BOGOMOLETS NATIONAL MEDICAL UNIVERSITY, KYIV, UKRAINE; STATE INSTITUTION OF SCIENCE «RESEARCH AND PRACTICAL CENTER OF PREVENTIVE AND CLINICAL MEDICINE», KYIV, UKRAINE.
BOGOMOLETS NATIONAL MEDICAL UNIVERSITY, KYIV, UKRAINE.
Wiad Lek. 2022;75(5 pt 1):1130-1135. doi: 10.36740/WLek202205114.
The aim: Analysis of the development and optimization of the public health system in the face of current challenges and threats.
Materials and methods: Bibliographic, information-analytical, statistical methods and content analysis were used in the study. An analysis of the regulatory framework for the development of the public health system, including WHO strategic documents and national legislation was conducted. A critical assessment of the pre-existing public health system under the Semashko model was provided. The main stages of development of the new public health system of Ukraine, it's structural, financial and economic, organizational and managerial, scientific and educational, information and communication aspects are described. Reporting materials of the Public Health Center of the Ministry of Health of Ukraine and regional health centers, the state institution «Center for Medical Statistics of the Ministry of Health of Ukraine» and state institutions «Laboratory Centers of Ukraine» were analyzed.
Results: The development of the national public health system in Ukraine is carried out in accordance with the main directions of state policy, recommendations of the WHO and other international organizations in health care and aims to ensure health and well-being, prevent and minimize the negative consequences of current challenges and threats to population health. The public health development strategy is defined and enshrined in the legal framework. Structural development includes the creation of a national, 23 regional public health centers, a network of local structures, their staffing, the formation of a network of training institutions and their continuous development. The organizational and managerial strategy provides coordination of activities, intersectoral and intersectoral cooperation, improvement of technological and resource provision of institutions and institutions of the public health system. Financial and economic activities include multi-channel financing of structures and public health activities. Information and analytical activities provide effective monitoring of health and well-being, obtaining organizational and managerial and government structures objective information for making sound management decisions.
Conclusions: Development of the national public health system in Ukraine and its optimization is carried out in accordance with the main directions of state policy, recommendations of the WHO and other international organizations in health care and aims to ensure health and well-being, prevent and minimize the negative consequences of modern challenges and threats to population health. Optimization of the public health system includes a number of measures of functional-structural, organizational-administrative, regulatory, financial-economic, scientific-educational, information-analytical nature, aimed at ensuring the implementation of the main operational functions of public health.
分析在当前挑战和威胁面前公共卫生系统的发展和优化。
使用文献、信息分析、统计方法和内容分析进行研究。对公共卫生系统发展的监管框架进行了分析，包括世卫组织战略文件和国家立法。对在谢马什科模式下现有的公共卫生系统进行了批判性评估。描述了乌克兰新公共卫生系统的主要发展阶段，包括其结构、财务和经济、组织和管理、科学和教育、信息和通信方面。分析了乌克兰卫生部公共卫生中心和地区卫生中心的报告材料、国家机构“卫生部医疗统计中心”和国家机构“乌克兰实验室中心”的报告材料。
乌克兰国家公共卫生系统的发展是按照国家政策的主要方向、世卫组织和其他国际卫生组织的建议进行的，旨在确保健康和福祉，预防和最大限度地减少当前对人口健康的挑战和威胁的负面影响。公共卫生发展战略已经确定并载入法律框架。结构发展包括建立一个国家、23 个地区公共卫生中心、一个地方结构网络、其人员配备、培训机构网络的形成及其不断发展。组织和管理战略提供了活动的协调、部门间和部门间的合作、改善机构和公共卫生系统机构的技术和资源供应。财务和经济活动包括多渠道为机构和公共卫生活动提供资金。信息和分析活动提供了有效的健康和福祉监测，为管理决策提供组织和管理以及政府结构的客观信息。
乌克兰国家公共卫生系统的发展和优化是按照国家政策的主要方向、世卫组织和其他国际卫生组织的建议进行的，旨在确保健康和福祉，预防和最大限度地减少现代挑战和对人口健康的威胁的负面影响。公共卫生系统的优化包括一系列功能结构、组织管理、监管、财务经济、科学教育、信息分析性质的措施，旨在确保公共卫生主要业务职能的实施。
