materials and Methods. The research was carried out on the basis of actual indices of the Faculty of Advanced (postgraduate) studies at Danylo Halytsky Lviv National Medical University during 2014-2018 years. The statistical methods, structural-and-logical analysis and systemic approach were used. Results and Discussion. The number of individuals who underwent (on contract terms) the primary specialization at the Departments subordinated to the Faculty of Advanced (postgraduate) studies with regard to 29 specialties was established. The financial income, 13 million 668 thousand and 74 hryvnyas, to the special fund for the first year of interns' education was forecast. The feasibility of this forecast may become valid if the maximum possible number of applicants to the internship will be enrolled (on contract terms) regarding the specialties of eligible type. As it is forecast, the largest amount of fees for the first year of studies (29,54%), will be provided by the interns-dentists, while the smallest share in the structure of income (20,01%) will be paid by the interns who are specialized in different surgical profiles. The education at the Advanced Courses and the re-training of the maximum possible number of students of the Faculty of Advanced (postgraduate) studies, on contract terms, will provide the maximum possible income, which is 10 million 826 thousand and 33 hryvnyas; 28,67% out of them are fees for the education from the students of surgery type; 42,01% are fees from the students of therapy type, and 29,32% are fees from the students of medico-prophylactic type, organization and management of Health Care and dispensing chemists. Conclusions. The computation of the maximal loading (amount of work) at the Departments dealing with the interns' training and advanced courses for doctors and dispensing chemists is of significant practical importance for the evaluation of the potentialities of the Departments subordinated to the Faculty of Advanced (postgraduate) studies as to conducting the primary specialization, advanced courses, and re-training of specialists. This is imposed in the finances as well, primarily in the money receipts from interns' training and advanced courses and re-training of specialists on contract terms (at the expense of natural and juridical persons)