Annotation. Ischemic heart disease (IHD) is one of the main causes of high mortality, disability and a decrease in the quality of life of the working-age population (WAP) in Ukraine. Aim of the work: to determine the modern features of mortality, disability, prevalence and incidence of ischemic heart disease in the working-age population of the Kyiv region. The analysis of the epidemiology of IHD in the Kyiv region was carried out in dynamics for 2010–2019 and compared to Ukraine. The statistical data of the State Statistics Committee of Ukraine, the Center for Medical Statistics of the Ministry of Health of Ukraine, and the Kyiv Regional Center for Medical Statistics on mortality, disability, prevalence and incidence of IHD in the working-age population of the Kyiv region were analyzed with the medical-statistical method. It has been established that IHD is a significant cause of the loss of labor potential in the Kyiv region. IHD accounts for every fourth (25.0%) death in the working age, and the regional level of working-age population mortality from IHD is the highest in Ukraine. In the Kyiv region working-age population dies from ischemic heart disease 1.5–1.7 times, and from myocardial infarction – 1.7–1.9 times more often than the average in Ukraine. Regional levels of incidence IHD among working-age population exceed similar indicators in Ukraine by 1.2 times, the incidence of myocardial infarction – 1.5 times, the prevalence of ischemic heart disease – 1.7 times. Identified unfavorable dynamic trends in mortality and prevalence of IHD among the working-age population of the Kyiv region. The mortality rate from IHD among working-age population increased in the Kyiv region in 2019 compared to 2010, by 7.9%. The prevalence of IHD increased during 2010–2018 by 14.4%, and the primary incidence of myocardial infarction – by 14.9%. The unfavorable epidemiological situation with IHD among working-age population in the Kyiv region necessitates improving the system for the prevention and the organization of medical care for patients with IHD in this region.

The aim: to study the state, problems and possible ways of improving the organization of cardiological care for rural residents based on the materials of a sociological survey of patients of district cardiology services in the Kiev region. Material and methods  Using a specially developed questionnaire, a sociological survey of 829 patients, who applied to district cardiology services in the Kiev region was conducted in 2020. Results  The analysis of the results of the survey showed that, in the opinion of the respondents, in order to improve the organization of cardiological care, it is nesessary to: optimize the organization of patient admission (51.4 ± 1.7%), increase the number of visits to cardiologists (67.5 ± 1.6%), improve the equipment of healthcare institutions (52.3 ± 1.7%), ensure the possibility of carrying out all laboratory tests prescribed by a doctor (45.9 ± 1.7%), expand the types of diagnostic examinations (45.8 ± 1.7%) , improve the qualifications of medical personnel (49.8 ± 1.7%) and introduce public-private partnership mechanisms in health care institutions while retaining them in state ownership (79.3 ± 2.2%). At the state level, according to the respondents, it is necessary to introduce National health insurance. Conclusions  The results of the sociological study showed that the organization of cardiac care for the rural population of the Kiev region does not fully satisfy the population and requires optimization.

The aim: to study the state, problems and ways of improving the organization of cardialogical care for the rural population in Ukraine based on the materials of a sociological survey of cardiologists. Material and methods The sociological research was carried out according to a specially developed program and covered 352 cardiologists from all regions of Ukraine. Results The main directions for improving the organization of cardialogical care, according to cardiologists opinion, are to increase funding for health care institutions (91,5±1,5%), increase wages (87,2±1,8%), introduce social medical insurance (81,8±2,1%) and mechanisms for economic motivation of personnel (89,8±1,6%); equipping health care institutions with modern medical and diagnostic equipment (73,9±2,3%); improving the quality of postgraduate training of cardiologists (78,2±1,9%); introduction of a health care qua-lity monitoring system (66,9±4,9%); an increase in the economic and legal independence of health care institutions (78,1±2,2); introduction of public-private partnership mechanisms with preservation of health care institutions in state ownership (79,3±2,2%). Conclusions The sociological study found that the main parameters of the organization of cardialogical care for the rural population of Ukraine do not correspond to the economic realities of the time and require modernization.

Annotation. The population of the Kyiv region are losing the largest number of life potential years in Ukraine due to cardiovascular diseases (CVD), which determines the special medico-social significance of CVD in this region. The aim of the work is to determine the modern features of the incidence and prevalence of CVD among the adult population of the Kyiv region. The analysis of the incidence and prevalence of CVD among the adult population of the Kyiv region was carried out in dynamics for 2010–2019 and compared with Ukraine on the basis of statistical data from the Center for Medical Statistics of the Ministry of Health of Ukraine and the Kyiv Regional Center of Medical Statistics using statistical methods of dynamic and territorial analysis. It has been determined that in the Kyiv region more than a million residents suffer from CVD. In 2019 the incidence rate of CVD was 446.2, and the prevalence of CVD was 7114.8 per 10 thousand of the adult population. The epidemic of CVD in the Kyiv region is much more spread than in Ukraine. Myocardial infarctions in the region are diagnosed 1.2 times, and strokes 1.5 times more often than in the country, and the prevalence of ischemic heart disease is 1.5 times higher than in Ukraine. The tendency to increasing the prevalence (by 8.5%) and incidence (by 5.7%) of CVD in the Kyiv region during 2010–2017 and the absence of the possibility of further objective monitoring of the CVD morbidity due to the cancellation of the state registration system of morbidity were determined. Unfavorable dynamic trends in CVD morbidity in Kyiv region and a significant excess of regional indicators of averages in Ukraine indicate the need to improve the system of prevention and medical care for patients with CVD in Kyiv region, on which our further research will be focused.

The objective. To consider the mechanisms of public-private partnership (PPP) as a way to attract investment into the health care system and find out the existence in Ukraine of a legal basis for the implementation of PPP in health care sector. Materials and methods. The mechanisms and possibilities of PPP projects realization in health care sector have been studied with the use of systematic approach, systematic analysis and information-analytical method. Results. Based on the analysis of international experience, the article presents the key models of PPP used in health care. The legal and institutional bases for the implementation of the PPP investment mechanism in the health care system of Ukraine are determined. The benefits of implementing PPP projects in health care for the state, private partners and the general population are shown. The basic principles of PPP and key directions of introduction of mechanisms of public-private partnership in the field of health care are substantiated. The existing problems for the formation of these mechanisms in the health care of Ukraine are revealed. Conclusions. Public-private partnership is a promising direction of investment attraction in the health care system. There is a necessary legal framework for the implementation of PPP projects in health care in Ukraine. .