Оптимізована сучасна регіональна система надання офтальмологічної допомоги населенню в умовах багатоукладності охорони здоров’я

Abstract

Introduction. In today's conditions of the epidemic of non-infectious diseases, the significant increase in the incidence of diseases of the eye and its adnexa, disability due to eye diseases, including blindness, providing the population with affordable and quality medical care is a priority of any country. This requires the introduction of modern organizational models for providing ophthalmic care in terms of multiform health system. The Aim of the Study. the rationale for a modern regional system of provision of ophthalmic care to the population in conditions of multiform health system. Material and Methods. In the course of the study bibliographic, epidemiological, medical-statistical, sociological methods were used. Results. The study identified shortcomings in the organization and provision of ophthalmic services to the population of the region, lack of resources to ensure the real needs of the population in ophthalmic care, low level of cooperation between communal and private health care institutions. A high need for ophthalmic services was identified in view of the increase in incidence (by 41.7 %) and prevalence (47.1 %) of eye diseases among the population of the region during 2000–2015 and overload in the work of the ophthalmic service, as evidenced by the significant occupancy of profile beds throughout the year (360.7 days), short treatment terms (6.8 days) and high rates of bed turnover (53.1), with lower than the average in the country of provision population by specialists of the ophthalmologic profile (by 19.6 %). This, along with other factors, negatively affected the availability and quality of medical services, which is confirmed by the results of a sociological survey. In contrast, from 69.7 to 92.2 per 100 respondents highly estimated the quality of service in private institutions, with their full availability for 54.3 per 100 respondents. Based on the results of the research and taking into account the strategic directions of the development of the domestic health care system, recommendations of international organizations, the author justified the modern regional system of providing ophthalmic care to the population in the conditions of multiform health care and its administrative, normative-legal, information-analytical, educational-methodological, research, communicative functions. Conclusions. The modern regional system of provision of ophthalmic care to the population in the conditions of multiform health system will increase the accessibility and quality of ophthalmic services to the population of the region, optimize the formation and distribution of resources for health care, create a competitive environment, increase the level of cooperation between health care institutions of various forms of ownership with positions of the patient-oriented approach, to introduce modern medical-organizational and medical-preventive technologies into the work of medical institutions.