EFFECTIVENESS OF USING THE BED FUND AND HUMAN RESOURCES FOR PROVIDING MEDICAL CARE TO CHILDREN WITH RESPIRATORY DISEASES.

OBJECTIVE: The aim: Retrospectively evaluate the effectiveness of the use of beds and human resources for the treatment of children with respiratory diseases in hospitals in the period 2008-2021. PATIENTS AND METHODS: Materials and methods: We calculated indicators that characterize the efficiency of the use of bed and personnel resources: the density of beds per 10,000, the rate of hospitalized children per 10,000 (RH per 10,000), the bed occupancy rate per year (BOR), average length of stay (ALOS), full-time positions (FTP) per 100,000, number of beds per 1 FTP of doctors. RESULTS: Results: During 2008-2021, there was a significant decrease in the density of all types of beds. The percentage of hospitalized children for inpatient treatment decreased, BOR decreased, and ALOS decreased. The density of full-time positions of allergists increased by +23.78%, pediatricians by +4.86%, pulmonologists decreased by -13.15%. In 2021, there were 10.31 beds for 1 FTP of an allergist, 12.8 beds for 1 FTP of a pulmonologist, and 5.83 beds for 1 FTP of a pediatrician. According to the correlation matrix, it was established that the more beds there are for 1 full-time position of a pediatrician and 1 full-time position of an allergist, the longer the ALOS and the bed occupancy rate are. CONCLUSION: Conclusions: When planning staffing of health care institutions, it is necessary to mind the level of urbanization of the region, and ensure status of the general practitioner as a leading medical specialist responsible for medical care during the first meeting with the patient and his subsequent follow-up.

NATIONAL ASSESSMENT OF PNEUMONIA MORBIDITY IN CHILDREN IN THE PERIOD 1993-2017 AND PROGNOSIS FOR 2025.

OBJECTIVE: The aim: To assess national trends in the morbidity of pneumonia in children aged 0-6 years, 7-14 years and 15-17 years in the period from 1993 to 2017 and mathematically predict the dynamics of the morbidity in 2025. PATIENTS AND METHODS: Materials and methods: Data from the Center for Medical Statistics of the Ministry of Health of Ukraine for the period 1993-2017 were used to calculate the morbidity rate of pneumonia in children aged 0-6 years, 7-14 and 15-17 years. RESULTS: Result: The period from 1993 to 2017 is characterized by high incidence of pneumonia in children in Ukraine (from 6.74 to 8.21 per 1000). In children aged 0-6 years, the morbidity 1000 ranged from 11.45 to 11.17, in children aged 7-14 years - from 4.65 to 6.46, in adolescents aged 15-17 years - from 1.99 to 10.47 . In Ukraine, the morbidity rate has significantly exceeded the that in European countries. In 2025, the morbidity of children under 6 years old in Ukraine may make up 3.84 per 1,000. CONCLUSION: Conclusions: In Ukraine, a significant increase in the morbidity rate of pneumonia in adolescents is predicted by 2025. It is necessary to develop a national strategy to improve the health of children and adolescents to implement policy and management measures in the health care system, aimed at effective prevention and quality treatment of pneumonia in children and adolescents.