Напрями ефективізації публічної політики підвищення якості медичного обслуговування населення в Україні

Abstract

The article emphasizes the urgency of forming and implementing a public policy of improving the quality of providing medical services to the population. The purpose of the study is the scientific substantiation of the methodological and applied principles of the streamlining of the public policy of improving the quality of medical care of the population in Ukraine. It is shown that carrying out the medical reform in Ukraine actualizes the problem of improving the quality of medical care for the population, especially at the local level; for territorial communities, this means, first of all, the formation of an integral system of medical care, which will cover its primary and secondary links and will allow to simplify the access of residents of the territory of the community to quality medicine. The development strategies of the regions of the Ukrainian Carpathians were analyzed, and on this basis it was proved that in Ukraine, at the regional and local levels, quite significant attention within the framework of public policy is paid to medicine in general and, in particular, to the improvement of the quality of medical care of the local population. The modern processes of transformation of the domestic system of providing medical services to the population are characterized, namely trends that reflect the fact that the health care system began to noticeably lose its stability during the spread of the COVID-19 pandemic, and with the unfolding of the full-scale Russian war on Ukraine, it experienced colossal shocks due to the transfer of part of medical workers to serve the needs of the army, migratory losses of personnel, increased burden on the industry due to a large number of injured civilians and military personnel, as well as a new wave of forced migrants. The directions of the public policy of improving the quality of medical care for the population in Ukraine were defined and substantiated, namely, the initialization of the infrastructural part of the health care reform; creation of a single coordination center based on the center of emergency medical care and disaster medicine; development of regulations regarding vulnerable population groups, including IDPs, in the context of obtaining the necessary medical and rehabilitation assistance; activation of work with international funds; ensuring rotation of medical and social workers at meeting points for IDPs.