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Документ Медико-соціальні аспекти медичного обслуговування контингенту тимчасово внутрішньо переміщених осіб(Українська медична стоматологічна академія, 2018) Лехан, Валерія Микитівна; Крячкова, Лілія Вікторівна; Борвінко, Е. В.; Колеснік, В. І.; Лехан, Валерия Никитична; Крячкова, Лилия Викторовна; Борвинко, Э. В.; Колесник, В. И.; Lekhan, V. M.; Kriachkova, L. V.; Borvinko, E. V.; Kolesnik, V. I.У статті приведено результати соціологічного опитування 102-х керівників закладів охорони здоров’я Дніпропетровської області щодо медичного обслуговування тимчасово внутрішньо переміщених осіб. За результатами опитування визначено, що попри те, що керівники достатньо високо оцінюють чутливість організації медичної допомоги внутрішнім мігрантам, вони визнають наявність низки проблем, передусім психологічного і фінансового характеру, які, на їх думку, можливо подолати шляхом інтегрованого надання медичної допомоги; В статье приведены результаты социологического опроса 102-х руководителей учреждений здравоохранения Днепропетровской области по вопросам медицинского обслуживания временно внутренне перемещенных лиц. По результатам опроса установлено, что, несмотря на то, что руководители достаточно высоко оценивают отзывчивость организации медицинской помощи внутренним мигрантам, они признают наличие ряда проблем, прежде всего психологического и финансового характера, которые, по их мнению, можно преодолеть путем интегрированного оказания медицинской помощи;An important condition for ensuring health care sensitivity is the sufficient response of the system to the needs of vulnerable groups of the population. Such vulnerable groups include people who, because of Ukraine’s loss of control over a part of the territory, left their permanent residence and moved to other territories with the status of internally displaced persons (IDPs). Objective: there was an analysis of the provision of health care sensitivity for the group of internally displaced persons and the definition of health care problems for IDPs to improve the provision of medical care for this group. Object and methods. A sociological survey was conducted among 102 managers of health institutions in Dnipropetrovsk region on a self-developed questionnaire. Statistical processing of the results was performed using STATISTICA 6.1 software (StatSoftInc., serial No. AGAR909E415822FA) using descriptive and analytical medical statistical methods. Results and discussion. Managers of health facilities consider that the health care system of Ukraine adequately responds to the needs of this population group – internally displaced persons is not a neglected social group in responding to their demands, and the average level of responsiveness for their requests is 8.25 (95.0% CI 7.48 – 9.02) points. Taking into account the contingent of respondents – managers of health facilities, it could be asserted that there is a certain overestimation of the assessment of the health system responsiveness. In addition there are a number of existing problems in servicing IDP has been pointed out by the managers. According to the interviewed managers, health care of internally displaced persons is not based on sufficient funding and social legal regulation, what leads to a number of cases, among which are mainly mentioned financial (29.41%) and psychological (35.2%) problems. There were identified the reserves of increasing responsiveness to internally displaced persons, first of all, it is the autonomy of patients in decision-making, the choice of providers of medical services and access to social support systems during treatment. These aspects of responsiveness correlate with the feedback of the health care problems of the contingent of internally displaced persons, which faced practically every manager of health facilities among the respondents. According to the respondents, measures for elimination/reduction of identified problems should be: additional financing for medical care of IDP; the establishment of patient registries and, above all, the integration with social workers, lawyers and psychologists of the health care of this contingent. Conclusions. According to the results of the survey, despite the fact that managers highly appreciate the health system responsiveness to internal migrants, they recognize the existence of a number of problems, primarily psychological and financial, which they believe can be overcome through an integrated provision of medical care.Документ Перспективи підготовки керівних медичних кадрів для забезпечення діяльності громадської охорони здоров’я(Українська медична стоматологічна академія, 2017) Лехан, Валерія Микитівна; Крячкова, Лілія Вікторівна; Борвінко, Е. В.; Колесник, В. І.; Лехан, Валерия Никитична; Крячкова, Лилия Викторовна; Борвинко, Э. В.; Колесник, В. И.; Lekhan, V. M.; Kryachkova, L. V.; Borvinko, E. V.; Kolesnik, V. I.У статті проаналізовано стан підготовки спеціалістів керівної ланки для забезпечення діяльності громадської охорони здоров’я в контексті реалізації основних оперативних функцій громадської охорони здоров’я (ОФГОЗ) в Україні. В якості орієнтовної схеми аналізу використовувався інструмент самооцінки виконання ОФГОЗ в Європейському регіоні. Визначено, що вивчення питань охорони громадського здоров’я повинно бути зосереджено переважно у вищих навчальних медичних закладах та школах охорони здоров’я, що створені на їх базі, або інтегровані у їх діяльність; В статье проанализировано состояние подготовки специалистов руководящего звена для обеспечения деятельности общественного здравоохранения в контексте реализации основных оперативных функций общественного здравоохранения (ОФОЗ) в Украине. В качестве ориентировочной схемы анализа использовался инструмент самооценки выполнения ОФОЗ в Европейском регионе. Определено, что изучение вопросов общественного здравоохранения должно быть сосредоточено в высших учебных медицинских заведениях и школах здоровья, созданных на их базе, или интегрированных в их деятельность; The foundation for effective public health interventions rests on a well-trained workforce of sufficient numbers and diverse disciplines to address current and emerging public health needs. Objective: to analyze the training public health physician leader and manager in the context of the implementation of essential public health operations in Ukraine. Object and methods. We used a complex of research methods: historical, bibliosemantical, comparative, content and SWOT analysis. Self-assessment tool for the evaluation of essential public health operations in the WHO European Region was used. Results and discussion. A public health physician leader or manager may be found to be the head of a managed care organization. The public health physician leader and manager is responsible for developing clear goals, using resources efficiently and effectively, and ensuring that the workforce for which he or she is responsible is well trained and well organized to fulfill its possibilities. One of the main roles in training public health physician leader and manager is the schools of public health. The schools of public health must perform six major responsibilities. These are to: 1) educate the educators, practitioners, and researchers as well as to prepare public health leaders and managers; 2) serve as a focal point for multischool transdisciplinary research as well as traditional public health research to improve the health of the public; 3) contribute to policy that advances the health of the public; 4) work collaboratively with other professional schools to assure quality public health content in their programs; 5) assure access to life-long learning for the public health workforce; and 6) engage actively with various communities to improve the public’s health. The main European public health core competences of the definition of the discipline: Population health (Population health and its social and economic determinants; Population health and its material environmental determinants); Interventions and structures aiming at the improvement of population health (Health policy economics; organizational theory, management and leadership); Health promotion: health education, health protection, disease prevention; methods in public health, and Ethics. Conclusions. Public health physician leader and manager must have appropriate specialization (such as the 18-month course of health care organization and management) or a second medical education equated to it. Training of such specialists is most advantageously conduct on the basis of higher educational medical institutions or School of public health with integration into the educational program of postgraduate level interdisciplinary training.