THE HEALTH PROTECTION SYSTEM OF THE KYIV METROPOLITAN AREA: STATUS AND PROSPECTS OF THE INNOVATIVE DEVELOPMENT

Abstract

The article reveals the state and prospects of innovative development of the health care system of the metropolitan area of Kyiv. It is related to the creation and establishment of effective mechanisms for the coordination of the health care system in the city of Kyiv within its own metropolitan area. The effectiveness of the provision of primary medical care in the metropolitan area of Kyiv was evaluated in a certain way by comparing the coefficients of calls to emergency medical care per 100,000 of the average annual population of Kyiv and Kyiv for 2010, 2013-2014, and 2018-2020 regions that are included in the zone of its metropolitan attraction. This applies to Kyiv, Zhytomyr, Cherkasy, Chernihiv and partially Vinnytsia regions. For Kyiv, the increase in calls for emergency medical assistance in 2019 (before the pandemic) compared to 2010 is more than 43%, and in the Vinnytsia region - by 21.3%. At the same time, in the Kyiv, Zhytomyr, Chernihiv and Cherkasy regions, a noticeable decrease in these indicators is observed. In general, the effectiveness of the health care system of the city of Kyiv for the specified period was assessed in a certain way by analyzing its impact on the specifics of the disease on socially dangerous diseases. This applies to the population aged 18 and older per 10,000 of the average annual population. At the same time, the peculiarities of the change in the share of pensioners in the average annual number of the population and primary care physicians (PRM) . The innovativeness of the development of the health care system of the metropolitan area of Kyiv should be based on a conceptual model that will take into account the successful experience of advanced countries and Ukrainian realities. First of all, this concerns the need for strategic actions to reform PMD on the basis of family medicine and emergency medical care, prevention of cardiovascular diseases, reducing the dynamics of the spread of HIV and mortality from AIDS and Covid-19, as well as protecting the health of the population, primarily mental in conditions large-scale war of the Russian Federation against Ukraine. This will require the consolidated actions of such government institutions as the President of Ukraine, the Parliament, the Government, the Mayor and the Kyiv City Council, as well as the scientific and expert environment, non-governmental organizations and the city community for the successful completion of the decentralization reform and the development of a competitive healthcare system in the metropolitan area