Directions of the development of the Kiev municipal consultative diagnostic centers in new economic conditions

Kravchenko V. V. Directions of the development of the Kiev municipal consultative diagnostic centers in new economic conditions. Journal of Education, Health and Sport. 2017;7(6):948-959. eISSN 2391-8306. DOI http://dx.doi.org/10.5281/zenodo.1117939 http://ojs.ukw.edu.pl/index.php/johs/article/view/5139 The journal has had 7 points in Ministry of Science and Higher Education parametric evaluation. Part B item 1223 (26.01.2017). 1223 Journal of Education, Health and Sport eISSN 2391-8306 7 © The Author 2017; This article is published with open access at Licensee Open Journal Systems of Kazimierz Wielki University in Bydgoszcz, Poland Open Access. This article is distributed under the terms of the Creative Commons Attribution Noncommercial License which permits any noncommercial use, distribution, and reproduction in any medium, provided the original author(s) and source are credited. This is an open access article licensed under the terms of the Creative Commons Attribution Non Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted, non commercial use, distribution and reproduction in any medium, provided the work is properly cited. This is an open access article licensed under the terms of the Creative Commons Attribution Non Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted, non commercial use, distribution and reproduction in any medium, provided the work is properly cited. The authors declare that there is no conflict of interests regarding the publication of this paper. Received: 03.06.2017. Revised: 20.06.2017. Accepted: 30.06.2017. DIRECTIONS OF THE DEVELOPMENT OF THE KIEV MUNICIPAL CONSULTATIVE DIAGNOSTIC CENTERS IN NEW ECONOMIC CONDITIONS V. V. Kravchenko Shupyk National Medical Academy of Postgraduate Education Abstract Background Improving of the outpatient care is an urgent problem of the health care system in Ukraine. Objective: to determine the problems of organizing of the Consultative and Diagnostic Centers (CDCs) in Kiev, to consider the foreign experience of forming a partnership between the state and the private sector in health care and to determine the direction of development of the CDCs. Materials and methods. Priority directions for the development of communal CDCs in the current economic conditions were substantiated using the system approach and analysis method, as well as the information-analytical method. The information base for their formation were the scientific works of Ukrainan and foreign specialists in public-private partnership (PPP) and management, as well as the results of own studies. Sociological survey of 437 patients and 411 physicians of communal CDCs and an expert assessment of the state, problems of the organization and prospects for further development of communal CDCs (by 21 highly qualified specialists in the organization and management of public health) were conducted in 2017 in Kiev. Results It is established that the population and physicians are dissatisfied with the existing organization of the CDC's work. The results of the expert evaluation also demonstrated the existence of a number of organizational problems in the CDCs. It is determined that the development of the CDCs depends on financing and management, the introduction of mechanisms of public-private partnership. The necessity of reorganizing and improving the management of the CDCs is substantiated. Conclusions Formation of the economic mechanism of the CDCs on the principles of public-private partnership and the preparation of modern managers for the management of the CDCs are the priority directions of development of communal CDCs in current conditions. Key words: consultative and diagnostic center, directions of development, management, public-private partnership