FELDSHER-OBSTETRIC POINTS WITHIN THE FRAMEWORK OF MEDICAL REFORM

Abstract

The article examines the most urgent problems of medical-midwifery points that arose as a result of medical reform. An important element in the effective operation of midwives is their legal support. The importance of scientific research on the consequences of medical reform for midwives is explained by the following elements: – first, one-third of the population of Ukraine lives in rural areas and does not receive proper medical services, as paramedics and obstetric centers have ceased to serve as the primary link of the health care system, and have become an intermediate point between the patient and the clinic; – secondly, the demographic situation of the villages, and consequently Ukraine, depends on the activity of the midwifery-midwifery centers, since the lack of medical centers in the rural areas causes the extinction of the villages: an increasing number of people move to other settlements, some patients may simply not be able to wait. providing emergency medical care. Therefore, there is a need to investigate changes in the activities of the midwifery units after the introduction of the primary health care reform. Therefore, the creation of a legal framework that will include the rights and responsibilities of midwives and midwives, and clearly regulate their activities, will allow these medical centers to work effectively and serve most on-site primary care applications. Notwithstanding the importance of research on this issue, midwives are only mentioned in the Regulations on Midwifery / Paramedics and the Law of Ukraine “On increasing the availability and quality of health care in rural areas”, the main proposal of which is the introduction of telemedicine in rural medicine. Of Ukraine. Although the Law of Ukraine “On State Financial Guarantees of Public Health Services” also left its mark on rural health centers, including negative ones. Therefore, it is necessary to analyze the situation of the medical midwifery points before and after the medical reform, identify the shortcomings for the medical centers, and find ways to solve them. Keywords: paramedics, medical reform, primary care reform, medical center, rural medicine.