Bondar S. Medical and social justification of an improved preventive model of schoolchildren's traumatism

Українська версія

Thesis for the degree of Doctor of Philosophy (PhD)

State registration number

0820U000082

Applicant for

Specialization

  • 22 - Соціологічні науки
  • 222 - Медицина

01-07-2020

Specialized Academic Board

ДФ 26.613.006

Essay

At the present stage, in the period of demographic crisis and the future development of the country, the need to improve the health of the child population is a priority of public policy. Detecting negative trends requires an urgent and thorough study of the causes of its deterioration in order to explore ways to influence them. In addressing this challenge, and in order to achieve positive change in the future, pathological conditions that occupy leading positions in the structure of morbidity, disability and mortality of children whose impact could be minimized, need priority. In order to study and make objective management decisions in depth, it was advisable to create an improved model of regional schoolchildren's injury prevention. For this purpose, the Kirovograd region was selected with its typical third of Ukraine population and the share of children of different age categories, as well as infrastructure close to most regions. The systematic approach to solving the current issue led to the choice of research bases, observation units and methodological tools. For the comprehensive presentation of student youth, it was considered appropriate not only to take into account their age categories but also their place of residence. On this base, four educational establishments of urban, rural and regional types were selected. Separately, medical college was included in their composition as first-year students correlate with high school students. The results of a sociological survey of students provided an opportunity for a comparative analysis of the responses of schoolchildren and their peers - future physicians who have already chosen medicine in their profession with its preventive component. From a systematic point of view, parents and students were involved in the scientific work as the closest environment, most relevant to the creation of a model of injury prevention in schoolchildren. As a result, the total of observations included 1,395 people. They were divided into two groups according to the stages of the study. The conceptual stage involved 1,082 people, of whom 686 were students of 1-4 grades - 206 people, 5-9 - 185 people, 10-11 - 145, college students - 150, as well as 188 parents and 208 teachers. At the effective stage, during the organizational experiment to determine the ability of the elements of the model, 313 persons were subjected to study, of which 213 students (including grades 1-4 - 47, 5-9 - 54, 10-11 - 54, students - 58), as well as 50 parents and teachers. It should be noted that the group of experts who evaluated the importance and effectiveness of the proposed innovations on 16 parameters, included 62 experts, among which, in addition to specialists in social medicine, found representatives of education, managers, police and other groups of specialists united by a common goal in the aspect of research.

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