Regional analysis of the supply of general practitioners-family doctors in Ukraine in the period from 2008 to 2020
DOI:
https://doi.org/10.32782/2077-6594/2023.1/02Keywords:
family medicine, availability of doctors, dynamics, primary medical care, staffingAbstract
The purpose of the study is to analyze the availability of primary care physicians, in particular general practitioners (GP), taking into account regional characteristics in Ukraine. Research materials and methods. An analysis of the dynamics of availability of primary care doctors in Ukraine from 2008–2020. The trends of GP availability dynamics were calculated using regression analysis. The Chi-square method was used to compare the structures. Research result. In 2020, the supply of primary care physicians (PCP) and their share in the overall medical structure in Ukraine was the lowest among OECD countries. From 2008 to 2020, there was a tendency to decrease the provision of PCP doctors and a significant increase in the provision of general practitioners (GP) against the background of a decrease in the provision of therapists and pediatricians. An analysis of the GP supply by regions indicates the presence of regional peculiarities. The highest indicators were found in Vinnytsia, Zakarpattia, Lviv, Ternopil and Chernivtsi regions, and the lowest – in Luhansk, Donetsk, Kherson, Kharkiv and Kirovohrad regions. From 2013 to 2021, in Ukraine there was an increase of 8.4% in the number of full-time GP positions in health care institutions, and the average staffing of these positions by individuals increased from 70.69+1.86% in 2013 to 76.39+1.6% in 2021. Conclusions. In the course of the study, we established that in Ukraine there is a shortage of primary care doctors in the health care system and an uneven distribution of human resources of this level of care by region, the priority of provision of secondary specialized care doctors over primary care care is maintained, uneven geographic staffing of GP full-time positions by natural persons, especially low staffing in Kirovohrad, Kherson, Luhansk, Mykolaiv regions and the city of Kyiv.
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