DEVELOPMENT OF POSTGRADUATE EDUCATION OF DOCTORS IN THE CONTEXT OF THE HEALTH CARE SYSTEM REFORMING IN UKRAINE
DOI:
https://doi.org/10.36690/2674-5216-2021-4-13Keywords:
health care, strategy of medical education development, state policy in the field of health care, medical specialization, pharmacy, continuous professional training of doctorsAbstract
The reform of the financing of the healthcare system, launched in 2017, which led to a change in the number and functional responsibilities of medical staff, is analysed in the article. The purpose of the article is to systematize and analyse the regulatory framework, according to which the regulation of a comprehensive system of postgraduate education of doctors at the present stage and determines the prospects for its development. The method of studying the problems of changes in the health care system in the field of postgraduate education of doctors in Ukraine is determined: methods of theoretical analysis (studying the content of health care system reform and decision making in unpredictable results), analogies, study of current regulations, as well as those coming into force in January 2022 from open official sources of information (we will rely on official data of government agencies and international organizations), statistical analysis, situational modelling (to predict change). An analysis of current regulations on the development of postgraduate education of doctors in Ukraine was conducted, which made it possible to identify problem areas in this area. It is substantiated that due to the lack of an effective methodology for assessing the training needs of health professionals, higher education institutions, taking advantage of high market demand, seek to maximize the number of contract students without considering the level of training and needs of the state. Accordingly, any long-term forecasting will need to be adjusted. Changes in the legislation concerning internships and secondary medical (pharmacy) specialties have undergone significant changes. Reducing the duration of practical training can negatively affect the quality of training of narrow specialists. Complicating the process of admission to the secondary medical (pharmacy) specialization will lead to a decrease in those wishing to obtain it and therefore reduce the number of narrow specialists. As a result, all this may lead to a deterioration in the quality of medical services in Ukraine.
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