JUSTIFICATION OF DIRECTIONS FOR IMPROVING THE ORGANIZATION OF MEDICAL CARE FOR PATIENTS WITH COVID-19 AND METABOLIC DISORDERS
Introduction. Between 2015 and 2023, Ukraine’s healthcare system faced significant disruptions due to the COVID-19 pandemic, full-scale war, and ongoing economic instability. Worsening demographic indicators, increasing inpatient mortality, and declining accessibility of medical care underscore the...
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State Institution of Science «Research and Practical Center of Preventive and Clinical Medicine» State Administrative Department
2025-04-01
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| Series: | Клінічна та профілактична медицина |
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| Online Access: | https://cp-medical.com/index.php/journal/article/view/571 |
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| author | Tetiana S. Gruzieva Olena Ya. Antonyuk |
| author_facet | Tetiana S. Gruzieva Olena Ya. Antonyuk |
| author_sort | Tetiana S. Gruzieva |
| collection | DOAJ |
| description | Introduction. Between 2015 and 2023, Ukraine’s healthcare system faced significant disruptions due to the COVID-19 pandemic, full-scale war, and ongoing economic instability. Worsening demographic indicators, increasing inpatient mortality, and declining accessibility of medical care underscore the need for a comprehensive analysis to develop effective strategies for adapting the healthcare system to current conditions, challenges, and threats.
Aim. The objective of this study is to substantiate strategies for improving the organization of medical care for patients with metabolic disorders, considering current challenges and threats, through an analysis of the incidence of non-communicable diseases, mortality trends, and the availability of healthcare resources.
Materials and methods. The study employed analytical, structural-logical, content analysis, and medical-statistical methods. Data sources included statistical reports from the Center for Public Health of the Ministry of Health of Ukraine, materials from the Ukrainian Institute for Strategic Studies, scientific literature, and strategic policy documents. Data analysis was conducted using R (EZR) software. Statistical assessments focused on inpatient mortality during the period 2015–2022, with a significance threshold set at p < 0.05.
Results. The analysis revealed adverse trends in mortality between 2015 and 2022, with overall inpatient mortality increasing from 1.5% to 2.4%. Notably, mortality from respiratory diseases rose eightfold, while mortality from cardiovascular diseases increased by 60.7%. In contrast, mortality related to endocrine pathologies showed a declining trend. Hospitalization rates for patients with diabetes mellitus decreased by 56.4%. During the same period, the availability of physicians declined from 35.1 to 32.2 per 10,000 population, negatively impacting access to medical services. A statistically significant strong inverse correlation was observed between hospitalization rates and mortality, as well as between physician availability and mortality—highlighting the influence of workforce shortages on treatment outcomes. Based on these findings, promising directions have been identified for optimizing the organization of medical care for patients with COVID-19 and metabolic disorders.
Conclusions. The adverse mortality trends among patients with COVID-19 and metabolic syndrome underscore the urgent need to improve the organization of healthcare. Key priorities include strengthening the integration and coordination of services through the development of holistic, multidisciplinary functional and organizational care models; promoting interprofessional collaboration; reinforcing human resource capacity; expanding outpatient services; and accelerating the digital transformation of the healthcare system. |
| format | Article |
| id | doaj-art-f79374eafe63493bb2b2ef48aa6d99fa |
| institution | OA Journals |
| issn | 2616-4868 |
| language | English |
| publishDate | 2025-04-01 |
| publisher | State Institution of Science «Research and Practical Center of Preventive and Clinical Medicine» State Administrative Department |
| record_format | Article |
| series | Клінічна та профілактична медицина |
| spelling | doaj-art-f79374eafe63493bb2b2ef48aa6d99fa2025-08-20T02:37:20ZengState Institution of Science «Research and Practical Center of Preventive and Clinical Medicine» State Administrative DepartmentКлінічна та профілактична медицина2616-48682025-04-01461610.31612/2616-4868.4.2025.01571JUSTIFICATION OF DIRECTIONS FOR IMPROVING THE ORGANIZATION OF MEDICAL CARE FOR PATIENTS WITH COVID-19 AND METABOLIC DISORDERSTetiana S. Gruzieva0Olena Ya. Antonyuk1Bogomolets National Medical University, Kyiv, UkraineBogomolets National Medical University, Kyiv, Ukraine; National Military Medical Clinical Center “Main Military Clinical Hospital”, Kyiv, UkraineIntroduction. Between 2015 and 2023, Ukraine’s healthcare system faced significant disruptions due to the COVID-19 pandemic, full-scale war, and ongoing economic instability. Worsening demographic indicators, increasing inpatient mortality, and declining accessibility of medical care underscore the need for a comprehensive analysis to develop effective strategies for adapting the healthcare system to current conditions, challenges, and threats. Aim. The objective of this study is to substantiate strategies for improving the organization of medical care for patients with metabolic disorders, considering current challenges and threats, through an analysis of the incidence of non-communicable diseases, mortality trends, and the availability of healthcare resources. Materials and methods. The study employed analytical, structural-logical, content analysis, and medical-statistical methods. Data sources included statistical reports from the Center for Public Health of the Ministry of Health of Ukraine, materials from the Ukrainian Institute for Strategic Studies, scientific literature, and strategic policy documents. Data analysis was conducted using R (EZR) software. Statistical assessments focused on inpatient mortality during the period 2015–2022, with a significance threshold set at p < 0.05. Results. The analysis revealed adverse trends in mortality between 2015 and 2022, with overall inpatient mortality increasing from 1.5% to 2.4%. Notably, mortality from respiratory diseases rose eightfold, while mortality from cardiovascular diseases increased by 60.7%. In contrast, mortality related to endocrine pathologies showed a declining trend. Hospitalization rates for patients with diabetes mellitus decreased by 56.4%. During the same period, the availability of physicians declined from 35.1 to 32.2 per 10,000 population, negatively impacting access to medical services. A statistically significant strong inverse correlation was observed between hospitalization rates and mortality, as well as between physician availability and mortality—highlighting the influence of workforce shortages on treatment outcomes. Based on these findings, promising directions have been identified for optimizing the organization of medical care for patients with COVID-19 and metabolic disorders. Conclusions. The adverse mortality trends among patients with COVID-19 and metabolic syndrome underscore the urgent need to improve the organization of healthcare. Key priorities include strengthening the integration and coordination of services through the development of holistic, multidisciplinary functional and organizational care models; promoting interprofessional collaboration; reinforcing human resource capacity; expanding outpatient services; and accelerating the digital transformation of the healthcare system.https://cp-medical.com/index.php/journal/article/view/571morbidityin-hospital mortalityhospitalizationorganization of medical carehealth care organizationresourcesstaff provisiondiabetescovid-19chronic non-infectious diseaseschallengeswar |
| spellingShingle | Tetiana S. Gruzieva Olena Ya. Antonyuk JUSTIFICATION OF DIRECTIONS FOR IMPROVING THE ORGANIZATION OF MEDICAL CARE FOR PATIENTS WITH COVID-19 AND METABOLIC DISORDERS Клінічна та профілактична медицина morbidity in-hospital mortality hospitalization organization of medical care health care organization resources staff provision diabetes covid-19 chronic non-infectious diseases challenges war |
| title | JUSTIFICATION OF DIRECTIONS FOR IMPROVING THE ORGANIZATION OF MEDICAL CARE FOR PATIENTS WITH COVID-19 AND METABOLIC DISORDERS |
| title_full | JUSTIFICATION OF DIRECTIONS FOR IMPROVING THE ORGANIZATION OF MEDICAL CARE FOR PATIENTS WITH COVID-19 AND METABOLIC DISORDERS |
| title_fullStr | JUSTIFICATION OF DIRECTIONS FOR IMPROVING THE ORGANIZATION OF MEDICAL CARE FOR PATIENTS WITH COVID-19 AND METABOLIC DISORDERS |
| title_full_unstemmed | JUSTIFICATION OF DIRECTIONS FOR IMPROVING THE ORGANIZATION OF MEDICAL CARE FOR PATIENTS WITH COVID-19 AND METABOLIC DISORDERS |
| title_short | JUSTIFICATION OF DIRECTIONS FOR IMPROVING THE ORGANIZATION OF MEDICAL CARE FOR PATIENTS WITH COVID-19 AND METABOLIC DISORDERS |
| title_sort | justification of directions for improving the organization of medical care for patients with covid 19 and metabolic disorders |
| topic | morbidity in-hospital mortality hospitalization organization of medical care health care organization resources staff provision diabetes covid-19 chronic non-infectious diseases challenges war |
| url | https://cp-medical.com/index.php/journal/article/view/571 |
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