URBAN NETWORK OF PRIMARY CARE FACILITIES.

Abstract

The urban health system, as an important component of the urban environment, requires understanding and updating in accordance with the changing political, economic, socio-demographic and other circumstances and requirements of society. Since 2015, a comprehensive healthcare reform has been taking place in Ukraine, which concerns all aspects of the organization, operation and further development of the system, including solutions to the problems and issues of architectural and urban reorganization and rethinking of the existing structure in Soviet times. Today, the first important steps have been taken to upgrade the town-planning system of primary care facilities for the population. These significant changes require further development to enhance the role of pre-hospital care for patients, which is in line with WHO recommendations and the progressive countries' experience in the development of the medical industry. The problems of the existing state of the urban planning network of institutions of the primary level of medical care for the population (therapeutic and pediatric profiles) of Ukraine are considered. Based on the world progressive experience, the introduction of family medical services is justified, the ways of further development of the network are outlined in the context of modern requirements and needs of society. The city-planning network of primary health care institutions should be developed on the principles of family medicine, that is, the medical institution should be universal in terms of age categories of patients. Also, the primary medical link should be the most extensive urban planning network providing the most convenient access for patients in order to prevent morbidity at the prehospital level. From this position, the following typological varieties of primary care institutions are offered: basic (family doctor's offices, outpatient clinics, primary medical care centers) and auxiliary (consultative and diagnostic medical centers at secondary and tertiary care hospitals, medical centers of maternity hospitals and perinatal centers).