ASSESSMENT OF THE IMPORTANCE OF THE PROBLEM OF AMBULATORY CARE SENSITIVE CONDITIONS IN UKRAINE

Abstract

The purpose of the study was to identify the most relevant ambulatory care sensitive conditions (ACSCs) for the adult population (over 18 years old) in Ukraine (an exhaustive list of 8 to 10 diseases) and to identify the highest priority marker ACSCs as indicators of the effectiveness of primary care (2 to 4 diseases).
Materials and methods. In accordance with the WHO methodological recommendations for assessing ACSC in the European Region, a multistage study adapted to national realities involving 104 key informants – representatives of interested parties: general practitioners, specialists, health managers and a dedicated expert group.. The survey was conducted on a standardized questionnaire for self-analysis of ACSC after a lot of preparatory work to determine the list of ambulatory-sensitive conditions and analyze available statistical information on the hospital discharges.
Results. According to the integrated assessment of statistical data and the opinions of the respondents, the most significant ACSC s in Ukraine that require special attention include: pneumonia, perforated/bleeding ulcer, pyelonephritis (for acute diseases); diabetes, hypertension, angina Pectoris, chronic obstructive pulmonary disease, asthma (for chronic diseases); diphtheria, tuberculosis, measles (for Immunization-preventable conditions).
Conclusions. The conception of ACSC in modern conditions does not lose its relevance due to the possibility of strengthening the health systems at the expense of primary care and balancing the needs and measures of prompt response in connection with the threat COVID-19. It has been determined that such ACSCs as pneumonia, diabetes, hypertension, angina pectoris and tuberculosis are the representative markers of the effectiveness of providing PHC in Ukraine.