RATIONALE, DEVELOPMENT AND IMPLEMENTATION OF THE FUNCTIONAL-ORGANIZATIONAL MODEL FOR IMPROVEMENT OF SECONDARY PREVENTION OF ACTINIC KERATOSIS

Abstract

It is known that effective prevention of skin cancer is to identify individuals with a high level of risk factors for skin cancer, timely diagnosis and active treatment of precancerous skin lesions. Among the diseases that pose an increased risk of squamous cell carcinoma are actinic keratosis. Thus, effective prevention of actinic keratosis is one of the crucial factors in justifying cost minimization and improving patients' quality of life. Aim – to substantiate the improvement of secondary prevention of actinic keratosis by developing a functional-organizational model based on a process approach. Material and methods.The methods of system and process approach, system and content analysis are applied in the research; medical-statistical, descriptive modeling. Statistical processing of material using EZR v. 1.35. Results. The proposed model envisages a number of structural elements and functions inherent in them, from the provision of health services at the level of a health care facility to communicative, informational-analytical, educational-methodological and scientific, resource and regulatory support at the territorial and national levels of government. The advantages of the proposed model include its justification based on the results of research, international developments, as well as current regulatory documents, medical standards. The implementation of the model will allow the healthcare provider to select and apply the necessary set of preventive measures in accordance with the medical-technological standards of medical care. The values ​​of the coefficients of variation for all the distinguished advantages of the model, which were evaluated during the examination, did not exceed 10.0%, which indicates a low degree of variability and unanimity of expert estimates. Conclusions. The proposed functional and organizational model for improving the secondary prevention of actinic keratosis is in line with the principles of comprehensiveness and continuity of medical care and provides patients with quality and affordable medical care while optimizing available resources.