Identification of Risks in the Field of Healthcare and Their Influence on the Functioning of Territorial Communities in the Conditions of Implementation of Modern Reforms

Abstract

Introduction. Among the measures to ensure the well-being of communities, one of the most important is health care, which in Ukrainian reality is largely due to high mortality rates, reduced life expectancy and low satisfaction of community residents with the quality of health care. Goal. Identification of health risks, identification of their impact on the functioning of local communities and development of a set of measures aimed at their leveling. Method (methodology). Methods of logical generalization, analysis, comparison and synthesis are used to identify risks in the health care system and justify measures to minimize them. Results. Identified organizational and institutional, functional, financial risks in the health care system; an analytical study was carried out and the peculiarities of their influence on the functioning of territorial communities were clarified. A set of measures aimed at the effective functioning of health care at the territorial community level and minimization of negative consequences in terms of identified risks, namely: organizational and institutional (legislative definition of secondary and tertiary levels of health care, taking into account administrative and territorial features of primary health care). Assistance in determining the capitalization rate and the abolition of limitation of declarations in rural areas); financial (establishment of an effective mechanism for financing primary health care in the local community, elimination of inefficient expenditures, application of financial incentives for employees of health care facilities of the local community); functional risks (establishing partnerships between local governments and the management of the primary care institution, stimulating and encouraging local governments to develop medicine in the local community, control over the conditions of remuneration of primary care physicians).

Features of Ensuring the Financial Capacity of the Territorial Community (On the Example of the Lubeshiv Territorial Community of the Volyn Region)

“…It was determined that the activities of local authorities should be aimed at: Аналіз останніх досліджень і публікацій. Дослідженням місцевих бюджетів, фінансової автономії та фінансового вирівнювання займалися такі зарубіжні та вітчизняні вчені як Т. Бондарук [1], Г. Возняк [2], В. Горин [3], І. Гринчишин [4], В. Кравченко, О. Кириленко [3], М. Карлін [5], Б. Малиняк [3], І. Сторонянська [4] та ін. Проте залишається актуальним питання, пов'язане з розвитком місцевих бюджетів в умовах системних трансформацій в економіці з урахуванням фінансової децентралізації.…”