TRENDS OF CHANGE AND DIRECTIONS FOR IMPROVING THE STAFFING OF HEALTH CARE IN UKRAINE

Abstract

The purpose of the study is to study the trends of change and justify the directions of improvement of human health care in Ukraine.

Trends in changes in key indicators of health care provision at the state level reflect changes in the health situation as a whole. This has a negative impact on student enrollment and the number of health care professionals trained, and the qualification of existing staff, which cannot in the long run affect the decline in the number and quality of medical services provided. Improvement factors include raising the level of remuneration for junior and secondary medical staff, especially physicians, to review the remuneration system for highly qualified and highly specialized doctors. Create a system of accruals and payments of periodic additional payments in the form of bonuses. Improve provision of specialized offices with technological equipment. There is an acute shortage of medical staff in rural areas, caused by a lack of funds from local communities to pay salaries and retention of midwives.

The high dispersion of villages and the lack of proper transport communication and the lack of high-quality wireless connectivity create problems for assisting family practitioners who cannot be addressed by health care. A significant outflow of highly qualified doctors and nursing staff is mainly from rural areas, which is a major problem, mainly in Poland and Western Europe, also caused by low salaries and by the governments of these countries in attracting staff from developing countries.

The purpose of compulsory future employment, both voluntary and involuntary, is not intended in the training of medical personnel, although this practice is very effective for students studying under the government order, it will reduce the number of medical personnel traveling abroad.

It is recommended to create a nationwide program with funding from a separate item of health care costs for internships abroad, which will allow them to gain new practical experiences and specific skills, see effective change abroad, and try to apply them to us. Further deterioration of the health sector's staffing situation is not replaced by positive trends, although it is significantly slowed down by a slight increase in salaries, except for non-family practitioners who have their own conditions, and the elimination of staff positions that have been poorly designed and ineffectively fulfilled. within the framework of medical assistance and counseling services. The problem of ambulance arises first of all in the nature of ignorance of the population, the cause of which is the overwhelming majority of calls to doctors, which were not urgent and sometimes necessary at all. This can be addressed through the creation of a television program to improve the health literacy of the population, and in the future will greatly reduce unnecessary waste of time and material resources that could be diverted to measures to improve staffing of medicine. The problem of self-treatment of Ukrainians often leads to greater consequences of the disease and an increase in the duration and cost of treatment, while ignoring the foreseen opportunity to undergo a medical examination and consult a qualified doctor