Theoretical substantiation of the ways of increasing the efficiency of specialized medical aid in patients with lung cancer

Abstract

OBJECTIVE: Introduction: Organizational changes in the context of the transformation of the health system in Ukraine are based on deep and consistent structural and functional transformations and directed to the providing of specialized care of appropriate quality and efficiency, which are the main target function and a prominent criterion for the functioning of the national health system. The aim: Theoretical substantiation of the ways of increasing the efficiency of specialized medical aid in patients with lung cancer. PATIENTS AND METHODS: Materials and methods: Accounting medical records were the main source for the investigation, along with that the results of sociological researches in oncological patients with lung cancer and the results of expert estimation of the ways of increasing the efficiency of specialized aid for such kind of patients. Some methods were also used, such as system approach and analysis, sociological method, methods of conceptual modeling and expert values. RESULTS: Results: An increase of integral efficiency of a specialized medical aid for cancer patients in Ukraine could be reached by expected medical one (introduction of preventive, diagnostic and therapeutic technologies); social one (healthy way of life; satisfaction by the quality and availability as primary as specialized medical aid) and economic efficiency (reduction of economic losses because of disability; shortening of inpatient medical aid financing because of less number of patients with neglected stages of the disease). All of that is grounded on the development and introduction of organizational medical technologies, directed on the early detection of lung cancer and provides justification and development of an optimized model for the early detection of this disease. CONCLUSION: Conclusions: The disadvantages and lack of efficiency of the existing system of specialized cancer care in Ukraine have identified the necessity of a systematic and integrated solution of the problem of early detection of lung cancer based on the optimization of its model, based on the principles of systemicity and complexity, the use of modern science and practice achievements in the management and organization of specialized medical care, application between sector interaction and improvement of its information and communication and organizational-economic components.