TRANSFORMATION OF THE DERMATO-VENEREOLOGICAL SERVICE OF UKRAINE IN THE PROCESS OF REFORMING THE HEALTHCARE SPHERE

Korolenko V. V., Gruzieva T. S.

SOCIAL MEDICINE AND ORGANIZATION OF HEALTHCARE PROTECTION

Scentific article

The health care system, its modernization and optimization are among the most important functions of the modern Ukrainian state. Its reforming is one of the main directions of its development in the comtemporary conditions. A number of issues need special attention and thorough discussion. Issues of socially important specialized medical services, one of which is the dermato-venereological service, are of major importance. The analysis of the legal framework and scientific sources on the organization of dermato-venereological care to the population leads to determine for the purpose of further research the scientific substantiation of a set of measures to optimize the activity of the dermatovenerological service of Ukraine and to build its optimized functional and structural model by taking into account the social status significant skin diseases and STIs in Ukraine and the leading countries of the world and their impact on social, economic, institutional and other factors, the characteristics of resource provision and scope of activity skin diseases and STIs in Ukraine, the relationship of morbidity of socially significant diseases of the skin and STIs, with activities and resources for dermato-venereological service of Ukraine. The development of the dermatovenerological service in Ukraine in accordance with the priorities of the state policy, the UN Sustainable Development Goals for 2016-2030, the normative acts of the European Union requires scientific substantiation and solution of a number of problems of normative-legal, organizational, socio-economic nature that makes the research relevant. Further research we consider it advisable to carry out in the directions of establishing the features of the organization, volumes and staffing of dermatovenereological care at different levels; assessment and identification of problems of ensuring the availability and quality of dermatovenereological care to the population; identification of deficiencies and systemic risks in the prevention of correction of challenge factors for the development of dermatovenerуological pathology in primary health care and strategic directions of improvement of medical care of patients with skin pathology and STIs; assessing the relationship of population morbidity to socially significant skin diseases and STIs, with the activities and resources of the dermatovenerological service.

health care, dermatovenerology service, reform, public health.

1. Stepanenko VI, Korolenko VV. Struktura orhanizatsii nadannia dermatologichnoi ta venerologichnoi dopomohy u providnykh krainakh svitu v aspekti perspektyv reformuvannia dermatovenerologichnoi sluzhby v Ukraini. Ukrainskyi zhurnal dermatologii, venerologii, kosmetologii. 2012;1(44):10-8. [in Ukrainian].
2. Omran AR. The epidemiological transition: a theory of the epidemiology of population change. The Milbank Quarterly. 2005[1971];83(4):731- 57.
3. Osnovy zakonodavstva Ukrainy pro okhoronu zdorovia. Zakon Ukrainy vid 19 lystopada 1992 roku № 2801-XII (zi zminamy). Verkhovna Rada Ukrainy. [Internet]. [tsytovano 2020 Ber 03]. Dostupno: https://zakon.rada.gov.ua/laws/show/2801-12 [in Ukrainian].
4.  Pro zakhyst naselennia vid infektsiinykh khvorob. Zakon Ukrainy vid 6 kvitnia 2000 roku № 1645-III (zi zminamy). Verkhovna Rada Ukrainy. [Internet]. [tsytovano 2020 Ber 03]. Dostupno: https://zakon.rada.gov.ua/laws/show/1645-14 [in Ukrainian].
5. Shchorichna dopovid pro stan zdorovia naselennia, sanitarno-epidemichnu sytuatsiiu ta rezultaty diialnosti systemy okhorony zdorovia Ukrainy. 2017 rik. Ukr. in-t strateh. doslidzh. MOZ Ukrainy. Kyiv: Medinform; 2018. 458 s. [in Ukrainian].
6. Bondarenko HM, Mavrov HI, Osinska TV, Shcherbakova YuV, Nikitenko IM, Unuchko SV, ta in. Osoblyvosti rozpovsiudzhennia infektsii, shcho peredaiutsia statevym shliakhom, z urakhuvanniam vplyvu VIL-infektsii v Ukraini. Dermatologiia ta venerologiia. 2017;1:8-14. [in Ukrainian].
7. Volkoslavska VM, Hutniev OL. Dermatologichna zakhvoriuvanist ta deiaki aktualni zadachi dermatovenerologichnoi sluzhby v Ukraini. Dermatologiia ta venerologiia. 2015;3:73-4. [in Ukrainian].
8. Pro Tsili staloho rozvytku Ukrainy na period do 2030 roku. Ukaz Prezydenta Ukrainy vid 30 veresnia 2019 roku № 722/2019. Prezydent Ukrainy. [Internet]. [tsytovano 2020 Ber 03]. Dostupno: https://www.president.gov.ua/documents/7222019-29825 [in Ukrainian].
9. Pro zatverdzhennia Prohramy diialnosti Kabinetu Ministriv Ukrainy. Postanova Kabinetu Ministriv Ukrainy vid 29.09.2019 № 849. Kabinet Ministriv Ukrainy. [Internet]. [tsytovano 2020 Ber 03]. Dostupno: https://www.kmu.gov.ua/diyalnist/programa-diyalnosti-uryadu [in Ukrainian].
10. Vymohy PMH 2020. Spetsyfikatsii ta umovy zakupivli paketiv medychnykh posluh u 2020 rotsi (pohodzheni Ministerstvom okhorony zdorovia 21 sichnia 2020 roku). Natsionalna sluzhba zdorovia Ukrainy. [Internet]. [tsytovano 2020 Ber 03]. Dostupno: https://nszu.gov.ua/ likar-2020 [in Ukrainian].
11. Ryan Terence J. Public health dermatology: regeneration and repair of the skin in the developed transitional and developing world. International Journal of Dermatology. 2006;45:1233-7.
12. Stenberg B, Meding B, Svensson A. Dermatology in public health – a model for surveillance of common skin diseases. Scand J Public Health. 2010;38(4):368-74.
13. Korolenko VV, Stepanenko VI, Gruzieva TS. Hromadska dermatovenerologiia – suchasnyi pidkhid do orhanizatsii dermatovenerologichnoi dopomohy. Skhidnoievropeiskyi zhurnal hromadskoho zdorovia. 2015;2(23):42-5. [in Ukrainian].
14. Kravchenko VH, Stepanenko VI. Analitychnyi ohliad rivnia zakhvoriuvanosti na infektsii, shcho peredaiutsia statevym shliakhom, u period 1945-2017 rr. ta mozhlyvi perspektyvni zakhody shchodo znyzhennia yikhnoi poshyrenosti v Ukraini. Ukrainskyi zhurnal dermatologii, venerologii, kosmetologii. 2018;3(70):15-21. [in Ukrainian].
15. Mavrov HI, Myroniuk VI, Osinska TV. Poshyrennia infektsii, shcho peredaiutsia statevym shliakhom, sered spozhyvachiv psykhoaktyvnykh rechovyn: analiz seksualnykh merezh. Dermatologiia ta venerologiia. 2018;2:35-42. [in Ukrainian].
16. Ryzhko PP, Roshcheniuk LV, Shtyrov IM. Sfera vidtvorennia zdorovia naselennia: problemy ta shliakhy rozviazannia. Ukrainskyi zhurnal dermatologii, venerologii, kosmetologii. 2017;2:12-4. [in Ukrainian].
17. Abdel-Hafez K, Abdel-Aty MA, Hofny ERM. Prevalence of skin diseases in rural areas of Assiut Governorate, Upper Egypt. Int J Dermatol. 2003;42(11):887-92.
18. Augustin M, Glaeske G, Radtke MA, Christophers E, Reich K, Schäfer I. Epidemiology and comorbidity of psoriasis in children. Br J Dermatol. 2010;162(3):633-6.
19. Owusu-Edusei K Jr, Chesson HW, Gift TL, Tao G, Mahajan R, Ocfemia MC, Kent CK. The estimated direct medical cost of selected sexually transmitted infections in the United States, 2008. Sex Transm Dis. 2013;40(3):197-201.
20. Parisi R, Symmons DP, Griffiths CE, Ashcroft DM. Identification and Management of Psoriasis and Associated ComorbidiTy (IMPACT) project team. Global epidemiology of psoriasis: a systematic review of incidence and prevalence. J Invest Dermatol. 2013;133(2):377-85.
21. Serwin AB, Koper M, Unemo M. Clinical and epidemiological characteristics of males with syphilis in Bialystok, Poland in 2008-2013. Przegl. Epidemiol. 2015;69(1):41-5,143-6.
22. Tsai TF, Wang TS, Hung ST, Tsai PI, Schenkel B, Zhang M, Tang CH. Epidemiology and comorbidities of psoriasis patients in a national database in Taiwan. J Dermatol Sci. 2011;63(1):40-6.

«Bulletin of problems biology and medicine» Issue 2 (156), 2020 year, 315-318 pages, index UDK 616.5-082(477)+616.98-082(477)+614(477)

10.29254/2077-4214-2020-2-156-315-318