Medical and social justification of the system of providing medical care to patients with malignant neoplasms at the regional level for the purpose of disease prevention

Abstract

Introduction. The aim of the study. To propose a new methodical approach for the creation of a system of providing medical care to patients with malignant neoplasms at the regional level for the purpose of disease prevention. Research materials and methods. Conceptual functional-organizational model and principles of creating a system of providing medical care to patients with malignant neoplasms at the regional level for the purpose of disease prevention. Results and discussion. The conducted research established: the main strategies for solving the problem of improving oncology care for the population; policy bases of the system of providing medical care to patients with malignant neoplasms; the goals of the system of providing medical care to patients with malignant neoplasms; the state social program of prevention and countermeasures against malignant neoplasms with subprograms; functional and organizational structure of the management entity; functions of the management entity, resources of the regional center for the prevention and counteraction of malignant neoplasms; types of medical care that rely on the regional center for the prevention and control of malignant neoplasms. Thus, the component set of the management entity includes management bodies at the sectoral, regional and local levels – the Ministry of Health of Ukraine, the health care department of the regional state administration, the health care department of the district state administration, the city state administration, coordination councils for prevention and prevention of malignant neoplasms. As a new component, management bodies of united territorial communities are added, which are entrusted by law with the responsibility for community health care and which are able to use new financing mechanisms for priority measures – through direct transfers with the state budget and by filling local budgets from additional sources. A new element has been introduced into the model of the system of providing medical care to patients with chronic diseases at the regional level – the regional / regional Center for the prevention and counteraction of chronic diseases, the purpose of which is to meet the needs of patients in integrated interdisciplinary tertiary medical care and consultative and organizational-methodological support for the provision of secondary and primary care medical assistance. Conclusions. 1. The creation of a conceptual functional and organizational model of the system of providing medical care to patients with malignant neoplasms at the regional level for the purpose of disease prevention is currently a priority direction in modern health care. 2. A crucial role in the prevention of malignant neoplasms is played by the way of life of people, which is based on awareness of the leading risk factors for the occurrence of malignant diseases. 3. With the help of targeted preventive examinations, it is possible to timely detect malignant neoplasms in the early stages of their development, which contributes to effective prevention and timely treatment of oncological diseases.