Abstract
The COVID-19 pandemic tested the strength of the Ukrainian healthcare system. At the same time, it provided high-powered incentives to improve measures to implement the second stage of health care reform The admission department is one of the most important hospital departments, which receives consumers of medical services in need of a qualifying examination and hospitalization under the protocol. The authors noted that all available resources were mobilized to prevent the spread of acute respiratory disease COVID-2019, caused by the spread of coronavirus SARS-CoV-2. Thus, the government has faced the need to develop and implement a list of large-scale infrastructure and personnel changes in a limited period. This article emphasized the concept of the effectiveness of medical services provided by the admission department of a secondary healthcare facility (HCF) in counteracting the COVID-19 epidemic. The study goal is to identify ways to improve the provision of medical services by the admission department of a secondary HCF during the coronavirus epidemic. The study was conducted on real data of Central District Hospital in Shostka, Sumy region, Ukraine. The methodological basis of the study was a systematic approach and the basics of general management theory. The study identified problems faced by hospitals during the COVID- 19 pandemic. Following the findings, the modern scientific and theoretical views on the epidemiology, diagnosis, and treatment of acute respiratory disease COVID-2019 were identified. The authors analyzed the domestic and world practice of healthcare management during the pandemic COVID-2019. The paper evaluated the readiness and healthcare delivery by the admission department of a secondary HCF under the SARS-CoV-2 spread. The indicators to measure the effectiveness of medical care quality provided by the admission department of a secondary HCF in counteracting the coronavirus epidemic were studied. Based on the obtained results, the authors developed recommendations for improving the management system in providing medical services by the admission department of a secondary HCF during the COVID-2019 pandemic.
Highlights
The COVID-19 pandemic has challenged the Ukrainian health care system while provided a powerful impetus to improve measures under the second phase of health care reform
This article emphasized the concept of the effectiveness of medical services provided by the admission department of a secondary healthcare facility (HCF) in counteracting the COVID-19 epidemic
The study goal is to identify ways to improve the provision of medical services by the admission department of a secondary HCF during the coronavirus epidemic
Summary
The COVID-19 pandemic has challenged the Ukrainian health care system while provided a powerful impetus to improve measures under the second phase of health care reform. Considering the growth of medical care provided by admission departments to counteract the coronavirus epidemic, there are many shortcomings and current problems as follows:. Aimed to improve anti-epidemic measures, and provide healthcare to the admission department of secondary healthcare facility in SARS-CoV-2 infection center, disseminating the «unloading» policy for additional places realize in the intensive care unit for severely ill;. The reduction in the number of patients during this period probably led to an increase in outpatient treatment and long-term complications in patients with diagnoses other than COVID19 These findings show that during pandemics, even developed countries face the problem of significantly reducing the quality of health care for people with diseases other than the disease different from the COVID-19. HCFs are at high risk of infecting both medical staff and those seeking medical care, which requires specific infection control measures for COVID-19 at all levels of care, including the evacuation and sorting of patients
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