The dissertation is devoted to solving an important scientific and practical task of organizing and managing health care through scientific substantiation and development of a conceptual model of strategic planning of medical care for the population at the level of a newly formed administrative district and improvement of the health care system at the regional level.
To achieve the goal and fulfill the objectives of the study, the work was carried out in five stages. At the first stage, the data of previous scientific works on the problems of functioning of the health care system of Ukraine, socio-economic factors of health of its population, the basics of strategic planning, including in the health care system, were summarized and the choice of the direction of the dissertation research was formed, the purpose, tasks, program, methods and scope were determined (199 sources of scientific literature were processed). The tasks were accomplished using structural and logical analysis and the bibliosemantic method.
To implement the second stage of the study, the medical and statistical method was chosen. At this stage, the status of the newly formed administrative Mukachevo district of the Zakarpattia region was identified by population, territory, age composition, gender, place of residence, birth rate, mortality rate, and natural increase as of January 1, 2022.
The next step was a survey of 483 residents of Mukachevo district, Zakarpattia oblast, to assess their health.
The fourth stage of the study examined the opinion of healthcare market participants on their attitude to administrative reform and healthcare system improvement: healthcare providers and heads of medical institutions.The last stage of the study included the development of a model of strategic planning of medical care for the population at the level of the newly formed administrative district and the evaluation of its medical and social effectiveness.
At implementation of dissertation work basic tasks was to conduct the analysis of international and home scientific literature in relation to the models of the strategic planning of medicare and results of their introduction in the system of health protection; to ground methodologies of study of basic problems in organization of medicare to the population and basic детермінант of influence on a health of population at the level of новосформованого administrative district of service; to conduct authentication of status of the Zakarpattia area, in т. ч. Mukachevo district after the amount of population, by an area territories, by the age-related composition of population, article, by a residence, level of birth-rate, death rate, natural increase by the state on January, 1, 2022; to set conformities to law in the estimation of the state of own health the habitants of the Mukachevo district of the Zakarpattia area on the basis of their selective questioning; to learn opinion of participants of market of medical services and their attitude toward administrative reform and improvement of the system of health protection, and namely: leaders of establishments of health protection and representatives of government bodies; scientifically to ground the worked out model of the strategic planning of medicare to the population in the conditions of administrative reform and improvement of the system of health protection (on the example of the новосформованого Mukachevo district of the Zakarpattia area).
The scientific novelty of the got results consists in that first in Ukraine the necessity of development of conceptual model of the strategic planning of medicare is system presented to the population in the conditions of administrative reform for the improvement of the system of health protection; it is shown that strategy of overcoming of negative tendencies in медико-демографічних processes at district level must envisage the decisions of problems, that is related to the problem of demographic motion; the features of the accrued administrative district are set on the basis of authentication of his status; a modern self-appraisal to the populations of district of the state of the health is given; it is shown that near-term attention at reformation industries of health protection Ukraine it is required to spare to preparation of strategic plans of functioning of the system of health protection, as at the level of the state so at local level; it is set that an important element at the strategic planning of development of the system of health protection the state is introduction of hard methods of control after the unconcern of water, food foods and environment of vital functions; scientifically reasonably and the conceptual model of the strategic planning of medicare is worked out to the population at regional level taking into account new elements in her construction efficiency of that is confirmed by the method of expert estimation.
