Substantiation of the Сontemporary Сomplex Functional-Organizational Model of the Dermatovenerologic Service of Ukraine

Abstract

Introduction. The health of the population and everyone is one of the greatest values ​​of our state. The transformation of the domestic healthcare sector is a key area of ​​its socio-political and economic development. The problems of socially significant specialized medical services, one of which is the dermatovenereologic service play an important role. Priority areas for counteracting the spread of socially dangerous diseases of dermatovenereologic profile are defined by World Health Organization strategic documents, which reflect the full range of services for patients with sexually transmitted infections and public health, taking into account the principle of universal coverage of health services. Development of dermatovenereology service in Ukraine in accordance with the priorities of state policy, United Nations sustainable development goals for 2016–2030, European Union policy requires improvement of this service taking into account the existing challenges and threats, development and implementation of its effective science-based functional and organizational model. The aim of the study. Improvement of dermatovenereologic service by substantiation of modern complex functional-organizational model. Materials and methods. Methods of system and process approach, bibliosemantic, medical-statistical, structural-logical analysis, modeling of policies of introduction of changes in dermatovenereologic service are used. Results. The principles and measures of counteraction to socially significant and socially dangerous dermatovenereologic pathology are substantiated, which are determined on the basis of the results of analysis of its prevalence, real state of struggle against it and taking into account provisions of strategic documents of state and international levels. A functional and organizational model of the dermatovenereologic service has been developed, which provides for an interdisciplinary, intersectoral and interdisciplinary approach to the development of the dermatovenereologic service, involving existing, improved and completely new structural elements (sexually transmitted infections units in public health centers, remote health units in regional dermatovenereologic centers, a body of professional self-government) in order to rationally coordinate the various links in the provision of medical care to dermatovenereologic patients. These structural elements ensure the performance of basic functions: management, coordination, logistics, information and analytical, training and management of personnel, scientific support, medical care, professional self-government, communication. The model was developed based on the results of the analysis of opinion polls of dermatovenereologists, patients and healthcare managers. The implementation of the model will allow optimizing the use of resources of the service and the healthcare system in general; improve the quality, efficiency and availability of dermatovenereologic care. Expert evaluation of the proposed model showed its innovativeness and compliance with the principles of complexity and continuity in the provision of medical care. Conclusions. The proposed conceptual functional and organizational model of dermatovenereologic service has a preventive focus, based on the principles of complexity, intersectoral and multidisciplinary approaches, patient-centeredness, scientific, high-tech, which can provide quality, affordable and effective prevention, diagnostics and treatment.