CHARACTERISTICS OF PERSONAL POTENTIAL OF THE HEALTH SYSTEM AT THE PRESENT STAGE AT THE REGIONAL LEVEL

Pogorilyak R. Yu., Slabky G. O.

SOCIAL MEDICINE AND ORGANIZATION OF HEALTHCARE PROTECTION

Scentific article

Implementation of the main strategic tasks of the health care system – preserving and strengthening the health of the population and improving the quality of medical care – is impossible without analyzing the main characteristics of the state and trends of the network development and the personnel of health care institutions in Ukraine. Goal of research: to study and analyze the status of staffing at the regional level in the dynamics during 19952017 as a necessary factor in reforming the health care system in the region. Objects and methods. The sources of information were the “Reports of medical personnel” of the healthcare facilities of the Transcarpathian region. Results and their discussion. During the period of study, the number of hospital beds at the regional level has decreased, and their population provision in 2017 was 67.3 per 10 thousand people, which is lower than the average in Ukraine (73.1 per 10 thousand population) and 18.7% higher than middle European.The indicators of the provision of medical care to the region’s population over the past 22 years have been steadily lower than in Ukraine. During the period of study, the population’s security of the region increased by 8.9%, while the availability of mediators decreased by 15.5% during this period. The population’s coverage of practitioners (without organizers, dentists, statisticians, methodologists) was recorded in Ukraine at 26.5 per 10 thousand people, which is significantly lower than the average European level (33 per 10 thousand population). In the region, this indicator is closer to the average European, has a tendency to increase and is at the level of 28.7 per 10 thousand population. The ratio between doctors and average medical staff is 1: 2.2 at the regional level, 1:2 in Ukraine, although the ratio of 1:4 is recommended by the WHO. Analyzing the age rating of doctors and average medical staff in the health care institutions, it was noted that more than 25% of physicians and more than 8% of average medical staff are retired. Unfortunately, there is a tendency of aging of medical workers in all three zones of the region and in general also. The share of doctors in retirement age for the past 22 years has increased almost 3 times, and average medical staff – by 67.3%. Among the doctors women are 60% and among the average medical staff women are 95%. The analysis of the professional staff of the region’s doctors found that the majority of specialists had doctors of general practice – family medicine (19.1%), dentists (8.1%), obstetricians-gynecologists (5.6%), physicians (4.6% ), surgeons (3.7%), pediatricians and neuropathologists (by 3.2%). The number of full-time medical positions by individuals amounted to 92.8% (in Ukraine – 78.6%), and in individual specialties even exceeded 100%. The smallest number of individuals was recorded by doctors-laboratory assistants (40.0%), doctors-methodologists (64.2%) and statisticians (61.3%). In 2017, the qualifying category was 69.4% for doctors and 67.6% for average medical staff. However, the fact that at the regional level only doctor’s certificate has more than 30% of doctors (in Ukraine – 23-25%) and 32.3% of nurses are still unsatisfactory. Conclusions. The analysis indicates negative trends in the provision of health care resources at the regional level, which are manifested in excessive numbers of beds, a significant reduction in the number of mid-level medical staff, which led to an “uncivilized” relationship between doctors and mediators, poor provision of the population of the region by practitioners, a high proportion of medical personnel of retirement age and a low level of staffing of medical positions by specialty.

Transcarpathian region, personnel, dynamics, security, qualification category

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«Bulletin of problems biology and medicine» Issue 1 Part 1 (148), 2019 year, 313-317 pages, index UDK 614.2-051(477.87)

10.29254/2077-4214-2019-1-1-148-313-317