Матюха Лариса Ф, Титова Тетяна А, Бухановська Тетяна М, Смаль Богдан О
Національна медична академія післядипломної освіти ім. П.Л. Шупика, Київ, Україна.
Wiad Lek. 2016;69(3 pt 2):465-470.
diabetes mellitus is among the main challenges in the establishment of an effective health care system. A significant prevalence of disease and, consequently, a large number of complications, caused by it, provokes a constant searching for new measures and means for the struggle. In Ukraine, as in other countries, among methods of such a struggle is to standardize medical care.
explore the state of health care for patients with diabetes in Ukraine.
to study the frequency of the measurement of certain quality indicators of patients with diabetes it was organized cross-sectional trial by the anonymous survey of 242 patients with a previously verified diagnosis of more than 2 years, at services of primary and secondary health care.
obtained results are showed the presence of significant weaknesses in the providing of quality health care for patients with diabetes, in comparison with the requirements of national standards. Considering the features of detected flaws, they should be regarded as a result of an insufficient level of knowledge of their disease among patients and, possibly, the low average level of their income.
the level of health care for patients of both types of diabetes does not meet recommended. Recommendations, which does not require personal expenses, are realized more efficiently, but not at the target level. Among the Ukrainian population level of implementation of the recommendations related to personal costs spending is at a critically low level, regardless of the type of disease. Solving of the identified problems could be achieved through the development of the network of primary health care services, closer to the patients, in conjunction with the organization and promotion of self-educational projects for patients and their physicians.
糖尿病是建立有效医疗保健系统面临的主要挑战之一。该疾病的高患病率以及由此引发的大量并发症，促使人们不断寻求新的防治措施和方法。在乌克兰，与其他国家一样，规范医疗服务是此类防治方法之一。
探究乌克兰糖尿病患者的医疗保健状况。
为研究糖尿病患者某些质量指标的测量频率，通过对242名确诊超过2年的患者进行匿名调查，在初级和二级医疗保健机构开展了横断面试验。
研究结果表明，与国家标准要求相比，糖尿病患者的优质医疗服务存在显著不足。考虑到所发现缺陷的特点，应将其视为患者对自身疾病了解不足以及可能收入平均水平较低的结果。
两种类型糖尿病患者的医疗保健水平均未达到推荐标准。无需个人付费的建议实施效率更高，但未达到目标水平。在乌克兰人群中，无论疾病类型如何，与个人费用支出相关的建议实施水平极低。通过发展更贴近患者的初级医疗保健服务网络，同时组织并推广针对患者及其医生的自我教育项目，可解决已发现的问题。
