Innovative activities in healthcare institutions of the future: models for overcoming dilemmas
DOI:
https://doi.org/10.57125/FEM.2022.03.25.02Keywords:
Ukraine, innovation, health system, mHealth, eHealth, frameworks, invasion, USAIDAbstract
Purpose: The Ukrainian population's insufficient protection from the prospect of high medical costs and the system's structural inefficiency, which is aggravated by an ineffective means of financing healthcare, continue to be the main problems facing the Ukrainian healthcare system. Rising rates of preventable mortality also highlight the shortcomings in the health system. Patients and medical professionals in Ukraine concur that the healthcare system needs significant reform; nevertheless, the current government's reform measures are not well embraced, and there is disturbingly high public mistrust of medical experts. Thus, in order to enable healthcare reformation, new methods, models, and activities need to be developed. However, it is not yet clear how well or how widely these initiatives have been initiated into practice.
Methodology: A literature search concerning articles looking at innovative health activities in Ukraine was conducted.
Results: In this aspect, only nine research papers were concerned with the topic. There were few studies that examined innovative practices at the institutional and governmental levels. Despite this, there were more innovative initiatives conducted on a national scale than at an institutional level. The implementation of several unique concepts has not yet been fully realised.
Implications: Ukraine is currently engaged in a number of innovative healthcare initiatives, especially at the national level. The quality of healthcare in the nation could be greatly improved by engaging in these activities. But there are still many obstacles that must be overcome. Despite these difficulties, several of the suggested models are not only original but also useful, and they might be adopted by other countries as models. Additional investigation is required to reveal all the varieties of innovative healthcare operations in Ukraine.
References
Hojouj MIM, Bondarenko N, Zavizion VF, Procach A, Hojouj T, Elhaj M. Using telemedicine for providing supportive and palliative care patients with advanced cancer during the COVID‐19 pandemic in Ukraine. Research and Reviews on Healthcare: Open Access Journal [Internet]. 2021 [cited 2023 Apr 11];6(1):572–4. Available from: https://repo.dma.dp.ua/7294/
Telemedicine has clear benefits for patients in European countries, new study shows [Internet]. [cited 2023 March 30]. Available from: https://www.who.int/europe/news/item/31-10-2022-telemedicine-has-clear-benefits-for-patients-in-european-countries--new-study-shows
Bezdieniezhnykh NO, Reznikova VV, Rossylna OV. Scientific-practical and legal problems of implementation of the personalized medicine. Exp Oncol. 2017; http://dspace.nbuv.gov.ua/handle/123456789/138535
Yara O, Brazheyev A, Golovko L, Bashkatova V. Legal regulation of the use of artificial intelligence: Problems and development prospects. Eur J Sustain Dev. 2021;10(1):281–281. http://www.ecsdev.org/ojs/index.php/ejsd/article/view/1170
Accessing health care in Ukraine after 8 months of war: The health system remains resilient, but key health services and medicine are increasingly unaffordable [Internet]. [cited 2023 March 29]. Available from: https://www.who.int/europe/news/item/24-10-2022-accessing-health-care-in-ukraine-after-8-months-of-war--the-health-system-remains-resilient--but-key-health-services-and-medicine-are-increasingly-unaffordable
Lekhan V, Rudiy V, Shevchenko M, Nitzan Kaluski D, Richardson E. Ukraine: health system review. Health Syst Transit. 2015 Mar;17(2):1–154. https://repo.dma.dp.ua/292/
Bank W. Ukraine - Improving Intergovernmental Fiscal Relations and Public Health and Education Expenditure Policy : Selected Issues. 2008 Feb [cited 2023 March 30]; Available from: http://hdl.handle.net/10986/8006
Footman K, Roberts B, Mills A, Richardson E, McKee M. Public satisfaction as a measure of health system performance: a study of nine countries in the former Soviet Union. Health Policy Amst Neth. 2013 Sep;112(1–2):62–9. https://www.sciencedirect.com/science/article/pii/S0168851013000687
Luck J, Peabody JW, DeMaria LM, Alvarado CS, Menon R. Patient and provider perspectives on quality and health system effectiveness in a transition economy: evidence from Ukraine. Soc Sci Med 1982. 2014 Aug;114:57–65. https://www.sciencedirect.com/science/article/abs/pii/S0277953614003281
Lekhan V, Rudiy V, Richardson E. Ukraine: Health system review. Health Syst Transit. 2010;12(8):1–183, xiii–xiv. https://repo.dma.dp.ua/292/
A divided Ukraine could see two radically different states emerge [Internet]. University of Birmingham. [cited 2023 March 30]. Available from: https://www.birmingham.ac.uk/research/perspective/divided-ukraine-connolly.aspx
Piatnytskyi Y, Zakrutko L, Myslytskyi O, Volosovets О, Kochet O, Bilan L, et al. ESTIMATION OF INNOVATION ACTIVITY OF SCIENTIFIC INSTITUTIONS IN UKRAINE HEALTH CARE FOR 2016. Lik Sprava. 2019 May 29;64–8. https://liksprava.com/index.php/journal/article/view/365
Flodgren G, Rachas A, Farmer AJ, Inzitari M, Shepperd S. Interactive telemedicine: effects on professional practice and health
care outcomes. Cochrane Database Syst Rev. 2015;(9). https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD002098.pub2/full
Olga G, Babar ZUD. Access and use of medicines in Ukraine. Glob Pharm Policy. 2020;247–60. https://link.springer.com/chapter/10.1007/978-981-15-2724-1_9
Maksymovych N, Zaliska O, Huz V, Brezden O, Solovei A, Zabolotnya Z. PMU54 ANALYSIS OF E-PRESCRIPTION SYSTEM AND AWARENESS OF PHARMACISTS ON REIMBURSEMENT PROGRAM IN UKRAINE. Value Health. 2020;23: S243. https://www.valueinhealthjournal.com/article/S1098-3015(20)31014-7/fulltext
Mallappallil M, Sabu J, Gruessner A, Salifu M. A review of big data and medical research. SAGE Open Med. 2020; 8:2050312120934839. https://journals.sagepub.com/doi/pdf/10.1177/2050312120934839
Dluhopolskyi O, Dluhopolska T, Farion A, Karp I, Zhukovska A, Kryvokulska N. The Implementation of the Ehealth System and Anticorruption Reforms (Case of EU Countries for Ukraine). In: 2019 9th International Conference on Advanced Computer Information Technologies (ACIT). 2019. p. 346–9. https://ieeexplore.ieee.org/abstract/document/8779933/
Ratushna K, Dobrova V, Popov O. PNS29 HEALTH RESEARCH AND BIG DATA IN UKRAINE: PERSPECTIVES AND CONCERNS. Value Health. 2019 Nov 1;22:S767–8. https://www.valueinhealthjournal.com/article/S1098-3015(19)34309-8/fulltext
Khomenko IM, Ivakhno OP, Pershehuba IMYV, Kozyarin IP, Koshova SP. Management of institutional and preventive activities in the public health system of Ukraine. 2021; http://lib.inmeds.com.ua:8080/handle/lib/3641
Chopchik VD, Kaniura OA. Conceptual approaches to organizing model of university stomatological clinic, based on public-private partnership. Wiad Lek. 2020;73(8):1650–4. https://www.researchgate.net/profile/Oleksandr-Kovalchuk-6/publication/345310119_INFLUENCE_OF_COMBINED_PHARMACOTHERAPY_ON_CARDIO-VASCULAR_SYSTEM_OF_ARTERIAL_HYPERTENSION_IN_EXPERIMENT/links/5fa29bbda6fdcc062412489a/INFLUENCE-OF-COMBINED-PHARMACOTHERAPY-ON-CARDIO-VASCULAR-SYSTEM-OF-ARTERIAL-HYPERTENSION-IN-EXPERIMENT.pdf#page=64
Fuzaylov G, Dabek RJ, Bojovic B, Driscoll D, Dylewski M, Khalak S, et al. Experience of outreach in a resource-constrained environment: 10 years of outcomes in burn care. Burns. 2021;47(7):1656–64. https://www.sciencedirect.com/science/article/pii/S0305417921000267
Geliukh E, Nabirova D, Davtyan K, Yesypenko S, Zachariah R. Primary healthcare centers engagement in tuberculosis treatment in Ukraine. J Infect Dev Ctries. 2019;13(07.1):83S-88S. https://jidc.org/index.php/journal/article/view/11292
Borshch VI, Truba VI, Tokarchuk LM. Public-private partnership as an investment and innovation tool for medical facilities: a case of ukrainian healthcare. Wiadomosci Lek Wars Pol 1960. 2019;72(11 cz 1):2155–60. https://europepmc.org/article/med/31860864
Overview [Internet]. World Bank. [cited 2023 March 30]. Available from: https://www.worldbank.org/en/topic/publicprivatepartnerships/overview
How to harness the transformative potential of public-private partnerships [Internet]. World Economic Forum. 2022 [cited 2023 March 30]. Available from: https://www.weforum.org/agenda/2022/01/how-to-harness-transformative-potential-public-private-partnerships/
Health | Ukraine [Internet]. U.S. Agency for International Development. 2023 [cited 2023 March 30]. Available from: https://www.usaid.gov/ukraine/health
Bogodistov Y, Reck FM, Moormann J, Krupskyi OP. Wandel im Gesundheitswesen: Analyse der Auswirkungen auf Ärzte und Patienten am Beispiel der Ukraine. Gesundheitswesen. 2020;82(03):236–41. https://www.thieme-connect.com/products/ejournals/html/10.1055/a-0894-4775
Mykytenko DO, Gruzieva TS. Modern model of genetic monitoring as a promising tool for reducing incidence of genetic pathologies in ukraine nowoczesny model monitoringu genetycznego jako obiecujące narzędzie redukcji występowania wad genetycznych na Ukrainie. Wiad Lek. 2019;72(2):169–74. https://www.researchgate.net/profile/Aleksandr-Kamyshnyi/publication/334227080_Morphological_and_physiological_biological_and_epidemiological_features_of_acariana_of_the_genus_ixodes_latreille_1795-human_ectoparasites_in_biogeocenoses_of_ternopil_region/links/5d1decb0a6fdcc2462be60e2/Morphological-and-physiological-biological-and-epidemiological-features-of-acariana-of-the-genus-ixodes-latreille-1795-human-ectoparasites-in-biogeocenoses-of-ternopil-region.pdf#page=27
Romaniuk P, Kaczmarek K, Syrkiewicz-Świtala M, Holecki T, Szromek AR. Health systems and their assessment: a methodological proposal of the synthetic outcome measure. Front Public Health. 2018;6:126. https://www.frontiersin.org/articles/10.3389/fpubh.2018.00126/full?&utm_source=Email_to_authors_&utm_medium=Email&utm_content=T1_11.5e1_author&utm_campaign=Email_publication&field=&journalName=Frontiers_in_Public_Health&id=360692
Romach MK, Rutka JT. Building healthcare capacity in pediatric neurosurgery and psychiatry in a post-Soviet system: Ukraine. World Neurosurg. 2018;111:166–74. https://www.sciencedirect.com/science/article/pii/S1878875017321113
One hundred days of war has put Ukraine’s health system under severe pressure [Internet]. World Health Organization. 2022 Jun 3 [cited 2023 Apr 2]. Available from: https://www.who.int/countries/ukr/
Health systems in action: Ukraine [Internet]. World Health Organization. [cited 2023 Apr 2]. Available from: https://eurohealthobservatory.who.int/publications/i/health-systems-in-action-ukraine.
Accessing health care in Ukraine after 8 months of war: The health system remains resilient, but key health services and medicine are increasingly unaffordable [Internet]. World Health Organization. 2022 Oct 24 [cited 2023 Apr 2]. Available from: https://www.who.int/europe/news/item/24-10-2022-accessing-health-care-in-ukraine-after-8-months-of-war–the-health-system-remains-resilient–but-key-health-services-and-medicine-are-increasingly-unaffordable
USAID Response in Ukraine | Ukraine | U.S. Agency for International Development [Internet]. USAID. [cited 2023 Apr 2]. Available from: https://www.usaid.gov/usaid-response-ukraine.
Key priorities for health system recovery in Ukraine the focus of new paper [Internet]. World Health Organization. 2023 Feb 7 [cited 2023 Apr 2]. Available from: https://www.who.int/europe/news/item/07-02-2023-key-priorities-for-health-system-recovery-in-ukraine-the-focus-of-new-paper.
Mbunge E, Muchemwa B, Jiyane S, Batani J. Sensors and healthcare 5.0: transformative shift in virtual care through emerging digital health technologies. Glob Health J [Internet]. 2021;5(4):169–77. Available from: http://dx.doi.org/10.1016/j.glohj.2021.11.008
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2022 authors
This work is licensed under a Creative Commons Attribution 4.0 International License.
