Comparison of indicators of provision of doctors in Ukraine and some countries of the European Union
DOI:
https://doi.org/10.32782/2077-6594/2024.3/05Keywords:
availability of doctors, human resources, doctors, health care facilities, forecastingAbstract
Purpose: The purpose of the study was to compare the indicators of the supply of doctors per 1000 population in Ukraine and some countries of the European Union (Hungary, Latvia, Lithuania, Poland, Bulgaria, Romania) in the period 2020–2022. Materials and methods. To compare the availability of doctors per 1,000 population in Ukraine in accordance with the International Standard Classification of Professions ISCO-08, statistical directories of the Public Health Center of the Ministry of Health of Ukraine for 2020-2022 and the OECD.Stat database on availability for Eastern European countries were used (Hungary, Latvia, Lithuania, Poland, Bulgaria, Romania). Forecasting of the supply of doctors in Ukraine until 2028 was carried out. Results. In 2022, the indicator of availability of doctors in all health care facilities was 3.977 per 1,000 population, in health care facilities of the Ministry of Health of Ukraine – 3.355 per 1,000 population. The indicator of provision of medical doctors in Ukraine in all health care facilities was 2.89 per 1,000 population, in health care facilities of the Ministry of Health of Ukraine – 2.36 per 1,000 population. The indicator of provision of medical doctors per 1,000 population in Ukraine is the lowest in comparison with benchmarking countries. By 2028, a significant decrease in the supply of doctors in Ukraine is predicted (p<0.05). It was determined that in case of dismissal of 2 retired doctors, 1 intern doctor claims their place. In Ukraine, there is an increase in the number of doctors who migrate to work abroad. Conclusion. A comparative analysis of the supply of doctors in Ukraine with benchmarking countries indicates a certain conditionality of the comparison due to the lack of reliable information about the population. However, the revealed trends indicate the existence of challenges for the health care system of Ukraine in the medium-term perspective regarding the sufficient number of doctors to provide the population with affordable and high-quality care.
References
Гуцалюк ОМ. Аналіз стану кадрового забезпечення сфери охорони здоров’я України у період реформування. Вісник економічної науки України. 2019; 2 (37): 110–114. doi: https://doi.org/10.37405/1729-7206.2019.2(37).110-114.
Волосовець О, Заболотько В, Волосовець А. Кадрове забезпечення галузі охорони здоров’я в Україні та світі: сучасні виклики. Українські медичні вісті, 2023; (1): 20–26. https://doi.org/10.32471/umv.2709-6432.84.57.
Власенко РВ. Щодо кадрового забезпечення галузі охорони здоров’я. Національний інститут стратегічних досліджень. https://niss.gov.ua/sites/default/files/2021-09/ohorona-zdorovya.pdf
Сабецька Т. Аналіз кадрового забезпечення галузі охорони здоров’я України. Економіка та суспільство, 2022; (40). https://doi.org/10.32782/2524-0072/2022-40-26
Статистичні дані МОЗ України. Центр громадського здоров'я МОЗ України http://medstat.gov.ua/ukr/statdan.html
OECD Data Explorer-Archive. https://stats.oecd.org/index.aspx?DataSetCode=HEALTH_REAC#
International Standard Classification of Occupations https://www.ilo.org/sites/default/files/wcmsp5/groups/public/@dgreports/@dcomm/@publ/documents/publication/wcms_172572.pdf
Статистика населення України. http://db.ukrcensus.gov.ua/MULT/Dialog/statfile_c.asp
United Nations. Department of Economic and Social Affairs Population Division. https://population.un.org/wpp/
Стратегія демографічного розвитку України на період до 2040 року. https://www.msp.gov.ua/projects/870/ [режим доступу 20.08.2024]
International Monetary Fund. World Economic Outlook. https://www.imf.org/en/Publications/WEO/Issues/2024/04/16/world-economic-outlook-april-2024?cid=ca-com-homepage-SM2024
Statistics Poland. https://stat.gov.pl/en/topics/health/
Národné centrum zdravotníckych informácií. https://www.nczisk.sk/Statisticke_vystupy/Zdravotnicka_rocenka/Pages/default.aspx
Урядовий портал. МОЗ обговорило з партнерами перспективи фінансування первинної медичної допомоги. https://www.kmu.gov.ua/news/moz-obhovorylo-z-partneramy-perspektyvy-finansuvannia-pervynnoi-medychnoi-dopomohy
Богдан Д, Бойко А, Василькова А. Кадрові ресурси системи охорони здоров’я в Україні. Ситуаційний аналіз. Проєкт USAID «Підтримка реформи охорони здоров’я». 2019. https://www.skeptic.in.ua/wp-content/uploads/HRH-situationalanalysis-2019.pdf
Підтримка ментального здоров'я в часи війни. Національний інститут стратегічних досліджень. https://niss.gov.ua/news/komentari-ekspertiv/pidtrymka-mentalnoho-zdorovya-v-chasy-viyny
European Commission, Consumers, Health, Agriculture and Food Executive Agency, Kovács, E., Szegner, P., Langner, L. et al., Mapping of national health workforce planning and policies in the EU-28 – Final study report, Publications Office, 2021, https://data.europa.eu/doi/10.2818/870828
European Commission, Joint Research Centre, Bernini, A., Icardi, R., Natale, F. et al., Supply and demand model for the healthcare workforce in the EU27 – Data sources and model structure, Publications Office of the European Union, 2024, https://data.europa.eu/doi/10.2760/957386
