• O. G. Shekera Shupyk National Medical Academy of Postgraduate Education, Kyiv, Ukraine International Public Organization "International Association "Health of Society", Kyiv, Ukraine,




the reforming of the Health Care System, primary health care, family medicine, the Institute of Family Medicine, health


Background. The article discusses approaches to reforming the Health Care System of Ukraine, the key objectives of which are: strengthening preventive services, the increasing of an accessibility and quality of health care, the enhancement of a primary health care, improving of a personnel maintenance, upgrading of an infrastructure and ensuring a fairness in health care, and also some legislative outcomes of the Institute of Family Medicine. The purpose of the study is to analyze the current regulatory framework for the functioning of the Health Care System, the state of health of the population, as well as the prevalence of chronic noncommunicable diseases and their risk factors, which is a priority public health problem. Results. The UN Millennium Declaration, adopted in 2000 by 189 countries at the UN Millennium Summit, set the Millennium Development Goals. At the beginning of the Millennium, Ukraine demonstrated relatively strong economic growth, which contributed to the improvement of the social situation in the country and had a positive impact on the achievement of the Millennium Development Goals. At the same time, the effects of the armed conflict in the East, the uncertainty of development trends and adverse foreign economic conditions have been the main reasons of the economic downturn and declining production volumes. At present, it is necessary of an arrangement the problems back off economic growth in Ukraine and to create a system of "drivers" of accelerating economic development and ensuring changes in its quality. The outcome document of the Summit on "Transforming Our World: A 2030 Agenda for Sustainable Development" approved 17 Sustainable Development Goals and 169 Tasks. Today, in Ukraine, as in most European countries, the high prevalence of chronic noncommunicable diseases and their risk factors is an urgent problem. This is a priority public health problem that has a negative impact on the medical and demographic situation and causes high rates of morbidity, disability, mortality and short life expectancy. One of the Sustainable Development Goals is "Strong Health and Wellbeing" (Goal 3), which is undergoing significant progress in the development of medicine globally. In accordance with resolution WHA62.12, (Strategy 3) The reorientation of the healthcare model means creating the conditions in which effective and efficient health care services are developed, funded and delivered in accordance with innovative health care models, which prioritize primary and community health care services and joint actions to strengthen health. In this regard, a Strategic Approach to the Development of Ukraine's Health Care System should be developed and priorities identified throughout the life cycle of health care services. This approach means assessing the full range of health services offered at different levels of the Health Care System, based on the best available data and expected over the entire life cycle. Formation and implementation of an integrated cross-sectoral approach is an important prerequisite for successful implementation of modern strategic goals in the field of health care, including, carrying out preventive measures to eliminate the negative impact of social determinants of health, creating conditions for saving and promoting the health of the population, approval healthy lifestyle, formation of responsible attitude of each person to personal health. In 2017, the Institute of Family Medicine drafted the Law of Ukraine “On Primary Health Care on the Basis of Family Medicine”. The main purpose of family medicine - based a primary health care as a basis for health care is to ensure that affordable, timely, high-quality and effective primary health care is provided to the patient, to improve public health, to save, restore and promote public health. Conclusions. Any action to modernize the Health Care System should be accompanied by a concerted effort by all parties (patients, the medical community, the legislature and the executive, as well as local authorities) to ensure that healthcare professionals and the public are interested in an effective Health Care System.


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