The quality of rendering surgical aid in the context of implementation of reforms in healthcare and medical education in Ukraine
DOI:
https://doi.org/10.12923/cipms-2025-0001Keywords:
quality of medical aid, surgical activity, postoperative mortality, reforming of medicineAbstract
The aim of the study was to ascertain the current state of surgical care as resulting from the reformation of medicine and education in Ukraine and to recommend ways of advancing it. The research included the processing and analysis of the annual reports of the Urology department of the Municipal City Clinical Emergency Hospital in Lviv during 2010-2019. The main statistical indicators of rendering the surgical aid (surgical activity, the structure of surgical interventions, mortality and structure of mortality, which are used in quantitative assessment of quality of medical aid and submitted in the annual reports) were analyzed in this work.
The study has identified the main problems of surgical work of the healthcare facilities in the section of the Urology department of the Clinical Emergency Hospital in Lviv, the most important of which are the low indicator of surgical activity and the presence of postoperative mortality. The main mortality reasons of the patients of the Urology department of this hospital are neglected oncopathology or other concomitant pathology, multiple organ failure, septic condition.
The key points towards resolving these problems are the further development of the material-technical base of the hospital and improvement of the overall quality of medical staff training, both during the undergraduate and postgraduate training of specialists, which will allow the improvement of the quality of rendering medical aid nationwide.
References
1. About order of quality control of medical aid. Order of the Ministry of Health of Ukraine No 752 dated from 28.09.2012. [https://zakon.rada.gov.ua/laws/show/z1996-12#Text ]
2. Ivaschenko DM, Dudchenko MO, Prychodko RA, Kravtsiv MI. Optimization of the evaluation and quality improvement of education for students of higher medical educational establishments in terms of teaching the surgical subjects. Actual questions of quality control of education in higher medical educational establishments: materials of scientific and practical conference with international participation. Poltava; 2018:99-100.
3. Public health in Ukraine: realities, trends and prospects: collective monograph/ after gen.edition Zhdan VM, Holovanova IA. Poltava: Techservice; 2020: 279.
4. Snyegiriov P. Progress and future of the Ukrainian surgery. Ukr Med Periodical. 2019. [https://www.umj.com.ua/article/138400/postup-i-majbuttya-ukrayinskoyi-hirurgiyi]
5. About approval of regulations as to internship and the secondary medical (pharmaceutical) specialization. Order of the Ministry of Health of Ukraine dated from 22.06.2021 No 1254. [https://moz.gov.ua/article/ministry-mandates/nakaz-moz-ukraini-vid-22062021--1254-pro-zatverdzhennja-polozhennja-pro-internaturu-ta-vtorinnu-likarsku-provizorsku-specializaciju]
6. Akachi Y, Kruk ME. Quality of care: measuring a neglected driver of improved health. Bull WHO. 2017;95(6):465-472. https://doi.org/10.2471/blt.16.180190
7. Hospodarsky IY, Kharchenko NV, Vaida FR. The system of uninterrupted postgraduate education in Poland. Med Edu. 2015;4:9-14.
8. Voronenko YuV, Vdovychenko YuP, Tolstanov OK, Mintzer OP, Krasnov VV. Tendencies of integration of training and certification systems of health manpower in the world and Ukraine. Med Edu. 2015;2:41-5.
9. Gutor TG, Zaremba NI, Kovalska OR, Moskviak-Lesniak DJ, Gerasymovych IM, Kobyletskyy OJ, et al. Comparative analysis of the main social health determinants of life expectancy and infant mortality in Ukraine and Poland. Wiad Lek. 2021;74(3 cz 2):750-5. https://doi.org/10.36740/wlek202103235
10. Zimenkovsky AB, Stepanenko AV, Yeremeyeva TV, Shybinsky VYa. Modern international experience of clinical audit (based on example of the St. George University Hospital in London, Great Britain). Quality management of medical and pharmaceutical aid. Clin Pharm Pharmacother Med Standard. 2012;1-2:7-13.
11. Estley EP. A review of 1486 transurethral resections of the prostate in a teaching hospital. Surgery. 2023;36(1):37-40.
12. Shemet SL. Management of surgical service in terms of implementation of reforms at the secondary level of rendering medical aid. Public administration Sumy: SumSU; 2020:59.
13. Shumkova ОV, Shumkov IV. Definition of basic elements of system of quality management of medical services. Preazov Econom Bull. 2020;4(21):71-5.
14. Hrynkiv YaO, Zaliska OM, Sichkoriz OY. Experience and perspectives of distance learning of pharmacists-interns in the system of uninterrupted education. Pharmaceutical J. 2018;5-6:37-47. https://doi.org/10.32352/0367-3057.5-6.18.03
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