Ключевые слова: model of medical services, screening expert examination technology, medical-diagnostic process, quality of medical service, patient


Objective. To substantiate theoretical and methodological principles, develop scientific and practical recommendations for state management of medical services in Ukraine.

Materials and methods. There were used such research methods as synthesis, analysis, scientific abstraction when specifying the categorical-conceptual framework of research; system structural analysis when developing the conceptual principles of state regulation of the provision of medical services of appropriate quality and accessibility; discriminant analysis when assessing the cost of public health services in Ukraine.

Results. An approach to the formation of a system to improve the efficiency and quality of medical services in Ukraine has been developed. The system of continuous improvement of the quality of medical services has been developed, which combines financial and economic calculations for provided medical services with screening examination of the technology of medical and diagnostic process according to the models of medical services and allows to build a hierarchical management system for financing and quality of medical services.

Conclusions. The has been proposed the method of payment for medical services according to the models of simple and complex medical services, which is the most promising for use in conditions of limited financial resources and involves compliance with the following rules.


Данные скачивания пока не доступны.

Биографии авторов

Olena Karpenko, Dragomanov National Pedagogical University

Doctor of Pedagogical Sciences, Professor

Svitlana Stavytska, Dragomanov National Pedagogical University

Doctor of Psychological Sciences, Professor

Inna Artemenko, Dragomanov National Pedagogical University

Candidate of Pedagogical Sciences, Associate Professor

Iryna Sidanich, University of Educational Management

Dr. hab. of Pedagogical Sciences, Professor

Iryna Prozhoha, National Aviation University

PhD in Economics, Associate Professor


Berwick D., Fox D.M. “Evaluating the quality of medical care”: Donabedian’s classic article 50 years later. The Milbank Quarterly, 2016, vol. 94, no. 2, pp. 237.

Salnikova N.A., Lempert B.A., Lempert M.B. Integration of methods to quantify the quality of medical care in the automated processing systems of medical and economic information. Creativity in Intelligent Technologies and Data Science. Communications in Computer and Information Science, 2015, vol. 535, pp. 307-319.

Cook D.A., Reed D.A. Appraising the quality of medical education research methods: the medical education research study quality instrument and the Newcastle–Ottawa scale-education. Academic Medicine, 2015, vol. 90, no. 8, pp. 1067-1076.

Mell H.K., Mumma S.N., Hiestand B., Carr B.G., Holland T., Stopyra J. Emergency medical services response times in rural, suburban, and urban areas. JAMA surgery, 2017, vol. 152, no. 10, pp. 983-984.

Meesala A., Paul J. Service quality, consumer satisfaction and loyalty in hospitals: Thinking for the future. Journal of Retailing and Consumer Services, 2018, vol. 40, pp. 261-269.

Brownlee S., Chalkidou K., Doust J., Elshaug A.G., Glasziou P., Heath I., ... Korenstein D. Evidence for overuse of medical services around the world. The Lancet, 2017, vol. 390, no. 10090, pp. 156-168.

Lewis M.A., Lewis C.E., Leake B., King B.H., Lindemanne R. The quality of health care for adults with developmental disabilities. Public health reports, 2002, vol. 117, no. 2.

Claesson A., Bäckman A., Ringh M., Svensson L., Nordberg P., Djärv T., Hollenberg J. Time to delivery of an automated external defibrillator using a drone for simulated out-of-hospital cardiac arrests vs emergency medical services. Jama, 2017, vol. 317, no. 22, pp. 2332-2334.

Sweeney J.C., Danaher T.S., McColl-Kennedy J.R. Customer effort in value cocreation activities: Improving quality of life and behavioral intentions of health care customers. Journal of Service Research, 2015, vol. 18, no. 3, pp. 318-335.

Mould-Millman N.K., Dixon J.M., Sefa N., Yancey A., Hollong B.G., Hagahmed M., ... Wallis L.A. The state of emergency medical services (EMS) systems in Africa. Prehospital and disaster medicine, 2017, vol. 32, no. 3, pp. 273-283.

Tsai T.C., Orav E.J., Jha A.K. Patient satisfaction and quality of surgical care in US hospitals. Annals of surgery, 2015, vol. 261, no. 1, pp. 2-8.

Millenson M.L. Demanding medical excellence: Doctors and accountability in the information age. University of Chicago Press, 2018.

Arai H., Ouchi Y., Toba K., Endo T., Shimokado K., Tsubota K., ... Rakugi H. Japan as the front-runner of super-aged societies: Perspectives from medicine and medical care in Japan. Geriatrics & gerontology international, 2015, vol. 15, no. 6, pp. 673-687.

Dummit L.A., Kahvecioglu D., Marrufo G., Rajkumar R., Marshall J., Tan E., ... Hassol A. Association between hospital participation in a Medicare bundled payment initiative and payments and quality outcomes for lower extremity joint replacement episodes. Jama, 2016, vol. 316, no. 12, pp. 1267-1278.

Ahmad M.M., Al-Daken L.I.L., Ahmad H.M. Quality of life for patients in medical–surgical wards. Clinical Nursing Research, 2015, vol. 24, no. 4, pp. 375-387.

Aidala A.A., Wilson M.G., Shubert V., Gogolishvili D., Globerman J., Rueda S., ... Rourke S.B. Housing status, medical care, and health outcomes among people living with HIV/AIDS: a systematic review. American journal of public health, 2016, vol. 106, no. 1, pp. e1-e23.

Wu H.T., Huang J., Shi Y.Q. A reversible data hiding method with contrast enhancement for medical images. Journal of Visual Communication and Image Representation, 2015, vol. 31, pp. 146-153.

Просмотров аннотации: 553
Загрузок PDF: 161
Как цитировать
Karpenko, O., Stavytska, S., Artemenko, I., Sidanich, I., & Prozhoha, I. (2021). IMPROVEMENT OF MECHANISMS FOR STATE MANAGEMENT OF CONTINUOUS IMPROVEMENT OF QUALITY OF PROVISION OF MEDICAL SERVICES IN UKRAINE. Siberian Journal of Life Sciences and Agriculture, 13(2), 64-76.
Здравоохранение и профилактическая медицина