Neurosurgery service development prospective after medical service reforms in Ukraine
DOI:
https://doi.org/10.25305/unj.78791Keywords:
neurosurgical service of Ukraine, optimizationAbstract
There are a lot of neurosurgical beds and neurosurgeons in Ukraine. In many cities neurosurgical service provide a medical care for patients mainly with mild to moderate degree of TBI. Surgical activity is very low. The number of operations per neurosurgeon is nearly 50, and without TBI patients — 38 per year. This raises o lot of questions and concerns about the competence of professionals. There are unreasonably large number of neurosurgeons and neurosurgical beds in the Kyiv also.
We can conclude that at least 50% of patients in some offices are hospitalized without indications. In case of implementing medical staff salary based on payment for patient’s treatment number of neurosurgical beds and neurosurgeons can be reduced. Ukrainian Association of Neurosurgeons and regional associations should inspect the service and every neurosurgeon and identify the way for optimization and be ready to work in new reformed medicine.
References
1. Pedachenko E, Sapon N, Huk A, Nikiforova A. Neurosurgical service in Ukraine. Ukrainian Neurosurgical Journal. 2014;(1):32-41. Russian. [Abstract/Full Text]
2. Pedachenko E, Huk A. The concept of development of the neurosurgical service in Ukraine. Ukrainian Neurosurgical Journal. 2014;(2):4-7. Ukrainian. [Abstract/Full Text]
3. Polishchuk M. Perspectives of work and training of neurosurgeons in Ukraine. Ukrainian Neurosurgical Journal. 2014;(4):78-9. Ukrainian. [Abstract/Full Text]
4. Lekhan VM, Rudiy VM. Osnovni shlyakhy podalshoho rozvytku systemy okhorony zdorovya v Ukrayini [The main ways of further development of healthcare system in Ukraine]. Kyiv: Izdatelstvo Raevskogo; 2005:168 p. Ukrainian.
5. Chernenko Z, Nadtoka O, Seredyuk K. Yak pidvyshchyty efektyvnist roboty derzhavnykh ta komunalnykh zakladiv okhorony zdorovya [How to improve the efficiency of state and municipal institutions health]. Kyiv: European Information and Research Center: 2015. Ukrainian. Available at: http://radaprogram.org/sites/default/files/infocenter/piblications/komunalnyh_zakladiv_ohorony_zdorovya_blok_165h235_preview_1.pdf
6. Polishchuk MYe, Honcharuk OM. Zakryta cherepno-mozkova travma. Suchasnyy pohlyad na problemu [Closed Craniocerebral Injury. Current View on the Problem]. International Neurological Journal. 2015;6(76):72-80. Ukrainian. Available at: http://www.mif-ua.com/archive/article/41966
7. Polishchuk ME. Likuymo Ukrayinu [Treat the Ukraine]. Ternopil: Ukrmedknyha; 2009. Ukrainian.
8. Paskhaver AI. Kem byt’ [Who to be]. Kiev:Foundation Poroshenko;2014. Russian. Available at: http://c-e-d.info/img/pdf/pashaver%20book%2005-05-2014.pdf
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2016 Mykola Polishchuk
This work is licensed under a Creative Commons Attribution 4.0 International License.
Ukrainian Neurosurgical Journal abides by the CREATIVE COMMONS copyright rights and permissions for open access journals.
Authors, who are published in this Journal, agree to the following conditions:
1. The authors reserve the right to authorship of the work and pass the first publication right of this work to the Journal under the terms of Creative Commons Attribution License, which allows others to freely distribute the published research with the obligatory reference to the authors of the original work and the first publication of the work in this Journal.
2. The authors have the right to conclude separate supplement agreements that relate to non-exclusive work distribution in the form of which it has been published by the Journal (for example, to upload the work to the online storage of the Journal or publish it as part of a monograph), provided that the reference to the first publication of the work in this Journal is included.
