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医疗人员短缺和医生不断的职业发展对医疗体系的当前挑战。

CURRENT CHALLENGES FOR THE HEALTH CARE SYSTEM DUE TO THE LACK OF MEDICAL STAFF AND THE CONTINUOUS PROFESSIONAL DEVELOPMENT OF DOCTORS.

机构信息

BOGOMOLETS NATIONAL MEDICAL UNIVERSITY, KYIV, UKRAINE.

NATIONAL ACADEMY OF MEDICAL SCIENCES OF UKRAINE, KYIV, UKRAINE.

出版信息

Wiad Lek. 2022;75(5 pt 1):1136-1139. doi: 10.36740/WLek202205115.

DOI:10.36740/WLek202205115
PMID:35758491
Abstract

OBJECTIVE

The aim: Research of the ways of adequate solving of problems with understuffed healthcare system and problems with continuous professional development of doctors.

PATIENTS AND METHODS

Materials and methods: We have used a official statistical data for the period from 2009-2020 years. This data was analyzed with usage of systemic approach and statistical epidemiological analysis.

RESULTS

Results: According to the data from Ministry of Health of Ukraine during the first year of the pandemic (2020) the quantity of our doctors has diminished by 6.9 thousands, and quantity of nurses - by 22,5 thousands which is much bigger deficit then in period of 2018-2019 years. The insufficiency of pediatric doctors in Ukraine has reached 1000 vacancies, general physicians - 1700, family doctors - more than 3000 vacancies, surgeons - more than 950 vacancies. It is also important to involve medical experts and medical associations and unions in the process of accreditation and licensing of providers of continuous medical education.

CONCLUSION

Conclusions: Existing deficit of medical personnel should be replenished by increasing of medical education of students in medical universities and colleges funded by government. Existing system of continuous professional development of doctors requires a lot of changes (additional activities, new technologies) which must be implied with the help of professional medical associations and unions.

摘要

目的

研究如何充分解决医疗体系资源不足和医生持续职业发展问题。

患者与方法

材料与方法:我们使用了 2009 年至 2020 年期间的官方统计数据。使用系统方法和统计流行病学分析对这些数据进行了分析。

结果

根据乌克兰卫生部的数据,在大流行的第一年(2020 年),我们的医生数量减少了 6900 人,护士数量减少了 22500 人,这比 2018-2019 年的短缺还要严重。乌克兰儿科医生的短缺达到 1000 个空缺,全科医生短缺 1700 个,家庭医生短缺 3000 多个,外科医生短缺 950 多个。同样重要的是,要让医疗专家和医疗协会及工会参与到继续教育提供者的认证和许可过程中。

结论

现有的医务人员短缺应通过增加政府资助的医学院和大学的医学生教育来填补。现有的医生持续职业发展体系需要进行大量改革(增加新活动、新技术),这必须在专业医疗协会和工会的帮助下实施。

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