Intersectoral component of the structural and functional management model: a methodology for developing regional prevention programs and evaluating its effectiveness (for example, the child population of certain administrative regions of Ukraine)
AbstractModern ideas about comprehensive assessments of the level of health are based on synthetic (complex, integral, multidimensional) indicators, the requirement for which is the need to take into account various (by origin and methods of obtaining) health indicators both at the individual and population, regional levels. In recent years, many methodological methods have been processed to obtain a comprehensive qualitative and quantitative assessment of the state of individual health. Obtaining a generalized qualitative and quantitative assessment remains the most important methodological task of modern theory and practice of public administration and public health. The purpose of the study was to develop a methodology for substantiating intersectoral regional prevention programs and an algorithm for evaluating their effectiveness using the example of a dysplastic-dependent pathology of the bronchopulmonary system in children. In developing and justifying population-based management models for early diagnosis and primary prevention, we used systematic population modeling methods. The expected indicators of the pathogenic and sanogenic effects of the most significant regional and environmental factors of the dysplastic-dependent pathology of the bronchopulmonary system among children are determined. Substantiated models of end results for modification of risk factors and the expected effectiveness of the N-factor regional and environmental program for the primary prevention of dysplastic dependent pathology of the bronchopulmonary system in children. Priority areas for the implementation of regional-population programs for the prevention of dysplastic-dependent pathology of the bronchopulmonary system in children due to the impact on controlled environmental environmental factors are determined. An example of calculating the expected effectiveness of children's health management through interdepartmental interaction at the regional level is given. Prospects for further research on this issue related to a prospective evaluation of the effectiveness of intersectoral programs to reduce the influence of regional environmental factors on the health status of the child population, in particular, dysplastic-dependent pathology of the bronchopulmonary system.
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