REASONING OF THE IMPROVED MODEL OF SURGICAL CARE FOR PATIENTS WITH THYROID PATHOLOGY

Abstract

The aim of the study was to substantiate the improved functional and organizational model of surgical care for patients with thyroid pathology based on a multidisciplinary approach. Materials and methods. A systematic analysis of the incidence of thyroid pathology in the population, recommendations of international experts, data from international and domestic scientific sources on the topic, results of own research on the basis of the Municipal non-profit enterprise "Kyiv City Clinical Endocrinology Center" in 2019-2021 was carried out; conceptual modeling; graphic.Results. The high incidence of oncological diseases in the population, in particular, of the thyroid gland, and the risks of postoperative complications during surgical treatment led to the introduction of a multidisciplinary approach, which involves the integration of knowledge and skills of specialists of various disciplines through close cooperation and communication. In Ukraine, a multidisciplinary approach has not been implemented. An improved functional-organizational model of surgical care for patients with thyroid gland pathology was substantiated, the innovative elements of which were: patient-orientation; a multidisciplinary team of specialists as a freelance functional and structural unit of a health care institution; strengthening of interaction between secondary and primary health care institutions, outpatient and inpatient stages; improvement of regulatory and legal regulation of the interdisciplinary approach at the sectoral, regional and local levels, involvement of specialized associations of doctors and public organizations of patients in its introduction.Conclusions. The introduction of a multidisciplinary approach as an innovative organizational technology of clinical activity at the system level is substantiated.