ANALYSIS OF THE HEALTHCARE MANAGEMENT SYSTEM IN UKRAINE

Abstract

Objective. The objective of the present article is to analyze the health care system in Ukraine at different levels, the development of medical care in Ukraine, to determine the purpose and objectives of primary health care on the basis of family medicine and the classification of medical services. Methods. The research methods are historical-logical and system-structural approaches to the analysis of the medical field of Ukraine. Modern methods of analysis, method of expert assessments, comparative analysis, etc. are used. The information base of the research is scientific works of domestic and foreign scientists, Laws of Ukraine, resolutions of the Cabinet of Ministers of Ukraine, regulations and statistical materials of the State Statistics Service of Ukraine, World Data Bank, Eurostat and the Center for Medical Statistics of Ukraine, research and analytical materials, Internet resource. Results. the current state of the primary health care system on the basis of family medicine in Ukraine and Europe has been studied. The development of the health care system from social medicine to the current health care system has been studied. The structure of the Ministry of Health has been studied, and the responsibility of the sectors for the development of modern medicine in Ukraine has been studied. The hierarchy of the health care system was studied, it was found that it includes national, regional and local levels. The purpose and objectives of medical care are identified, namely - to ensure a guaranteed amount of affordable, timely, quality and effective primary care to the patient, improve public health, preserve, restore and strengthen the health of the population. The classification of medical services is determined. The basic principles of family medicine are revealed, which include - family approach, patient orientation, preventive orientation, accessibility, equality and non-discrimination, multidisciplinary, continuity, longevity and coordination. The assessment of medical care of the population in the countries of Europe and Ukraine is carried out. To do this, we analyzed the cost of health care. International experience shows that the optimal level of health care spending is 8-10% of GDP and data from EU member states confirm this. In Ukraine, per capita health expenditures have been steadily increasing during 2010-2016, with an average of 3.8% of GDP in recent years.