Annotation. The fight against oncological diseases remains one of the priority directions of the health care system of Ukraine, yet this process has become much more complicated in the conditions of martial law. In order to study the state of providing oncological care to the population of Ukraine in wartime conditions, information from the National Health Service of Ukraine was studied. The distribution of oncological treatment service providers by regions and by ownership was performed, the level of hospitalizations per 100,000 individuals and the available bed fund per 1 million individuals were analyzed. Statistical methods (analysis of relative values, calculation of the correlation coefficient), structural-logical analysis and systematic approach are applied. The research established that, as of July 2022, 103 institutions (including 7 private ones) provide chemotherapeutic treatment services, and 35 institutions (including 2 private ones) provide radiological treatment services. The largest number of chemotherapeutic treatment providers per 1 million individuals is located in Kirovohrad region, the smallest – in Kyiv region. Meanwhile, Zaporizhia and Kirovohrad regions are characterized by the largest number of radiological treatment providers per 1 million individuals, while Odesa and Kharkiv regions have the lowest number. The largest number of oncology beds per 1 million individuals and the largest number of hospitalizations per 100,000 individuals were registered in the city of Kyiv and in Poltava region, the lowest – in Luhansk region. When organizing the provision of oncological care to the population in wartime conditions, the factor of cross-border treatment, as well as the use of telemedicine programs, must be taken into account. Further research is required to study the impact of the military conflict on oncology risk, the level of morbidity, mortality and neglect of cancer in the population of Ukraine.

Background. Physician-patient сommunication is one of the main supportive care provided to oncological patients. It affects treatment outcomes, as well as the interaction of patients within the society, their family and colleagues. Furthermore, COVID-19 and military invasion of Russia into Ukraine makes the issue of improvement of physician-patient communication urgent. Objective. The aim of the study is to develop recommendations based on the analysis of denfined problems in physician-patient communication in of oncological treatment. Methods. The sociological research involved 419 patients during their inpatient treatment in the period from November 2021 to February 2022 using the EORTC QLQ-COMU26 questionnaire. Results. In the pre-war period, in Ukrainian patients with oncological diseases the worst indicators were established for “Active role of a patient” (82.00) and “Correction of misunderstandings by a specialist” (89.19). The best indicators were established for “Skills of the specialist (verbal/non-verbal)” with the score of 93.25 by a 100-point grading scale, as well as “Satisfaction with communication” – 97.04 by a 100-point grading scale. Conclusions. When developing programs for organization of oncological care, mechanisms for providing psychological care to patients through effective communication between patients and specialists regarding providing medical and psychological care must be taken into account.

ABSTRACT. The fight against oncological diseases remains one of the priority areas of the health care system of Ukraine. However, the development of medical science, the introduction of innovations in oncology practice, the COVID-19 pandemic and the conditions of wartime necessitate the need to review and improve the process of organizing the provision of oncological care to the population of Ukraine. Aim. The aim of the study is to research the opinion of practicing oncologists regarding certain aspects of the organization of medical care for cancer patients.9 Materials and methods. In the period of August-September 2022, an expert survey of 111 oncologists of the highest and the first qualification categories was conducted. The survey was carried out in 10 regions of Ukraine, which made it possible to cover all regional zones of Ukraine (northern, southern, western, northeastern and central regions of Ukraine). The findings were processed using statistical methods, structural and logical analysis and a systemic approach. Results. Most of the interviewed oncologists are guided in their work by the current standards of diagnosis and treatment of cancer patients on the basis of evidence-based medicine, however, about half of them note the need to review and make changes to it, while the international standards need adaptation to the possibilities of providing oncological care in Ukraine, according to the interviewees. A large number of oncologists need to organize internships, which, in their opinion, should improve the quality of medical services, and also suggest improving and expanding measures aimed at primary prevention and early diagnosis of oncological diseases. Conclusions. The data of the conducted research will contribute to the improvement of the quality of oncological medical care, revision of the standards of diagnosis and treatment of oncological diseases. The findings will be used to develop and work out a model for the optimization of the oncology care system for the population of Ukraine.