The territorial peculiarities of health system development of the Sumy region

Abstract

Sumyregion has a well-developed and extended regional health system, which includes medical institutions of various capacity and functionality. Although the network of medical institutions in the region as a whole corresponds to the administrative-territorial division and settlement structure, institutions of health care is unevenly placed on the territory and for meet the needs of the population is not enough for health services. The network of medical institutions, medical personnel and the number of beds in the area are gradually reduced. By using cluster analysis were investigated the territorial disparities in health care.

As a result 3 groups of administrative districts were singled out by the level of health system development. The first group is high-leveled and consists ofSumy. The second group annexes districts of average level (Romny,Sumy, Hlukhiv, Konotop, Putivl and Bilopillia districts). The third group includes districts of low level (Yampil, Seredyna-Buda, Okhtyrka, Lebedyn, Shostka, Krasnopillya, Nedryhayliv, Trostianets, Lypova Dolyna, Buryn, Krolevets and Velyka Pysarivka districts).

Among priority ways of healthcare system development should be highlighted creation of relevant territorial organization of medical institutions that will provide transport accessibility to health services. Also, it is necessary to normalize the supply of medical institutions and personnel, especially family physicians who provide health care in the prehospital phase. In rural settlements of the region, where there are no hospitals, is necessary to organize a visiting medical care and compulsory routine inspection of population.