LEGISLATIVE AND REGULATORY GOVERNANCE OF DEPARTMENTAL MEDICINE IN UKRAINE
Abstract
The need for effective reform of the health care system and departmental medicine is due to Ukraine’s integration into the community of European states and its accession to NATO’s International Alliance. This is possible through the development and implementation of effective management mechanisms. The study highlights the causes, features of the formation and functioning of departmental medicine in Ukraine, identifies mechanisms and problems of public administration in this area, their causes and possible solutions using methods of abstraction, systems analysis and structural modeling. The civil and military sectors of departmental medicine are defined and the scheme of subordination of divisions is described, achievements of reform of departmental medicine in the context of reforming of the Ukrainian health care system are investigated. Based on the analysis of the contradictions of research on this problem in the articles of foreign and domestic scientists in various fields and comparative analysis of the existing legal framework identified trends in reforming military and civilian departmental medicine in Ukraine and achieving their reform in other countries. Ways to improve the mechanisms of public administration, structural models of organization and prospects for further development of this medical field are proposed.
References
Resolution of the Cabinet of Ministers of Ukraine оn approval of the State Strategy for Regional Development for 2021-2027. №695 (2020, August 5). Urjadovyj kur'jer 156,7[in Ukrainian].
Constitution of Ukraine Article 49 (1996) Vidomosti Verkhovnoi Rady Ukrainy, 30, 141[in Ukrainian].
Resolution of the Cabinet of Ministers of Ukraine аbout the statement of the Order of use in 2005 of means from the state budget for the centralized actions and programs on public health services. N 323 (2005, April 28) Official Gazette of Ukraine official publication № 18, 19 [in Ukrainian].
Analytical note - "National Institute for Strategic Studies on the current state and further directions of reform of financing and management of the health care system in Ukraine". Retrieved from: http://old2.niss.gov.ua/articles/717/ [in Ukrainian].
Klymenko, O. V. (2013). Substantiation of the need to systematize the legislative acts of Ukraine in the field of public health and the development of a medical code. Derzhavne upravlinnia: udoskonalennia ta rozvytok, 1 Retrieved from: http://www.dy.nayka.com.ua/?op=1&z=679. [in Ukrainian].
Stefanchuk, R. A. (2016). Codification of medical legislation in Ukraine: pro et contra. Publichne pravo, 3(23) Retrieved from: http://www.irbisnbuv.gov.ua/cgibin/irbis_nbuv/cgiirbis_64.exe?I21DBN=LINK&P21DBN=UJRN&Z21ID=&S21REF=10&S21CNR=20&S21STN=1&S21FMT=ASP_meta&C21COM=S&2_S21P03=FILA=&2_S21STR=pp_2016_3_5 [in Ukrainian].
Ghladun, Z.S. (2005). State health policy in Ukraine (administrative and legal problems of formation and implementation), Ekonomichna dumka Ternopil [in Ukrainian].
Rudyj, S.A., Ghuk, A.P. (2016). Comparison of structural elements of management of health care systems of separate countries of Europe and Ukraine. Ekonomika i pravo okhorony zdorov'ja, 2 (4), 89-99. [in Ukrainian].
Law of Ukraine оn Amendments to Article 6 of the Law of Ukraine "On the State Budget of Ukraine for 2015"№ 906-VIII. (2015 December 24). Urjadovyj kur`jer, 245 [in Ukrainian].
Order of the Cabinet of Ministers of Ukraine on approval of the Concept of reforming (development) of the penitentiary system of Ukraine № 654-r (2017, September 13) Urjadovyj kur`jer,178 [in Ukrainian].
Order of the Ministry of Justice and the Ministry of Health of Ukraine оn amendments to the order of the Ministry of Justice of Ukraine, the Ministry of Health of Ukraine dated August 15, 2014 1. № 1348/5/572 (2020, July 3) //Official Gazette of Ukraine, 56, 109 [in Ukrainian].
Resolution of the Cabinet of Ministers of Ukraine on the approval of the Military Medical Doctrine of Ukraine №910 (2018, October31) Urjadovyj kur`jer, 209 [in Ukrainian].
Law of Ukraine аbout the Security Service of Ukraine № 2229-XII. (1992, March 25). Vidomosti Verkhovnoi Rady Ukrainy, 27, 382 [in Ukrainian].
Order of the Central Department of the Security Service of Ukraine on approval of the Instruction on the organization of medical care in the Security Service of Ukraine № 740 (2017, December 21). Official Gazette of Ukraine 2018, 12, 143 [in Ukrainian].
Draft law of Ukraine оn Amendments to the "On Security Service of Ukraine" on improving the organizational and legal principles of the Security Service of Ukraine №3196-Д (2020, Oktober 26). Verkhovna Rada Ukrainy oficijnyj veb portal Retrieved Мarch 8, 2021, from: https://w1.c1.rada.gov.ua/pls/zweb2/webproc4_1?pf3511=70243 [in Ukrainian].
Order of the Cabinet of Ministers of Ukraine on approval of the Strategy for the Development of the State Border Guard Service №1189-r. (2015, Nowember 23). Ofitsiinyi visnyk Ukrainy, 94, 136 [in Ukrainian].
Order of the Administration of the State Border Guard Service of Ukraine on approval of the instruction on the procedure for providing medical care in health care institutions of the State Border Guard Service of Ukraine No. 1065. (2012, November12). Ofitsiinyi visnyk Ukrainy 2013, 3, 161 Article 83, code Act 65313/2013 [in Ukrainian].
Law of Ukraine оn the central executive authorities № 3166-VI. (2011, March17). Vidomosti Verkhovnoi Rady Ukrainy 38, 1696, Article 385 [in Ukrainian].
Nakaz Ministerstva Vnutrishnikh Sprav Ukrainy «Pro zatverdzhennia Polozhennia pro Upravlinnia medychnoho zabezpechennia ta reabilitatsii MVS Ukrainy»: [Order of the Ministry of Internal Affairs of Ukraine «On approval of the Regulations on the management of medical support and rehabilitation of the Ministry of Internal Affairs of Ukraine»] vid 01.12.2017 r. N 982 (n.d.)ligazakon.net. Retrieved March 8, 2021, from: https://ips.ligazakon.net/document/MVS857 [in Ukrainian].
Order of the Ministry of Defense of Ukraine on amendments to the list of military governance, whose jurisdiction extends to the entire territory of Ukraine No. 624. (2019, December10) Ofitsinyi Visnyk Ukrainy 2020, 1, 135, Article 21, Kod Akta 97308/2019 [in Ukrainian].
Badjuk, M.I., Kovyda, D.V., Mykyta, O.O. (2017). Regulatory framework for medical support of the Armed Forces of Ukraine in the conditions of the introduction of NATO standards. Ekstrena medycyna: vid nauky do praktyky. №2 (23) AKTUALJNI TEMY 11-18 [in Ukrainian].
Order of the Ministry of Health on Amendments to the Order of the Ministry of Health of Ukraine dated December 15, 2003 N 582 "On Approval of Clinical Protocols from Obstetric and Gynecological Aid № 977. (2011December 27). zakon.rada.gov.ua. Retrieved March 8, 2021, from: https://zakon.rada.gov.ua/Rada/Show/V0977282-11#TEXT [in Ukrainian].
Order of the Ministry of Health on the recognition of those who have lost validity, some orders of the Ministry of Health of Ukraine No. 590. (2020, February 28). Publication on official websites of state authorities of Ukraine (2020, February 28).
International experience of creating and functioning of military medical forces (experience in France, Germany and the United States) Information reference prepared by the European Information Research Center for the request of the Verkhovna Rada Committee of Ukraine (2012) Retrieved from: http://euinfocenter.rada.gov.ua/Uploads/Documents/29451.pdf [in Ukrainian].
Permanent structured cooperation (PESCO). Рan-European program. Retrieved from: https://pesco.europa.eu/
Michael Tempel (2018). European Military Medical Services EMMS Retrieved from: https://militarymedicine.com/media/article/3358/attachment-1525244515.pdf
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