Формування нової регіональної мережі медичного обслуговування населення в умовах реформування системи охорони здоров’я та децентралізації
Альтернативна назва
Formation of a new regional network of medical services for the population in the conditions of health care system reform and decentralization
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Дата
2025
Науковий керівник
Укладач
Редактор
Назва журналу
ISSN
2303-9914
E-ISSN
2415-315X
Назва тому
Видавець
Одеський національний університет імені І. І. Мечникова
Анотація
У статті досліджуються тенденції трансформації мережі медичного обслуговування населення в розрізі реалізації реформ системи охорони здоров’я та децентралізації. Формування нової регіональної мережі медичного обслуговування населення є сукупністю різноспрямованих реформ соціально-економічного середовища держави на шляху до повноцінного впровадження ринкових механізмів в усіх сферах суспільного життя, а також реалізації євроінтеграційних прагнень України. У статті детально проаналізовано ключові проблеми реформування системи охорони здоров’я на сучасному етапі та окреслено загальні шляхи їх вирішення. Дослідження реформування системи охорони здоров’я та децентралізації дозволить раціональніше розподіляти ресурси, визначити оптимальне розташування закладів, обґрунтовувати потреби відновлення та модернізації інфраструктури, а також визначати ефективність функціонування закладів охорони здоров’я з огляду на просторовий аспект.
Problem Statement and Purpose. The healthcare sector of Ukraine in the current conditions of social transformation and the search for an optimal business model in this area, objectively, has all the signs of a crisis, which has especially deepened during the COVID-19 pandemic and as a result of the destruction of infrastructure caused by Russian military aggression. Understanding that an effective healthcare system is fundamental to the well-being of the nation requires the development of a modern regional network of medical services for the population. Therefore, the purpose of the article was to identify trends in the transformation of the healthcare network in the context of the implementation of reforms, identify key problems in reforming the healthcare system at the current stage, and outline general ways to solve them. Data & Methods. The study applied a multidisciplinary approach to the analysis of various aspects of health care system reforms and decentralization as the basis for the formation of a regional network of medical services. The research methodology involved the use of historical, bibliosemantic, abstract-logical and analytical methods. The basis of the study is the regulatory and legal framework for the functioning of the health care system, the perspective vision of its further development reflected in the Health Care System Development Strategy and the recommendations of international institutions, in particular the WHO European Regional Office and the European Commission departments that coordinate integration procedures with our state in the field of health care and social policy, as well as numerous works by domestic and foreign scientists. Results. The formation of a new regional network of health care services for the population is a set of multi-directional reforms of the socio-economic environment of the state on the way to the full implementation of market mechanisms in all spheres of public life. Reforming the health care system and decentralization will allow for a more rational allocation of resources, determining the optimal location of institutions, justifying the needs for the restoration and modernization of infrastructure, and determining the effectiveness of the functioning of health care institutions from the spatial aspect. An analysis of the trends in the transformation of the health care network in the context of the implementation of health care system reforms and decentralization has identified key problems in reforming the health care system at the current stage. They include spatial disparities in the distribution of institutions, infrastructure limitations caused by the unsatisfactory state of the road network and the lack of public transport to connect with cluster medical institutions, shortages and uneven distribution of medical personnel; as well as demographic challenges and problems of financial viability of institutions in sparsely populated areas. The full implementation of reforms will not only overcome spatial disparities in the provision of medical services, but also generally increase the efficiency of medical institutions and modernize infrastructure.
Problem Statement and Purpose. The healthcare sector of Ukraine in the current conditions of social transformation and the search for an optimal business model in this area, objectively, has all the signs of a crisis, which has especially deepened during the COVID-19 pandemic and as a result of the destruction of infrastructure caused by Russian military aggression. Understanding that an effective healthcare system is fundamental to the well-being of the nation requires the development of a modern regional network of medical services for the population. Therefore, the purpose of the article was to identify trends in the transformation of the healthcare network in the context of the implementation of reforms, identify key problems in reforming the healthcare system at the current stage, and outline general ways to solve them. Data & Methods. The study applied a multidisciplinary approach to the analysis of various aspects of health care system reforms and decentralization as the basis for the formation of a regional network of medical services. The research methodology involved the use of historical, bibliosemantic, abstract-logical and analytical methods. The basis of the study is the regulatory and legal framework for the functioning of the health care system, the perspective vision of its further development reflected in the Health Care System Development Strategy and the recommendations of international institutions, in particular the WHO European Regional Office and the European Commission departments that coordinate integration procedures with our state in the field of health care and social policy, as well as numerous works by domestic and foreign scientists. Results. The formation of a new regional network of health care services for the population is a set of multi-directional reforms of the socio-economic environment of the state on the way to the full implementation of market mechanisms in all spheres of public life. Reforming the health care system and decentralization will allow for a more rational allocation of resources, determining the optimal location of institutions, justifying the needs for the restoration and modernization of infrastructure, and determining the effectiveness of the functioning of health care institutions from the spatial aspect. An analysis of the trends in the transformation of the health care network in the context of the implementation of health care system reforms and decentralization has identified key problems in reforming the health care system at the current stage. They include spatial disparities in the distribution of institutions, infrastructure limitations caused by the unsatisfactory state of the road network and the lack of public transport to connect with cluster medical institutions, shortages and uneven distribution of medical personnel; as well as demographic challenges and problems of financial viability of institutions in sparsely populated areas. The full implementation of reforms will not only overcome spatial disparities in the provision of medical services, but also generally increase the efficiency of medical institutions and modernize infrastructure.
Опис
Ключові слова
медична реформа, регіональна мережа медичного обслуговування, охорона здоров’я, санаторно-курортний заклад, реабілітація, децентралізація, госпітальний округ, medical reform, regional medical service network, health care, sanatorium and resort facility, rehabilitation, decentralization, hospital district
Бібліографічний опис
Соколовський В. А. Формування нової регіональної мережі медичного обслуговування населення в умовах реформування системи охорони здоров’я та децентралізації / В. А. Соколовський, В. А. Сич, А. М. Шашеро // Вісник Одеського національного університету. Географічні та геологічні науки. – 2025. – Т. 30, вип. 1(46). – С. 199–210.
УДК
551