Conceptual basis of organization of medical care for school students in the period of reforming healthcare and education systems

Abstract

Negative trends in the health status of the child population, the spread of non-communicable diseases require optimization of the system of their medical support. According to WHO, an educational institution can become a powerful tool for the preservation and strengthening of children's health through the rational use of human and material potential, opportunities for intersectoral interaction between education and medicine systems, and support for actions at the legislative level. The aim of the work is to develop a conceptual model of medical support for students of general secondary education institutions to prevent the spread of non-infectious diseases and the formation of health-oriented behavior of schoolchildren. Materials and methods: Analytical assessment of regulatory documents and scientific foreign and domestic publications on the health status and medical support of school-age children. Results and discussion. In the context of the innovative transformation of the health care system, the problematic issues of medical support for children in educational institutions are the issues of ensuring algorithms for monitoring the health of children, determining the influence of intraschool and medico-social factors on health and the formation of health-oriented behavior; systems for improving the skills and knowledge of school health workers on the issues of maintaining children's health, assessing health indicators and the results of preventive interventions.The solution of these issues is possible by introducing a unified coordinating structure of medical support for students of general secondary education institutions, with the development of its structural and functional model and defining the functions of all participants / performers to ensure an adequate system of medical support preserve the health of children in school conditions. The proposed Conceptual Model with substantiation of the functions and composition of specialists, elements of communication is aimed at preventing the spread of non-communicable diseases among students, the formation of a value attitude towards health in schoolchildren, will contribute to the formation of health-oriented behavior.