Discussional Actual Issues of Out-patient Obstetric and Gynecological Care

Abstract

The need and ways to improve medical care in Ukraine is an urgent need of the time. In the course of the medical reform, three recognized factors are gradually eliminated that inhibit progressive changes in the health care system: the imperfection of legal support, the weakness of the financial component and the complexity of the human factor not adapted sufficiently to national conditions. The reason for doubts about the prospect of providing better medical services in the component of obstetrics-gynecology in the field of primary health care occurs, in our opinion, related not only to the extraordinary volume of tasks facing general practitioners–family doctors, but also with the introduction of international clinical protocols that are not sufficiently adapted to national conditions.
The goal is to analyze the discussion of topical issues of the organization and activities of the out-patient obstetric-gynecological service, taking into account the requirements of reforming the health care system with the priority of primary medical medicine based on the principles of general practice-family medicine.
The reason for doubts about the prospect of providing better medical services in the component of obstetrics-gynecology in the field of primary health care, in our opinion, are deptnd on not only to extraordinary volume of tasks facing general practitioners–family doctors, but also with the introduction of international clinical protocols that are not sufficiently adapted to national conditions.
Actual is the proposal to draw the attention of healthcare managers to the need for balance in the approach to the structural and personnel restructuring of the outpatient obstetric and gynecological unit. Optimization of the dispensary method of formation the women’s groups who are homogeneous for health, provides for the improvement and implementation of relevant individual patient management plans, where treatment and diagnostic measures are state norms or standards of medical care.
The out-patient component of obstetrics-gynecology in Ukraine needs to be optimized, especially in the field of cooperation gynecologisns with primary care specialists. The relevance of eliminating inconsistencies in the treatment approach to clinical obstetric and gynecological situations witch take place between European clinical protocols and existing recommendations of specialists with respect to their own Ukrainian experience has been proved.