Introduction: We assessed best available data on access and delivery of acute stroke unit (SU) care, intravenous thrombolysis (IVT) and endovascular treatment (EVT) in the European region in 2019 and 2020. Patients and methods: We compared national data per number of inhabitants and per 100 annual incident first-ever ischaemic strokes (AIIS) in 46 countries. Population estimates and ischaemic stroke incidence were based on United Nations data and the Global Burden of Disease Report 2019, respectively. Results: The estimated mean number of acute SUs in 2019 was 3.68 (95% CI: 2.90–4.45) per one million inhabitants (MIH) with 7/44 countries having less than one SU per one MIH. The estimated mean annual number of IVTs was 21.03 (95% CI: 15.63–26.43) per 100,000 and 17.14% (95% CI: 12.98–21.30) of the AIIS in 2019, with highest country rates at 79.19 and 52.66%, respectively, and 15 countries delivering less than 10 IVT per 100,000. The estimated mean annual number of EVTs in 2019 was 7.87 (95% CI: 5.96–9.77) per 100,000 and 6.91% (95% CI: 5.15–8.67) of AIIS, with 11 countries delivering less than 1.5 EVT per 100,000. Rates of SUs, IVT and EVT were stable in 2020. There was an increase in mean rates of SUs, IVT and EVT compared to similar data from 2016. Conclusion: Although there was an increase in reperfusion treatment rates in many countries between 2016 and 2019, this was halted in 2020. There are persistent major inequalities in acute stroke treatment in the European region. Tailored strategies directed to the most vulnerable regions should be prioritised.

The aim was to study the structure, routes and algorithms of telemedical network in Odessa region and its impact on the spread of COVID-19 pandemics. Materials and methods: We have analysed the data of the official reporting documentation provided by the Department of Healthcare of Odessa region. So the description of legislative acts and structure of telmedical network of Odessa region is given. In more detail, we described functions and capabilities of telmedical network COVID-19 pandemics. Conclusions: Studies have shown that Telemedicine can be used in 5 main directions: Triage and decisions regarding hospitalization to hospitals designed for COVID-19 patients or to other hospitals. Outpatient consulting in COVID-19 patients who stay at home. Coordination of activities of different hospitals; provision of specialized consulting. Training of healthcare providers for counter-epidemic measures and management of COVID-19 patients. Routine consulting in patients with chronic disease and in palliative cases. In all this activities significant benefits were founded. But amount of telemedical consultations are quiet low. As in all viral pandemies remote consultations of patients leeds to lowering in amount of infection of COVID-19 patients.

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У статті розглядаються моделі комунікативної діяльності в публічному адмініструванні громадського здоров'я відповідно до зарубіжного досвіду. Виділено три основні моделі: з єдиним відправником інформації в особі держави; з декількома відправниками інформації з єдиним державним врегулюванням та декількома незалежними відправників інформації з відсутністю центрального регулювання. В статті наведено основні ознаки існуючих моделей комунікативної діяльності в публічному адмініструванні громадського здоров'я з розглядом ключових характеристик, механізмів досягнення цілей та результати діяльності. Враховуючи цільові напрямки розвитку громадського здоров'я визначено особливості та ключові чинники комунікативної діяльності та публічного адміністрування цієї діяльності. Опрацьовано підходи до публічного адміністрування комунікативною діяльністю країн Європи, Південної та Північної Америки, а також країн Африки. Крім того вивчено досвід основних європейських, південно та північно американських організацій, які займаються громадським здоров'ям та їх підходи щодо комунікації в цьому напрямку. Основну увагу приділено систематизації моделей комунікативної діяльності громадському здоров'ї. In the article is given analyzes of the foreign and Ukrainian science and practical sources and outlines, the approaches to public management of communication activities and communication policy development in the field of public health. Despite significant differences, communicative activities in public health in different countries are grouped and divided into categories and models. Article considers the models of communicative activity in public administration of public health in accordance with foreign experience. The communicative activity of public health of different countries from the standpoint of Melvin De Fleur's communicative model is studied. There are three main models: with a single sender of information controlled by government; with several senders of information with a single state regulation and several independent senders of information with no central regulation. The article presents the main features of the existing models of communicative activity in public administration of public health in different countries with consideration of key characteristics, mechanisms for achieving goals and results of activities. Taking into account the target directions of public health development, the peculiarities and key factors of communicative activity and public administration of this activity are determined. Approaches to public administration of communicative activity of the countries of Europe, South and North America, and also the countries of Africa are studied. In addition, the experience of major European, South and North American public health organizations and their approaches to communication in this area were studied. The main attention is paid to the systematization of models of communicative activity in public health and public management of this field in different countries. It is noted that the more organizations tak...