The state of the national healthcare system, priority areas for further improvement of its activities with the focus on implementing urgent measures to preserving and strengthening the health of the population of Ukraine

Abstract

Annotation. Since the signing of the Association Agreement with the European Union, European integration processes have been carried out in all spheres of Ukrainian society, including the healthcare sector. The transformation processes in this area are aimed at creating Ukraine's own effective healthcare system through a comprehensive restructuring of the medical sector and improvement of its state regulation mechanisms. We have analyzed the assessment of the national healthcare system, using statistical data of state and regional structures for the period 2010-2013 according to the annual reports of some large medical institutions of Ukraine, sociological and socio-psychological studies, literature data of domestic and foreign authors who have studied and described the state and performance of municipal non-profit enterprises, services and systems. The purpose of this work is to analyze the medical and demographic situation in Ukraine, the main indicators of the national healthcare system in the course of its reform, defined in the strategic objectives in the new conditions and challenges (the Covid-19 pandemic, military aggression in the east of our country and the impact of other factors). According to the State Statistics Service of Ukraine, the medical and demographic situation in Ukraine and key performance indicators of the national healthcare system in the course of its reform were analyzed. The obtained data made it possible to identify priority areas for further improvement of its activities to direct priority measures to preserve and strengthen the health of the Ukrainian population. It was determined that the total mortality rate for all causes in 2020 amounted to 1483,6 cases per 100 thousand people (2019 – 1388,3), including by the main causes diseases of the circulatory system – 981,7 cases per 100 thousand people (2019 – 930,2); neoplasms – 187,3 cases per 100 thousand people (2019 – 186,9); external factors – 68,9 cases per 100 thousand people (2019 – 71,7); diseases of the digestive system – 58,1 cases per 100 thousand people (2019 57,7); respiratory diseases – 39,6 cases per 100 thousand people (2019: 29,9); some infectious and parasitic diseases – 16,8 cases per 100 thousand people (2019: 19,4).