СУЧАСНІ ПІДХОДИ ДО ОРГАНІЗАЦІЇ НАДАННЯ ОНКОЛОГІЧНОЇ ДОПОМОГИ
Ключові слова:
злоякісні новоутворення, онкологічна допомога, канцер-реєстр, 5-річна популяційна виживаність, державна цільова програма, фармакоекономіка, реабілітація, організація і управління охороною здоров’я.Анотація
Метою роботи є аналіз наукових публікацій щодо деяких сучасних підходів до організації надання онкологічної допомоги населенню в різних країнах і стану реалізації таких підходів в Україні. Динаміка показників захворюваності та смертності населення України протягом останніх 10 років,
характеристика діяльності онкологічної служби свідчать про необхідність
удосконалення всіх ланок протиракової боротьби. Для переходу до світових стандартів при обмеженості фінансового забезпечення і низькому рівні матеріально-технічних ресурсів необхідне реформування системи охорони здоров’я. При цьому вкрай важливою є реалізація всіх сучасних підходів до оптимальної організації останньої.
Посилання
Word Health Organization. Media Center. Cancer. Fact sheet (February 2017). Available from: http://www.who.int/mediacentre/factsheets/fs297/en/.
Global Health Observatory (GHO) data. NCD mortality and morbidity. WHO, 2017. Available from: http://www.who.int/gho/ncd/mortality_morbidity/en/.
Ferlay J, Soerjomataram I, Ervik M, et al. GLOBOCAN 2012 v1.0, Cancer Incidence and Mortality Worldwide: IARC CancerBase No. 11 [Internet]. Lyon, France: International Agency for Research on Cancer; 2013. Available from: http://globocan.iarc. fr, accessed on 04/12/2017.
Global Health Observatory Data Repository. Life tables by country. Ukraine/World Health Organization [Електронний реcурс] (Last updated: 2017–10–07) (http://apps.who.int/gho/data/node.country.country-UKR?lang=en.).
Cancer in Ukraine, 2014–2015. Morbidity, mortality, indicators of the oncology service activity. Bull Natl Cancer Register Ukr; Kyiv, 2016; (17). 144 p. (in Ukrainian).
Cancer in Ukraine, 2015–2016. Morbidity, mortality, indicators of the oncology service activity. Bull Natl Cancer Register Ukr; Kyiv, 2017; (18): 5–87 (in Ukrainian).
Michailovich YI, Zhurbenko AV. Criteria and assessment methodologies of the state-funded program of cancer сontrol efficiency. Clin Oncol 2016; (3): 6–10 (in Ukrainian).
Drummond MF, Sculpher MJ, Torrance GW. Methods for the economic evaluation of health care programmes. 3rd edn. Oxford: Oxford University Press, 2005. 396 p.
de Angelis R, Sant M, Coleman MP, et al. Cancer survival in Europe 1999–2007 by country and age: results of EUROCARE-5— a population-based study. Lancet Oncol 2014; 15: 23–34.
Mandrik O, Gaysenko A, Michailovich Y, et al. Methods of pharmacoeconomic analysis in treatment of oncologic diseases. Clin Oncol 2011; (4): 4–7 (in Ukrainian).
Anishchenko OV, Tolstanov OK, Voronenko VV, et al. Modern tasks in the field of healthcare reform. Actual problems in family medicine: Materials of IX Int Sci-Pract Conf, Zhytomyr, April 14, 2011 — Zhytomyr, 2011: 5–18 (in Ukrainian).
Fedorenko ZP, Gulak LO, Gorokh YL, et al. New approaches to the evaluation of cancer care to the population. Clin Oncol 2015; (3): 3–6 (in Ukrainian).
Oncology. Bilynsky BT et al., eds. Lviv: Meditsina Svitu, 1998. 272 p. (in Ukrainian).
Ryzhov A, Fedorenko Z, Gorokh E. The use of hospitalbased cancer registries as a source for National Cancer registry of Ukraine. 35th Int Ass Cancer Registries Conf, Buenos Aires, Argentina, 22–24 October 2013: 47.
Gaisenko AV, Michailovich YI, Gulak LO, Zhurbenko AV. Evaluation of index survival in cancer patients, as indicator of the quality specialized medical care. Oncology 2010; 12 (1), Special issue): 97–101 (in Ukrainian).
Fedorenko ZP, Gulak LO, Ryzhov AY, et al. Use of population survival rates as evaluation criteria of oncological care to patients with cancer of genitourinary organs. Clin Oncol 2014; (3): 11–4 (in Ukrainian).
Fedorenko ZP, Gaysenko AV, Gulak LO, et al. Survival of patients as an indicator of the quality of organization of cancer care for cervical cancer patients. Cancer in Ukraine, 2010–2011. Morbidity, mortality, indicators of the oncology service activity. Bull Natl Cancer Register of Ukraine; Kyiv, 2012; (13): 72–87 (in Ukrainian).
Fedorenko ZP, Gulak LO, Ryzhov AY, et al. Organization of cancer care for patients with cancers of male genito-urinary organs in Ukraine. Clin Oncol 2017; (3): 39–44 (in Ukrainian).
Michailovich YI, Fedorenko ZP, ZhurbenkoAV. Evaluation of the quality and effectiveness of government programs in oncology. Opinion. Clin Oncol 2014; (3): 9–10 (in Ukrainian).
Tolstanov OK, Pari VD, Mishkovsky VS, et al. Organizational aspects of participation of the population of Zhytomyr region in the financing of medical care. Materials of the 5-th interregional scientific-practical conference «Actual questions of family medicine». Zhytomyr, 2008: 27–39 (in Ukrainian).
Misiak SA. Methodology of realization of rehabilitation individual program for cancer patient/invalid in a rehabilitation center. Onology 2015; 17 (4): 292–5 (in Ukrainian).
Misiak SA. The need for rehabilitation activities for workingage adults with the primary disability with cancer in the regions of Ukraine for 2001–2011. Onology 2016; 18 (3): 233–7 (in Ukrainian).
Pary VD, Mishkovsky VS, Tolstanov OK, et al. Experience in introducing a medical form in the medical institutions of Zhytomyr region. Materials of the II Scientific and Practical Conference «Pharmacoeconomics in Ukraine: the state and prospects of development». Kharkiv, 2009: 137–9 (in Ukrainian).
http://zakon2.rada.gov.ua/laws/show/1621–15 [Electron resource] Document 1621–15, — Red 02.12.2012; basis 5463–17 (in Ukrainian).
Michailovich YI, ZhurbenkoAV. Assesment of the statefunded cancer control program. Practical aspect and philosophy of the decision. Clin Oncol 2017; (3): 6–10 (in Ukrainian).
Tolstanov OK, Parry VD, Grischuk SM. Introduction of local clinical protocols as an instrument for improving the quality of medical care. Materials of the All-Ukrainian Scientific and Practical Conference «Improving the quality of medical care: scientific principles and practical results». Kyiv, 2010: 143–4 (in Ukrainian).
Pary VD, Boris VM, Grischuk SM. Determination of indicators for optimization of the bed fund of health facilities of the hospital district. Science Rise 2015; (10/3): 97–100 (in Ukrainian).
Macgrave RA, Macgrave PB. Public Finances: theory and practice. M: Business Atlas, 2009. 148 p. (in Russian).
Voronenko YV, Hoyda NG, Zozulya IS, et al. Modern approaches to the management of material resources of the medical institution. Ukr Med J 2013; (1): 19–22 (http://www.umj.com.ua) (in Ukrainian).
Anikin BA. Logistics. Moscow: INFRA-M, 2011. 352 p. (in Russian).
Voronenko YV, Goyda NG, Kryshtopa BP, et al. New approaches to the preparation of heads of Ukrainian Governments and Health Care Institutions. Collection sciences co-workers NMAPO named after PL Shupik. Kyiv, 2012; 21 (1): 518–28 (in Ukrainian).
Voronenko YV, Goyda NG, Latyshev YE, et al. Innovative forms of postgraduate training of healthcare organizers in Ukraine: the first experience. Modern Med Technol 2013; 2: 27–9 (in Ukrainian).
Voronenko YV, Goyda NG, Mikhalchuk VM, et al. The experience of training healthcare managers at the National Medical Academy of Postgraduate Education named after P.L. Shupik. Ukr Med J 2013; (3): 32–4 (http://www.umj.com.ua) (in Ukrainian).
Aistrakhanov DD, Volynkin II, Dudina OO, et al. Intersectoral Integrated Program «Health of the Nation». 2007. K.,
153 p.
Chekhun VF, Lukyanova NYu, Shepelenko IV, et al.Method of risk recurrence assessment in breast cancer patients. Information letter on innovations in the field of public health № 189. 2016. 6 p.
Chekhun VF, Lukyanova NYu, Shepelenko IV, Klyusov OM, et al. Method of determining the degree of malignancy of tumors in breast cancer patients. Pat of Ukraine for Useful Model №111510; dated 10.11.2016, Official Bull «Promyslova vlasnist» 2016; (21). Information letter on innovations in public health № 191–2016.