Інноваційні цільові центри як ключовий інструмент удосконалення системи надання перинатальної допомоги в Україні в умовах забезпечення національної демографічної безпеки
Ключові слова:
перинатальна допомога, національна демографічна безпека, материнська смертність, децентралізації перинатальної допомоги
Анотація
This study aims to find ways to improve the system of providing perinatal care in Ukraine, as one of the key elements of ensuring national demographic security. This study is relevant in the context of the demographic crisis, deepening against the background of a full-scale war of the Russian Federation against Ukraine. This study uses bibliosemantic analysis, analysis of statistical data, as well as analysis of the organizational system of perinatal care in Ukraine. Results. The authors analyze the factors that lead to high rates of maternal and perinatal mortality, and the reasons for the insufficient effectiveness of reforming the perinatal care system in Ukraine. Among the key reasons for the lack of effectiveness of restructuring the Ukrainian perinatal care system were identified the following: the justified distribution of pregnant women to perinatal care facilities; the developed decentralized system for obtaining reliable statistical data at the level of particular regions; the proven algorithm for making "correct management decisions" at local and regional levels; systems for effective local professional development of medical workers. This paper analyzes the causes of uneven access to perinatal care in Ukraine. Based on the analysis of the organizational system of providing perinatal care in Ukraine and the identified problems, the authors propose the program of "National Patient Safety Packages of Perinatal Centers" with the creation of Innovative Target Centers (IA Centers) in each perinatal center. The function of IA Centers should be the introduction of scientific and evidence-based guidelines for the protection of motherhood and childhood in Ukraine and a digitalized information system of perinatal assistance in Ukraine. Conclusions. The introduction of IA centers is aimed at improving the quality of medical care for the mother and newborn through the introduction of international scientific and evidence-based guidelines for the protection of motherhood and childhood. The second purpose is to provide a digitalized information system for perinatal care in Ukraine. This will form the basis for rational use of the opportunities and available resources of medical care for women of reproductive age, pregnant women, mothers, and newborns, as well as to improve the quality of perinatal care.Завантаження
Дані завантаження ще не доступні.
Посилання
Andreyko, V. I., & Artyomov, I. V. (2023). European development strategies: experience for Ukraine. (Monograph). Uzhhorod: RIK-U.
Brizuela, V., Leslie, H., Sharma, J., Langer, A., & Tunçalp, Ö. (2019). Measuring quality of care for all women and newborns: how do we know if we are doing it right? A review of facility assessment tools. Lancet Glob Health, 7(5), 624-632. http://doi.org/10.1016/S2214-109X(19)30033-6
Dudina, O. O., & Tereshchenko, A. V. (2014). The first results of the implementation of the measures of the national project "New life - new quality of maternity and childhood care". Bulletin of Social hygiene and org. of health care of Ukraine, 1, 5-12. Retrieved from http://www.irbis-nbuv.gov.ua/cgi-bin/irbis_nbuv/cgiirbis_64.exe?Z21ID=&I21DBN=UJRN&P21DBN=UJRN&S21STN=1&S21REF=10&S21FMT=fullwebr&C21COM=S&S21CNR=20&S21P01=0&S21P02 =0&S21P03=A= &S21COLORTERMS=1&S21STR=%D0%94%D1%83%D0%B4%D1%96%D0%BD%D0%B0%20%D0%9E$
Dudina, O. O., & Voloshina, U. V. (2015). Regulatory and legal provision of regionalization of perinatal care in Ukraine. Health Economics and Law, 1(1), 64-69. Retrieved from http://www.irbis-nbuv.gov.ua/cgi-bin/irbis_nbuv/cgiirbis_64.exe?C21COM=2&I21DBN=UJRN&P21DBN=UJRN&IMAGE_FILE_DOWNLOAD=1&Image_file_name=PDF/eprozd_2015_1_14.pdf
Dudina, O. O., Dzyuba, G. A., Tereshchenko, A. V., & Kovalenko, O. O. (2015). Results of the feasibility study of monitoring and evaluation of regionalization of perinatal care. Ukraine. The health of the nation, 3 (35), 50-58. Retrieved from http://www.irbis-nbuv.gov.ua/cgi-bin/irbis_nbuv/cgiirbis_64.exe?Z21ID=&I21DBN=UJRN&P21DBN=UJRN&S21STN=1&S21REF=10&S21FMT=njuu_all&C21COM=S&S21CNR=20&S21P01=0&S21P0 2=0&S21COLORTERMS=0&S21P03= I=&S21STR=%D0%9625956/2015$
Experts have calculated how many attacks Russia has made against the medical system of Ukraine in 2022. (2023, February 21). Mirror of the week. Retrieved from https://zn.ua/ukr/UKRAINE/eksperti-pidrakhuvali-skilki-atak-proti-medichnoji-sistemi-ukrajini-rosija-zrobila-u-2022-rotsi.html
Family Planning and the 2030 Agenda for Sustainable Development. (2019). United Nations, Department of Economic and Social Affairs, Population Division. New York: United Nations. Retrieved from https://www.un.org/en/development/desa/population/publications/pdf/family/familyPlanning_DataBooklet_2019.pdf
Heaman, M., Sword, W., Akhtar-Danesh, N., Bradford, A., Tough, S., Janssen, P., Young, D., Kingston, D., Hutton, E., & Helewa, M. (2014). Quality of prenatal care questionnaire: instrument development and testing. BMC Pregnancy and Childbirth, 14, 188. http://doi.org/10.1186/1471-2393-14-188
Levels of Neonatal Care. Pediatrics. (2004). Committee on Fetus and Newborn. Retrieved from http://www.slideshare.net/MCH–org–ua/ss–17177098
Malachynska, M. (2023). Reasons for reforming the perinatal care system in Ukraine. Public Administration Aspects, 11(2), 96-102. https://doi.org/10.15421/152324
Moiseyenko, R. O. (2012). National approaches to the implementation of the system of regionalization of perinatal care in Ukraine. Ministry of Health of Ukraine. Retrieved from https://dspace.uzhnu.edu.ua/jspui/handle/lib/21115
On the approval of Methodological recommendations for calculating the level of economic security of Ukraine. No. 1217. (2023, October 29). Order of the Ministry of Economic Development and Trade of Ukraine. Retrieved from https://ips.ligazakon.net/document/TM048285
Reempts, P., Gortner, L., Milligan, D., Cuttini, M., Petrou, S., Agostino, R., Field, D., Ouden, L., Børch, K., Mazela, J., Carrapato, M., & Zeitlin, J. (2007). Characteristics of neonatal units that care for very preterm infants in Europe: Results from the MOSAIC Study. Pediatrics, 120 (4), 815-825. http://doi.org/10.1542/peds.2006-3122
Rogowski, J. A., Horbar, J. D., Staiger, D. O., Kenny, M., Carpenter, J., & Geppert, J. (2004). Indirect vs direct hospital quality indicators for very low–birth–weight infants. JAMA. 291(2), 202-209. http://doi.org/10.1001/jama.291.2.202
Slabky, G. O., Hoyda, N. G., Moiseyenko, R. O., Tereshchenko, A. V., & Dudina, O. O. (2016). The use of SWOT analysis in assessing the implementation of regionalization of perinatal care in Ukraine. Ukraine. The health of the nation, 4, 142-148. Retrieved from http://irbis-nbuv.gov.ua/cgi-bin/irbis_nbuv/cgiirbis_64.exe?C21COM=2&I21DBN=UJRN&P21DBN=UJRN&IMAGE_FILE_DOWNLOAD=1&Image_file_name=PDF/Uzn_2016_4_24.pdf
Tereshchenko, A. V., Dudina, O. O., & Moiseyenko, R. O. (2014). Technology of monitoring and evaluation of regionalization of perinatal care. Women's health, 9(95), 22-27. Retrieved from http://nbuv.gov.ua/UJRN/Zdzh_2014_9_4
Wilson, A., Hoang, H., Bridgman, H., Crocombe, L., & Bettiol, S. (2022). Clinical practice guidelines and consensus statements for antenatal oral healthcare: An assessment of their methodological quality and content of recommendations. PLOS ONE, 17(2), e0263444. https://doi.org/10.1371/journal.pone.0263444
Zeitlin, J., Papiernik, E., & Bréart, G. (2004). Regionalisation of perinatal care in Europe. Breart and the Europet Group. Scmin Neonatol, 9, 99-110. http://doi.org/10.1016/j.siny.2003.08.004
Zhilka, N. A., & Kudrya, A.V. (2018b). Maternal mortality trends in Ukraine and its main factors. Medical case. 3-4, 146-53.
Zhilka, N., Shcherbinska, O., & Netskar, I. (2023). Situational analysis of the problem of maternal mortality in Ukraine and ways to solve it. Women's Reproductive Health, 4, 7-12. https://doi.org/10.30841/2708-8731.4.2023.285759
Zhylka, N. Y., & Kudria, A. V. (2018a). Trends of maternal mortality in Ukraine and it’s main causes. Likars’ka Sprava. 3-4, 161-168. https://doi.org/10.31640/JVD.3-4.2018(27)
Brizuela, V., Leslie, H., Sharma, J., Langer, A., & Tunçalp, Ö. (2019). Measuring quality of care for all women and newborns: how do we know if we are doing it right? A review of facility assessment tools. Lancet Glob Health, 7(5), 624-632. http://doi.org/10.1016/S2214-109X(19)30033-6
Dudina, O. O., & Tereshchenko, A. V. (2014). The first results of the implementation of the measures of the national project "New life - new quality of maternity and childhood care". Bulletin of Social hygiene and org. of health care of Ukraine, 1, 5-12. Retrieved from http://www.irbis-nbuv.gov.ua/cgi-bin/irbis_nbuv/cgiirbis_64.exe?Z21ID=&I21DBN=UJRN&P21DBN=UJRN&S21STN=1&S21REF=10&S21FMT=fullwebr&C21COM=S&S21CNR=20&S21P01=0&S21P02 =0&S21P03=A= &S21COLORTERMS=1&S21STR=%D0%94%D1%83%D0%B4%D1%96%D0%BD%D0%B0%20%D0%9E$
Dudina, O. O., & Voloshina, U. V. (2015). Regulatory and legal provision of regionalization of perinatal care in Ukraine. Health Economics and Law, 1(1), 64-69. Retrieved from http://www.irbis-nbuv.gov.ua/cgi-bin/irbis_nbuv/cgiirbis_64.exe?C21COM=2&I21DBN=UJRN&P21DBN=UJRN&IMAGE_FILE_DOWNLOAD=1&Image_file_name=PDF/eprozd_2015_1_14.pdf
Dudina, O. O., Dzyuba, G. A., Tereshchenko, A. V., & Kovalenko, O. O. (2015). Results of the feasibility study of monitoring and evaluation of regionalization of perinatal care. Ukraine. The health of the nation, 3 (35), 50-58. Retrieved from http://www.irbis-nbuv.gov.ua/cgi-bin/irbis_nbuv/cgiirbis_64.exe?Z21ID=&I21DBN=UJRN&P21DBN=UJRN&S21STN=1&S21REF=10&S21FMT=njuu_all&C21COM=S&S21CNR=20&S21P01=0&S21P0 2=0&S21COLORTERMS=0&S21P03= I=&S21STR=%D0%9625956/2015$
Experts have calculated how many attacks Russia has made against the medical system of Ukraine in 2022. (2023, February 21). Mirror of the week. Retrieved from https://zn.ua/ukr/UKRAINE/eksperti-pidrakhuvali-skilki-atak-proti-medichnoji-sistemi-ukrajini-rosija-zrobila-u-2022-rotsi.html
Family Planning and the 2030 Agenda for Sustainable Development. (2019). United Nations, Department of Economic and Social Affairs, Population Division. New York: United Nations. Retrieved from https://www.un.org/en/development/desa/population/publications/pdf/family/familyPlanning_DataBooklet_2019.pdf
Heaman, M., Sword, W., Akhtar-Danesh, N., Bradford, A., Tough, S., Janssen, P., Young, D., Kingston, D., Hutton, E., & Helewa, M. (2014). Quality of prenatal care questionnaire: instrument development and testing. BMC Pregnancy and Childbirth, 14, 188. http://doi.org/10.1186/1471-2393-14-188
Levels of Neonatal Care. Pediatrics. (2004). Committee on Fetus and Newborn. Retrieved from http://www.slideshare.net/MCH–org–ua/ss–17177098
Malachynska, M. (2023). Reasons for reforming the perinatal care system in Ukraine. Public Administration Aspects, 11(2), 96-102. https://doi.org/10.15421/152324
Moiseyenko, R. O. (2012). National approaches to the implementation of the system of regionalization of perinatal care in Ukraine. Ministry of Health of Ukraine. Retrieved from https://dspace.uzhnu.edu.ua/jspui/handle/lib/21115
On the approval of Methodological recommendations for calculating the level of economic security of Ukraine. No. 1217. (2023, October 29). Order of the Ministry of Economic Development and Trade of Ukraine. Retrieved from https://ips.ligazakon.net/document/TM048285
Reempts, P., Gortner, L., Milligan, D., Cuttini, M., Petrou, S., Agostino, R., Field, D., Ouden, L., Børch, K., Mazela, J., Carrapato, M., & Zeitlin, J. (2007). Characteristics of neonatal units that care for very preterm infants in Europe: Results from the MOSAIC Study. Pediatrics, 120 (4), 815-825. http://doi.org/10.1542/peds.2006-3122
Rogowski, J. A., Horbar, J. D., Staiger, D. O., Kenny, M., Carpenter, J., & Geppert, J. (2004). Indirect vs direct hospital quality indicators for very low–birth–weight infants. JAMA. 291(2), 202-209. http://doi.org/10.1001/jama.291.2.202
Slabky, G. O., Hoyda, N. G., Moiseyenko, R. O., Tereshchenko, A. V., & Dudina, O. O. (2016). The use of SWOT analysis in assessing the implementation of regionalization of perinatal care in Ukraine. Ukraine. The health of the nation, 4, 142-148. Retrieved from http://irbis-nbuv.gov.ua/cgi-bin/irbis_nbuv/cgiirbis_64.exe?C21COM=2&I21DBN=UJRN&P21DBN=UJRN&IMAGE_FILE_DOWNLOAD=1&Image_file_name=PDF/Uzn_2016_4_24.pdf
Tereshchenko, A. V., Dudina, O. O., & Moiseyenko, R. O. (2014). Technology of monitoring and evaluation of regionalization of perinatal care. Women's health, 9(95), 22-27. Retrieved from http://nbuv.gov.ua/UJRN/Zdzh_2014_9_4
Wilson, A., Hoang, H., Bridgman, H., Crocombe, L., & Bettiol, S. (2022). Clinical practice guidelines and consensus statements for antenatal oral healthcare: An assessment of their methodological quality and content of recommendations. PLOS ONE, 17(2), e0263444. https://doi.org/10.1371/journal.pone.0263444
Zeitlin, J., Papiernik, E., & Bréart, G. (2004). Regionalisation of perinatal care in Europe. Breart and the Europet Group. Scmin Neonatol, 9, 99-110. http://doi.org/10.1016/j.siny.2003.08.004
Zhilka, N. A., & Kudrya, A.V. (2018b). Maternal mortality trends in Ukraine and its main factors. Medical case. 3-4, 146-53.
Zhilka, N., Shcherbinska, O., & Netskar, I. (2023). Situational analysis of the problem of maternal mortality in Ukraine and ways to solve it. Women's Reproductive Health, 4, 7-12. https://doi.org/10.30841/2708-8731.4.2023.285759
Zhylka, N. Y., & Kudria, A. V. (2018a). Trends of maternal mortality in Ukraine and it’s main causes. Likars’ka Sprava. 3-4, 161-168. https://doi.org/10.31640/JVD.3-4.2018(27)
Переглядів анотації: 306 Завантажень PDF: 192
Опубліковано
2024-03-31
Як цитувати
Марічереда, В., Орабіна, Т., & Рогачевський, О. (2024). Інноваційні цільові центри як ключовий інструмент удосконалення системи надання перинатальної допомоги в Україні в умовах забезпечення національної демографічної безпеки. Аспекти публічного управління, 12(1), 76-82. https://doi.org/10.15421/152410
Номер
Розділ
Стаття
Ця робота ліцензується відповідно до Creative Commons Attribution 4.0 International License.
