MONITORING AND CONTROL IN THE FIELD OF HEALTH PROTECTION AT THE LEVEL OF LOCAL GOVERNMENT UNDER MODERN CONDITIONS
DOI:
https://doi.org/10.32782/2786-5681-2023-3.15Keywords:
management, health care, self-governance, monitoring, controlAbstract
The process of managing the health care system at the levels of local self-government bodies should include monitoring and control of the health care system. Digital technologies expand the possibilities of effective monitoring and control in the field of health care. At the levels of local self-government bodies of the Vinnytsia urban territorial community (Ukraine), a system of monitoring and control of the health care system using digital technologies has been developed, implemented and used. This system of monitoring and control with the help of digital technologies makes it possible to assess the needs of the population of a defined territory in the field of health care, helps the heads of local governments to evaluate the results and indicators of the health care system of the territorial community, to forecast the results of the implementation of individual local programs and measures, to determine their economic efficiency and expediency. The possibilities of digital technologies in the field of community health care make it possible to unite medical institutions in the territory of the community in order to create a single medical information space of the community and to set up an effective and convenient system of monitoring and control at the level of local self-government. The purpose of the article is to study the experience, useful practices and issues of monitoring and control in the field of health care at the level of local self-government in modern conditions both in Ukraine and abroad. The scientific novelty consists in the proposal to establish the management process in the field of health care based on monitoring and control algorithms with the help of digital technologies. Conclusions: The experience of using the monitoring and control system of the health care system using digital technologies at the level of local self-government bodies of the Vinnytsia urban territorial community confirmed the effectiveness of management and the effectiveness of the proposed monitoring and control system both in normal conditions and in conditions of new challenges and problems: the COVID-19 pandemic and military aggression against Ukraine.
References
Brinkerhoff D.W. Democratic governance and sectoral policy reform: tracing linkages and exploring synergies. World Development. Vol. 28, no. 4, Apr. 2000 P. 601–615. URL: https://doi.org/10.1016/s0305-750x(99)00147-3.
Veillard, Jeremy Henri, et al. Health System Stewardship of National Health Ministries in the WHO European Region: Concepts, Functions and Assessment Framework. Health Policy. Vol. 103, no. 2-3, Dec. 2011. P. 191–199. URL: https://doi.org/10.1016/j.healthpol.2011.09.002.
Smith, Peter C., et al. Leadership and Governance in Seven Developed Health Systems. Health Policy. Vol. 106, no. 1, June 2012. P. 37–49. URL: https://doi.org/10.1016/j.healthpol.2011.12.009.
Official site World health organization. Health systems governance. 2023. URL: https://www.who.int/healthtopics/health-systems-governance#tab.
Sivalal, Sadasivan. Health Technology Assessment in the Asia Pacific Region. International Journal of Technology Assessment in Health Care, Vol. 25, no. S1, July 2009. P. 196–201. URL: https://doi.org/10.1017/s0266462309090631.
Erondu, Ngozi A, et al. Improving National Intelligence for Public Health Preparedness: A Methodological Approach to Finding Local Multi-Sector Indicators for Health Security. BMJ Global Health. Vol. 6, no. 1, Jan. 2021. URL: https://doi.org/10.1136/bmjgh-2020-004227.
Masefield, Sarah C., et al. Challenges to Effective Governance in a Low Income Healthcare System: A Qualitative Study of Stakeholder Perceptions in Malawi. BMC Health Services Research. Vol. 20, no. 1, Dec. 2020. P. 1–16. URL: https://doi.org/10.1186/s12913-020-06002-x.
Ayanore, Martin Amogre, et al. Towards Resilient Health Systems in Sub-Saharan Africa: A Systematic Review of the English Language Literature on Health Workforce, Surveillance, and Health Governance Issues for Health Systems Strengthening. Annals of Global Health. Vol. 85, no. 1, 2019. URL: https://doi.org/10.5334/aogh.2514.
Hosseinpoor, Ahmad Reza, et al. Equity-Oriented Monitoring in the Context of Universal Health Coverage. PLoS Medicine. Vol. 11, no. 9, 22 Sept. 2014. URL: https://doi.org/10.1371/journal.pmed.1001727.
Begum T., Khan S.M., Adamou B., Ferdous J., Parvez M.M., Islam M.S., Kumkum F.A., Rahman A., Anwar I. Perceptions and Experiences with District Health Information System Software to Collect and Utilize Health Data in Bangladesh: A Qualitative Exploratory Study. BMC Health Services Research, U.S. National Library of Medicine, 2020. URL: https://pubmed.ncbi.nlm.nih.gov/32456706/
Official site Transparency International. Health system governance. 2023, URL: https://ti-health.org/health-systemgovernance.
Lankester T. Monitoring and evaluating the health programme. Oxford Academic Oxford University Press (OUP)’s platform for research, offers a single point of entry for access to scholarly and academic books and journals. 2019. URL: https://academic.oup.com/book/25049/chapter/189152774.