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Deprecated: Implicit conversion from float 243.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Wiad+Lek 2020 ; 73 (11): 2358-2363 Nephropedia Template TP
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ACTUAL PROBLEMS OF DERMATOVENEROLOGICAL SERVICE DEVELOPMENT: OPINION OF SERVICE PROVIDERS #MMPMID33454668
Gruzieva TS; Korolenko VV; Inshakova HV
Wiad Lek 2020[]; 73 (11): 2358-2363 PMID33454668show ga
OBJECTIVE: The aim: To determine the features and trends of dermatovenerological health of population; to identify conditions and problems of providing dermatovenerological care. PATIENTS AND METHODS: Materials and methods: Bibliographic, epidemiological, medico-statistical, sociological methods were used. Scientific literature, data from the Center of Medical Statistics of the Ministry of Health of Ukraine concerning population health and dermatovenerological establishments activity on 2000-2019, data of authors; own sociological researches on opinion of dermatovenerological profile experts about available problems and ways of their decision were analyzed. RESULTS: Results: A long-term tendency towards a decrease in the incidence of skin and subcutaneous tissue diseases by 8,6% during 2000-2017 and the incidence of venereal diseases during 2000-2019 was revealed (for syphilis - by 15,5 times, gonorrhea - by 6,8 times). At the same time, during 2014-2019 there was an increase in the incidence of atopic dermatitis by 3,6%, of contact dermatitis - by 5,2%, of trichophytia and microsporia by 22,6%, as well as increase in the prevalence of psoriasis - by 6,0%. The incidence of sexually transmitted diseases remains significant. Trends in recent years indicate a deterioration in dermatological health and an increasing need for medical services. During healthcare reforming over the course of nineteen years there was a reduction in the amount of dermatovenerologists and their number per population by 31,5%, the amount of dermatological institutions - by 2,6 times and beds - by 3,9 times. According to 18,6+/-3,1 per 100 surveyed respondents, the availability of dermatovenerological care to the population is low, and its deterioration in the COVID-19 pandemic was confirmed by 80,1+/-4,0. Some factors that negatively affect the quality of medical services have been identified: insufficient amount and quality of medical equipment (57,1+/-4,0 per 100 respondents), insufficient opportunity for continuous professional development (34,0+/-3,8); lack of computers (30,8+/-3,7); lack of motivation to improve the quality of work (28,8+/-3,6). The priority measures that need to be taken to improve dermatovenerological medical services have been identified. CONCLUSION: Conclusions: The study of dermatovenerological profile experts; opinion regarding the current state of the dermatovenerological service, human resources, the availability and quality of the services made it possible to identify a number of organizational and administrative problems as well as to prioritize activities on providing dermatovenerological care to the population in the context of healthcare reform and COVID-19 pandemic.
Wiad+Lek 2020 ; 73 (11): 2358-2363
