Yaremchuk O. Improving public administration of primary health care in Ukraine

In the dissertation research the analysis of a condition of studying of a problem of a theme of research in the scientific literature is carried out. The state of normative-legal provision of state management of primary health care is investigated. The foreign experience of the organization of primary health care is generalized and the role of the state in ensuring this process is determined. The analysis of foreign experience was carried out on the basis of grouping of countries by type of preferential financing of their health care systems, namely: 1) voluntary insurance (so-called «private health insurance» and «voluntary health insurance»); 2) social health insurance; 3) universal coverage; 4) the mechanism of «target» programs; 5) national health insurance. The current state of regulatory and legal support of public administration of primary health care in Ukraine is studied. On the basis of the carried out analysis the theoretical approach to formation of a legislative field in the field of public health services by systematization of normative-legal maintenance of state management of primary medical care is improved. The current state of primary health care with the main factors that complicate its effective public administration: educational (level of education of the administration of health care in the direction of «Management»), (the level of computer literacy of health workers); demographic (a significant number of health workers of retirement and pre-retirement age; uneven settlement density of patients in rural and urban areas); material and technical (provision of computer equipment and opportunities to connect to a quality Internet network); financial and economic (payment of expenses related to the call, if necessary, the doctor home («lying» patients); departure of the doctor to establish the fact of death; correlation of the tariff grid of junior medical staff, etc.); organizational (redistribution of patients between doctors in the case of sick leave, calendar leave, maternity leave; unregulated actions and responsibilities with the subsystems of emergency care and secondary care).