Characteristics of the mental health of employees of healthcare facilities in the conditions of war.

OBJECTIVE: Aim: To study the state of mental health of staff of healthcare facilities (HCFs) of different categories (managers, doctors, nurses) 2 years after the beginning of the Russian invasion of Ukraine. PATIENTS AND METHODS: Materials and Methods: The study, using valid psycho-diagnostic methods, was conducted in 3 stages: studying the frequency of mental states, Mental Health Continuum, and occupational self-efficacy. Using descriptive and analytical statistics, we analyzed the results obtained from 114 respondents. RESULTS: Results: It was found that in the majority of the study group, regardless of the position held (manager, doctor, nurse), the levels of anxiety, frustration, aggressiveness, and rigidity were low (64.0%-50.9% of respondents); flourishing and high development of occupational self-efficacy were recorded in 59.6% and 61.0%, staff of HCFs respectively. A small proportion of specialists (10.5%-4.4%) revealed a high level of manifestation of mental states; languishing and a low level of professional self-efficacy were practically absent. In other study participants, all indicators were at the borderline level. CONCLUSION: Conclusions: Almost 2 years of functioning in the context of the war has led to the development of a certain adaptation and resilience in all categories of healthcare employees, which allows them to fulfill their professional duties. At the same time, there is a significant number of healthcare professionals who have moderate and high levels of mental stress, and problems with mental health stability, which requires systemic decisions to be made at the sectoral level to ensure the mental health of staff of healthcare facilities.

Система финансирования здравоохранения в Украине и пути ее реформирования

Соответственно структура данной работы отражает логику анализа системыфинансирования здравоохранения с точки зрения выполнения указанных функций.Сначала эта система последовательно рассматривается с точки зрения каждой функции вотдельности (разделы 2-5). Затем эти частные описания синтезируются черезхарактеристику структуры распределения функциональных обязанностей основныхсубъектов системы финансирования (раздел 6) и обобщающую оценку системыфинансирования (раздел 7) на основе критериев, производных от целей системздравоохранении, сформулированных Всемирной организацией здравоохранения.5 Далее вработе обсуждаются приоритеты реформирования системы финансирования.

The Ukrainian health financing system and options for reform: a thorough analysis of the health care financing system in the Ukraine and suggestions for feasible changes

The aim of this publication is to present a thorough analysis of the health care organization and financing system in the Ukraine to identify the priority problems and feasible changes. The structure of the report reflects the logic of the health financing analysis: First, it is considered with respect to each function (chapters 2–5), then the individual descriptions are synthesized in a characteristic of allocation of the functional responsibilities of the major financing system actors (chapter 6) together with a generalized assessment of the financing system (chapter 7). Further in the work priorities for finance reform are considered.

Health care systems in transition: Ukraine

The Health Systems in Transition (HiT) series provide detailed descriptions of health systems in the countries of the WHO European Region as well as some additional OECD countries. An individual health system review (HiT) examines the specific approach to the organization, financing and delivery of health services in a particular country and the role of the main actors in the health system. It describes the institutional framework, process, content, and implementation of health and health care policies. HiTs also look at reforms in progress or under development and make an assessment of the health system based on stated objectives and outcomes with respect to various dimensions (health status, equity, quality, efficiency, accountability).