Algorithm for preparing the primary health care system for the provision of comprehensive oncological medical care to the population

Abstract

Introduction. In the health care system of Ukraine, medical care for the population with malignant neoplasms is being integrated into the level of primary medical care. Objective: to develop an algorithm for preparing the primary health care system for the provision of comprehensive oncological medical care to the population in modern conditions. Materials and methods. Materials: expert definition of types of medical care for the population with oncological pathology, which should be provided at the primary level of medical care by independent experts. 7 oncologists and 12 family doctors acted as the experts. During the study, the confidentiality of information about experts was preserved. Legislative framework of Ukraine on this issue. Methods: bibliosemantic, of expert assessments, medico-statistical (calculation of relative indicators based on the results of examination) and of structural-and-logical analysis. Results. Experts have determined that the following types of oncological medical care should be provided at the primary level: communication with the adult population on the formation of a healthy lifestyle, health-preserving behavior and prevention of malignant neoplasms; formation among the population adherence to a motivated responsible attitude to personal health and the health of family members, as well as adherence to undergoing targeted oncological preventive examinations; conducting targeted oncological preventive examinations of the population to identify forms of visual localization at the early stages of the development of malignant neoplasms; referral of the population with suspected malignant neoplasms along optimal medical routes to the level of specialized oncological care; medical supervision of patients with malignant neoplasms after specialized treatment in specialized health care institutions; providing patients with malignant neoplasms in the terminal stages of development with palliative care; psychological support for patients with malignant neoplasms and their family members. In order to prepare the primary care system for this type of activity, tasks for all participants in the process and at the levels of their management are defined. Conclusions. The algorithm for preparing the primary health care system for the provision of comprehensive oncological medical care to the population with an expert definition of the types of medical care for the population with oncological pathology that should be provided at the primary level of medical care and tasks in this area of activity by levels of management and participants in the process is presented.