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  • Title: [Conceptual assumptions to create a system for preparation of healthcare human resources in Ukraine].
    Author: Грузєва ТС, Пельо ІМ, Сміянов ВА, Галієнко ЛІ.
    Journal: Wiad Lek; 2016; 69(6):719-725. PubMed ID: 28214802.
    Abstract:
    INTRODUCTION: in modern conditions of social development become very important the issues of reorganization of public health services and their staffing. This is due to the significant spread of numerous challenges and threats to health of the population and the leading rule of public health service in preventing many diseases, reducing their negative impact and promotion the health of the population. One of the operational functions of public healthis providing the public health service with professional personnel,sufficientin numbers and of good quality. Itsrealization shouldinclude a thoroughunderstanding and evaluation of needs inex perts of public heal thinaccording to the national context, the wording of there quirements totheirknowledge and practicals kills, professional competences, supporting of educational training programs and the irimplementation to higher education system. AIM: to justify the approaches to formation of educational programs for training specialists in public health sphere into account of contemporary needs, international experience and WHO recommendations. MATERIALS AND METHODS: the research was founded on the analysis of the integral indicators of the population health of Ukraine, existing problems in fieldof public health, the study of educational programs for training of public health specialists of leading world and European universities, domestic and international experience on an investigated problem. There were used biblio-semantic and medical-statistical methods. The information base are: statistical data from database "HFA" for 2000-2014, Center for health statistics of the MOH of Ukraine for 2000-2015, electronic resources of universities, strategic and policy documents of the WHO, WHO Regional Office for Europe Results: for Ukraine as for other countries it is extremely important the provision of public health service with a sufficient number of specialists of adequate quality. The need to create such a service and its staffing was caused by low health indicators, significant levels of morbidity and mortality due to noncommunicable and infectious diseases and insufficient implementation of the preventive principles in health care. In the ranking of countries in WHO European region, Ukraine occupies first place in terms of AIDS, tuberculosis. Standardized mortality rates from all diseases in Ukraine are twice higher than in EU countries, in the working age able population - in 2.5 times, due to infectious diseases - in 2.8 times, blood circulation system diseases. - in 3.5 times. An adequate response to modern challenges and threats to population health is the study and development of public health service. The draft of its Concept was created by an international interdisciplinary group of experts. Providing the public health service with human resources requires the development and implementation of training programs for public health specialists. The analysis of curricula of training of specialists at universities in Europe and the world helped to identify the institutional features of training, duration and content of training programs. As a rule, the bachelor's programs include 180-240 credits and continue for 6-8 semesters. Master's programs on the base on the undergraduate programs include from 90 to 120 credits and last for 3-6 semesters. Professional training is completed performing the master's work. Postgraduate study lasts 3-4 years and includes training and scientific research, after which research work is awarded the degree of doctor of philosophy. The content of the curriculum has a considerable variability, but provides for the mandatory study of biostatistics, epidemiology, environmental health, policy and health care management; social and psychological Sciences, social determinants and inequities in health, and interagency teamwork, medical technology, the basic operational functions of public health, concepts of mental health, health promotion, management in public health, carrying out research. CONCLUSION: the need for the development of public health service is due the state of health of population in Ukraine, the existing challenges and threats, strategic directions of development of national health system and international obligations. Staffing of public health service needs of training a new generation of professionals and that actualizes the formation of modern curricula and programs. Experience of training of public health professionals in more than 30 Universities in Europe and the world, as well as the requirements of the European program of core competencies of public health professionals, are the foundation for the formation of national training programs and plans according to the national context.
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