Адекватна нормативно-правова база - основа і важлива умова впровадження оптимальної системи паліативної та хоспісної допомоги в Україні: вимога часу

Abstract

Purpose - to analyze the current regulatory and legal acts regulating the palliative and hospice care (PHC) provision to the population in Ukraine, to discuss and determine optimal approaches and priority directions for an adequate regulatory and legal framework (RLF) improving and the creating as a basis and an important condition for the implementation and development of an optimal PHC System in Ukraine. Materials and methods. Regulatory and legal documents of Ukraine and authoritative international professional organizations were used; scientific literary sources using JAMA, Scholar and PubMed search engines; the Ministry of Health of Ukraine official statistical data; the following research methods were applied: bibliosemantic, system approach and system analysis. Results and Conclusions. The results of the scientific literature bibliosemantic research testify to the growing need for PHC both in Ukraine and in the world. The scientific base of the optimal concept of the PHC System is grounded on the following principles: availability, proper quality and maximum achievable efficiency. It should be noted that the current RLF, which regulates the PHC provision in Ukraine, needs further development and improvement in accordance with the current needs of the population and the requirements of international standards and norms. The Ukrainian Health Care System reform includes PHC System reform. Therefore, the accessible, high-quality and effective PHC System constructing and developing requires further development, improvement and optimization of the current RLF, which regulates the PHC provision in Ukraine. Adequate RLF is the basis and an important condition for the implementation of an optimal PHC System in Ukraine. An important task is the development of standards, quality indicators, clinical protocols and guidelines, improvement of the Procedure for PHC providing to adults and children, approval and improvement of indications and criteria for determining the status of PP in adults and children, etc. 3. The creation and development of a modern available, high-quality and effective PHC System in Ukraine meets the requirements of international standards and norms. The necessity of implementing a patient-family-oriented PHC System with multidisciplinary, interdepartmental and intersectoral approaches, due to the coordination and cooperation of organizations subordinate to various ministries and departments and privately owned institutions, the involvement of Non-Governmental Organizations (NGOs) and volunteers to provide general and specialized PHC. An urgent problem is also the need for appropriate funding of PHC by the state and regional and local authorities, the creation of new and modernization of existing PHC facilities, the training of a sufficient number of specialists involved in the PHC provision - doctors, nurses, social workers, psychologists, medical chaplains, support of NGOs and volunteers.