Challenges of medical science and education: an experience of EU countries and ractical introduction in Ukraine

Abstract

Analysis of staffing of the health system in the Transcarpathian region with specialized medical care, both in General and specific occupational groups of professionals, has allowed us to establish that in 2018 the proportion of doctors providing specialized medical care reaches 80.6 % (1:5 in relation to the proportion of primary care physicians) that does not match the corresponding ratio in the European Union 1:3. The rate of population provision in Transcarpathian region by medical specialists is 31,07 per 10 thousand population (individuals doctors and 28.3, respectively). The ratio between the number of positions in outpatient clinics and hospitals is 1:1,3. In dynamics during 2014–2018 full-time positions staffing of medical specialists in the Transcarpathian region declined by 3.2%, in particular due to the diagnostic (4.6%) and therapeutic groups (4.3%) and in 2018 it was 92.0% (Ukraine – 88,0%), and the number of medical specialists’ positions decreased by 9.1% (in particular, due to the pediatric group – by 20.1%). The shortage of staff in the Transcarpathian region in 2018 amounted 8.7%, just due to the therapeutic group (11.4%), also there was a significant decrease in the number of pediatricians working in the outpatient clinics of the region indicated (1.7 times). A shortage of doctors is identified in all zones of the region, but the staffing in each is more than 90.0%; except in the mountain zone (88,3%). Taking into account shortage and demographic and geographic features of the Transcarpathian region in the future may increase risks of loss of health workers due to external migration may increase, which may slower the process of health reform in the future