Kryukov S. Public administration in the sphere of providing terminal patients with medical and social services

Object of exploration - system of the health care administration and social policy. The aim of the study - elaboration and introduction of the new managerial, legal and economical mechanisms of the state management of the medical and social care for terminal patients on the state and local levels. Methods of investigation - system approach, statistical, economical analyses, social polling, expert evaluation, simulation. Practical importence of the findings - eleboration and perfection of the legislation at the medical and social sphere, substantiation of the approaches to the forming of the palliative medicine service in town and regions, elaboration of the palliative care standards, preparing of the departamental normative documents concerning the palliative care, training of the specialists on palliative care, forming the system of the personnel education and further training; the form of attraction to the cooperation of the parties concerned, the mechanism of the financial support of the palliativecare. The scientific novelty consists of the elaboration of palliative care conceptual. It is revealed in the following new scientific results of the study: the increase of the necessity of the population in palliative care because of the growing old of population and negative tendensy of the social health; the expediency to the definition of the new category of the medical and social consumers is fixed - "terminal patients" in the system of the state management, ineffectiveness of the assents expenses at medical and social aid to the terminal patient in the system of health care is defined; the ways and directions of the development of the state management by the palliative service and grounded; the conceptual ways and methods of the state halliative care management are elaborated; the conceptual foundations of the state palliative care management in Ukraine and managerial models of the palliative care service are operated. Results of the dissertational investigation, conclusions concerning the elaboration of the mechanisms of the system of palliative care for the terminal patients are formulated and applied during the elaboration of the city programs of the social and economical development, decisions the were approved at the sessions of the city Council "About the introduction of the principles of the palliative medicine"? "About the foundation of the medical and social aid to the terminal patients".