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The aim of the study is to substantiate the conceptual approaches to the restructuring of the Consultative and Diagnostic Centers (CDCs) - as a purposeful change in their structure, management system, operating activities on the principles of public-private partnership (PPP). Materials and methods. To achieve this aim, general scientific methods of analysis, synthesis, generalization, interpretation of scientific data, as well as systematic approach, dialectical principles of comparison were used in the work. Results. Based on a comprehensive study of the state of the organization and the activities of the existing CDC system, it is established that for its optimization it is necessary to implement PPP mechanisms and restructuring the system. It is shown that the development of CDC depends on the level of funding, quality of management, planning process, organization of production and implementation of public-private partnership mechanisms. Conceptual directions and priority principles of restructuring of the CDC system are grounded. Conclusions. As a result of the study, it was concluded that to ensure the development of a system of consultative and diagnostic centers, their structure, functions, organization, and management should be brought into line with the requirements of PPP. It is possible to achieve this by implementing the conceptual directions of restructuring of the CDC system proposed in the article.

The aim of the research: to determine and substantiate the relevance of the development of the outpatient care system at the secondary level through the use of public-private partnership mechanisms. Materials and methods Research performed using the method of the system approach and analysis, synthesis and generalization, the interpretation of scientific data, as well as the structural-functional approach. Information Base for its implementation have become scientific papers of experts health care organization and management, normative documents, as well as the results of their research. Results of the study In article research and actuality application of the mechanisms of public-private partnership (PPP) in the development of the system of outpatient care at the secondary level, on the basis of consultative diagnostic centers (KDC). Set out the methodological approaches to the formation of KDC on the PPP, which contribute to the development of business processes, mechanisms of mixed economy, attracting the resources of a private investor, the efficiency of the system of municipal KDC. Conclusions The results of the research in the future will be used when designing functional-organizational model of KDC on the principles of public-private partnerships.

Purpose: to conduct a systemic comparative analysis of the activities of municipal and private outpatient clinics (OC) providing secondary medical care, identify problem areas and ways to increase the population's satisfaction with the quality of medical care. Methods: Methods of the system approach and analysis, sociological, medical and statistical method, method of expert estimations had been applied in this research. The sociological research was conducted in 2017 according to a specially developed program and involved 437 patients, 411 doctors in community OC and 396 patients, 106 doctors in private OC inKiev. Expert assessment of the state of the organization of outpatient care was carried out by 21 highly qualified experts. Results: On the results of comparative analysis of the activities of public and private OC had been determined that the population is not satisfied with the existing organization of work of public OC. The development of outpatient care depends on the level of funding, management quality, effective planning, organization of production, and the introduction of public-private partnership (PPP) mechanisms . Conclusions In the current economic conditions priority in optimizing the activity of the municipal OC to improve the population's satisfaction with the quality of medical care is the transition of the OC to the principles of PPP.

Background The transition to progressive development models is an actual problem of the Ukrainian health care system. Objective: to substantiate conceptual approaches to the formation of a modern functional-organizational model of consultative-diagnostic centers (CDC) on the basis of public-private partnership (PPP).Materials and methods. General scientific methods of analysis, synthesis, generalization, interpretation of scientific data, as well as systemic and structural-functional approaches were used in the study.Results The article presents conceptual approaches to the organization of a consultative and diagnostic center on the principles of PPP, which include three components: the concept and methodological approaches to the restructuring of the CDC system, as well as the rationale for the organizational and economic formation of the CDC model on the principles of PPP.Conclusions Presented in the article the conceptual approaches to the organization of a modern model of a consultative and diagnostic center on the principles of PPPs are the way of adaptation of the communal CDC system to the conditions of a market economy.

Introduction. Today, inadequate health care system has been formed in the country with insufficient funding and lack of radical changes. The need for solving these problems made it necessary to develop a set of measures that go beyond the competences and financial capabilities of the state and the share of sectors, which allowed the formation of a public-private partnership institute. Objective: To explore the feasibility of mechanisms and private-public partnerships to improve the quality of secondary ambulatory care. Materials and methods: The study was performed using the method of system approach and analysis. The information base for its realization was the scientific works of foreign and domestic specialists, normative documents on the problem, as well as the results of their own research. The results of the study. Today it is clear that the modernization of the public sector of the health care system in terms of its financing and management can be carried out only with the participation of business. The transition to the use of PPP mechanisms in the secondary ambulatory care system, in particular, in the organization of the work of consulting and diagnostic centers, will significantly improve the situation by using additional investments, optimizing costs and creating conditions for technological breakthrough and stable development of the KCC, will create conditions for ensuring effective targeted use of resources, increasing availability and quality of medical care to the population.

Introduction. The current problem of the domestic health care system is to increase the availability and effectiveness of medical care provided in communal consultative-diagnostic centers (KCTS). The purpose of the research: to substantiate expediency of optimization of the system of communal consulting and diagnostic centers on the basis of the introduction of mechanisms of public-private partnership (PPP). Materials and methods. The research is carried out using the method of system approach and analysis. The information base for its realization was the scientific work of specialists in the organization and management of health care, regulatory documents on the problem, as well as the results of their own research. Research results. The results of the comprehensive medical and social analysis of the state of the organization of medical care in the existing communal KDCs, obtained on the basis of official statistical reporting, sociological surveys of patients and doctors of KCC, experts' assessments and SWOT analysis, showed unsatisfactory financing and material and technical equipment of the KCC, inconsistency of quality of medical care in the KDC, the modern needs of the population, the inability of the current model of KDC to provide medical, social and economic efficiency, which necessitates the search the ways of development and improvement of activity of consulting and diagnostic centers. System analysis of domestic and foreign literature has shown that the prospect of the development of municipal KDCs is the formation of their new organizational model with the economic mechanism on the principles of PPP. In order to move the system to the principles of PPP in Ukraine there is an institutional base, which is represented by two laws. The article shows the directions of PPP development in health care and the prospects and advantages of its implementation. Defined external and internal conditions for the development of PPP, practical measures are needed to implement PPP in the system of consulting and diagnostic service. Conclusions The prospect of development of consulting and diagnostic assistance is the formation of its new organizational model with the economic mechanism on the principles of PPP.

Introduction The transition of the Ukrainian health care system to progressive development models that ensure its structural efficiency is an actual problem. Purpose: to design the functional-organizational model of the Consultative and Diagnostic Center (CDC) on the principles of public-private partnership (PPP). Materials and methods General scientific methods of analysis, synthesis, generalization, interpretation of scientific data, as well as systemic and structural-functional approaches were applied. Results The model of the consulting and diagnostic center is developed as a new organizational and legal form of medical services for the population on the principles of PPP. Conclusions The developed model is a new organizational and legal form of medical services for the population, implements the transition of communal services to the mechanisms of public-private partnership, provides attraction of private investments to achieve medical, social and economic efficiency of CDC and increasing the availability and quality of medical care.

Introduction. Extremely acute problem of the national health system is under funding industry as a whole, as a system of medical care and secondary outpatient care in particular. This situation requires an immediate solution by finding new financial and economic mechanisms and attracting additional ones and more effective funding sources, which necessitates the transition to its innovative model of development through the use of mechanisms of public-private partnerships, which provide structural and financial industry efficiency. Purpose. To substantiate the necessity of transition of communal consulting and diagnostic centers on new financial and economic mechanisms of governance through the application of the principles of public-private partnership. Materials and methods. The research was performed on the basis of the system approach and system analysis using the information - analytical method. The information base for their formation was the scientific work of foreign and domestic specialists in the organization and management of health care and the results of their own research. Results. According to the results of the study, it was found that, given the limited financial capacity of the state budgets of all levels, the development of state and communal outpatient clinics (consultative diagnostic centers) (KDC) is impossible without the introduction of new organizational forms of activity, financial and economic opportunities of private business. Conceptually new priority directions of work of consulting and diagnostic centers are offered. Conclusions. The article substantiates the necessity of transition of the KDC to new forms of management with the attraction of private capital through the use of public-private partnership mechanisms (PPP) Keywords: budget, public-private partnership, consulting and diagnostic center.

The aim of the study is to substantiate the expediency of translating the Consultative and Diagnostic Centers (CDCs) into the principles of public-private partnership (PPP). Materials and methods. To achieve this aim, general scientific methods of analysis, synthesis, generalization, interpretation of scientific data, as well as systematic approach, dialectical principles of comparison were used in the work. Results The article analyzes social aspects and reserves for the development of consultative and diagnostic care in the public health sector. It is determined that one of the significant organizational and technological reserves for increasing the availability, timeliness and efficiency of providing consultative and diagnostic care and optimizing the work of the CDCs is the modernization on the basis of PPP. The functional and organizational structure of the CDC model on the principles of PPP is presented. Conclusions. In the difficult economic conditions of the country, the modernization of the CDCs using the mechanisms of PPP is the basis of organizational and technological reserves to improve accessibility, efficiency of consultative and diagnostic care and introducing anti-crisis management in the CDCs.

Introduction. Today, in the face of failure of funding and absence of a radical change in the country, the current situation is ineffective health care system. The need for solving these tasks made necessary the development of complex of measures that go beyond the competences and financial capabilities of the State and share sectors, which allowed to establish the Institute for public-private cooperation. Objective: to study historical aspects of development of private partnership in the countries of the world and Ukraine. the feasibility of using PPP mechanisms to optimize secondary outpatient care. Materials and methods: the research performed using the method of the system approach and analysis. Information Base for its implementation have become scientific papers of foreign dealers. The results of the study. The research found that in the world formed the successful experience of wide use and high level of development of mechanisms for public-private partnerships. The transition to using PPP mechanisms in the system of secondary outpatient care, in particular, in the Organization of work of the consultative-diagnostic centers, will greatly improve the situation through the use of additional investment, optimize costs and creation of conditions for technological leapfrogging and sustainable development of CDC, will create conditions for efficient address use of resources, improving the accessibility and quality of care to the population.

Background Improving of the outpatient care is an urgent problem of the health care system inUkraine. Objective: to determine the problems of organizing of the Consultative and Diagnostic Centers (CDCs) in Kiev, to consider the foreign experience of forming a partnership between the state and the private sector in health care and to determine the direction of development of the CDCs. Materials and methods. Priority directions for the development of communal CDCs in the current economic conditions were substantiated using the system approach and analysis method, as well as the information-analytical method. The information base for their formation were the scientific works of Ukrainan and foreign specialists in public-private partnership (PPP) and management, as well as the results of own studies. Sociological survey of 437 patients and 411 physicians of communal CDCs and an expert assessment of the state, problems of the organization and prospects for further development of communal CDCs (by 21 highly qualified specialists in the organization and management of public health) were conducted in2017 in Kiev. Results It is established that the population and physicians are dissatisfied with the existing organization of the CDC's work. The results of the expert evaluation also demonstrated the existence of a number of organizational problems in the CDCs. It is determined that the development of the CDCs depends on financing and management, the introduction of mechanisms of public-private partnership. The necessity of reorganizing and improving the management of the CDCs is substantiated. Conclusions Formation of the economic mechanism of the CDCs on the principles of public-private partnership and the preparation of modern managers for the management of the CDCs are the priority directions of development of communal CDCs in current conditions.

Introduction The need to attract private investment in the public health sector is one of the urgent problems in the Ukrainian health care system. Purpose: to substantiate methodological approaches to the transition of the municipal consulting and diagnostic centers (CDC) to the principles of public-private partnership (PPP). Materials and methods General scientific methods of analysis, synthesis, generalization, interpretation of scientific data, as well as systemic and structural-functional approaches were applied. Results A comprehensive analysis of the activities of municipal CDCs, as well as the prerequisites and risk factors for the introduction of PPPs, made it possible to obtain methodological material for the transition of CDC to the principles of PPP. Conclusions Presented in the article the methodical approaches to the organization of a modern model of a consultative and diagnostic center on the principles of PPPs are the way of adaptation of the communal CDC system to the conditions of a market economy.

Background The urgency of the problem of malignant neoplasms (MN) is due to the increase in morbidity and a major role in the formation of premature mortality and disability of the population. Objective: to determine the oncoepidemiological situation and to evaluate the timeliness of the diagnosis of malignant neoplasms in Kyiv in 2007-2016. Materials and methods. Analysis of epidemiology of MN and timeliness of diagnosis of oncological diseases in Kiev was carried out on the basis of materials of the statistical reporting. Results During 2007-2016 the incidence of MN in Kiev grew by 10% (from 334.2 to 367.7 per 100 thousand population). The leading localizations of MN among the men are prostate gland (13.8%), skin (except melanoma) (11.8%), trachea, bronchi, lungs (10.3%), colon (8.5%), stomach (7.5%), rectum (5.7%), bladder (5.3%). Among the women: breast (22.7%), body of the uterus, cervix and ovary (18.4%), skin (except melanoma) (10.6%), colon (7.5%), thyroid glands (5.8%). During 2007-2016 the incidence of gastric and lung cancer decreased, and the incidence of breast cancer, cervix, uterus, skin, thyroid gland, prostate, colon increased. There is a problem of untimely diagnosis of malignant neoplasms even of visual localization. In 2016 25.2% cases of oral cavity cancer, 15.5%t – breast cancer and 12.7% - rectal cancer were detected in III - IV stages of the disease. Conclusions: The main directions of increasing the timeliness of the detection of cancer diseases among the residents of the capital should be the introduction of targeted screening programs, increasing of oncological alertness among primary health care physicians, and improving of organisation and equipment of diagnostic centers.