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1 (32) 2018

Demography and social economy, 2018, 1(32):114-125
doi: https://doi.org/10.15407/dse2018.01.114
61.058.8:001.76 «46»
JEL CLASSIFICATION: I15, H51

.. orniychuk
PhD (Economics), Senior Researcher
Ptoukha Institute for Demography and Social Studies of the National Academy of Sciences of Ukraine
01032, Kyiv, blvd Taras Shevchenko, 60
E-mail: idss-ukraine@ukr.net

INNOVATIVE APPROACHES TO ORGANIZATION OF THE FAMILY MEDICINE IN THE CONTEXT OF POPULATION LIFE EXTENSION
Section: SOCIAL SERVICES
Language: Ukrainian
Abstract: The purpose of this paper is to determine the innovative approaches to organization of the work of family medicine. The key target of transformation of the primary health care (PHC) is to prevent diseases and improve the health of citizens. Based on the statistics of the Healthcare Department of Horyshni Plavni, the indicators of social and economic efficiency have been estimated for the work of private doctors and doctors of the Center of Primary Medical and Social Assistance (therapists, pediatricians and municipal family doctors, as well as the whole municipal system of healthcare). As a result of comparative analysis, it was revealed that death rates have declined by 17 % at the service districts of private family doctors during seven years, including by 33 % among persons of the working age; while the rates of hospitalization have declined by 60 %, calls for emergency care by 65 %. There also was an increase in the health index of children in the first year of life by 16 %. This progress has been achieved through the use of new approaches to selection and training of family doctors who succeeded in developing a proper mutual trust with patients. This allowed for an increase by 10% of the number of people who provide services to private family doctors.
Informal households payments for medical services have been noticeably reduced. The local budgets expenditures on payments for service of private family doctors are 40 % lower than payments for municipal doctors, as there are no excessive costs of maintaining polyclinic infrastructure.
The purposefulness actuality of the systematic and priority development of the family medicine is grounded for the government, local self-government and health care units. The recommendations for implementation of innovative approaches in developing the family medicine are substantiated, in particular in the united territorial communities.
Key words: innovative approaches, organization of the family medicine, life extension, socio-economic efficiency.
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