ABOUT THE SYSTEM OF MARKET RELATIONS BETWEEN A FAMILY DOCTOR AND A PATIENT IN CONDITIONS OF QUALITY PROVISION / RECEIPT OF MEDICAL SERVICES DURING THE DECENTRALIZATION OF POWER IN UKRAINE

V.v Ruden

doi:10.51582/interconf.7-8.10.2021.035

Abstract

Aim of the research. Scientific substantiation of organizational model of commodity-market relations in obtaining medical services to rural population of united territorial communities (UTC) in conditions of «country with market economy». Materials and methods. In this study were used results of scientific research, obtained by using qualimetric, retrospective, sociological, abstract methods, and as well as methods of descriptive modeling, deductive awareness, structural and logical analysis with the system principles and requirements of management theories with changes. Results and discussions. According to the results of survey and basic functional processes of organization system, where fully used the principles: Entrance → Set of actions → Exit → Feedback, modeled organizational system of accessible and high quality system of commodity - market relations in obtaining medical services to rural population of UTC (Model), which fully meets the conditions of system transformation of primary medical care to European standard.Implementation of functioning Model to the primary level of medical care occurs through the consistent implementation of the main tasks of each of the seven interconnected stages and which content is revealed in this paper. Conclusions. Implementation of this innovation of organizational content to practical medical care will allow to transform medical care at primary level to conditions of market economy of the country, through the creation of high quality and effective system of medical service to rural population of UTC, which will serve as the effective impetus to the optimization of specialized and highly specialized medical care.

Highlights

Introduction of the proposedModel to practical health care for the population of the rural united territorial communities (UTC) directed at implementing at the primary level of medical care of the main tasks of each of its eight interrelated steps.The proposed scientific and methodological approaches are closely linked to the honest implementation of the administration and deputies of the UTC of the functional and job instructions functional and official instructions on strengthening / preservation / reproduction of the health of the population of the territory and the introduction of legal and economic mechanisms in providing patients with highquality qualified / specialized / highly specialized medical care.Graph 3
An analysis of the data obtained by the scientific work convincingly confirms, that, nowadays, at the level of rural UTC, in a country with a "market economy", we all, according to our conviction, consciously and unconsciously, are on the verge of objective necessity in reformatting the thinking of a primary medical-sanitary care doctor of the pathological state of human health on the state of health of the healthy person and shifting the emphasis in medical service for Ukrainian people from inpatient care to the population at its primary level
The explanation for this is that the rural population of UTC is the healthiest, what cannot be said for today, it should have a direct and effective impact on regional development and a change in the quality of life of both the community and the Ukrainian population as a whole [7]

Summary

Introduction

Introduction of the proposedModel to practical health care for the population of the rural UTC directed at implementing at the primary level of medical care of the main tasks of each of its eight interrelated steps (graph 3).The proposed scientific and methodological approaches are closely linked to the honest implementation of the administration and deputies of the UTC of the functional and job instructions functional and official instructions on strengthening / preservation / reproduction of the health of the population of the territory and the introduction of legal and economic mechanisms in providing patients with highquality qualified / specialized / highly specialized medical care.Graph 3.

Results

Conclusion