DOI: https://doi.org/10.22141/2309-8147.7.2.2019.169681

Retrospective analysis of regional features of staffing of the ophthalmic service of Ukraine

S.O. Rykov, N.V. Medvedovska, Yu.V. Barinov

Abstract


Background. Implementation of the priority scientific-based direction for the prevention of visual disability from the childhood involves solving numerous medical and social and medical-organizational tasks related to the strengthening the preventive vector of medical care for children, timely detection, treatment of diseases of the eye and its appendages. Studies of regional features of the ophthalmic care provision and the state of ophthalmic health of the population of all ages in order to find ways to optimize the provision of ophthalmic care, an important component of which is the personnel component, are still relevant. The objective was to study the dynamics and regional peculiarities of personnel provision of ophthalmic care to the Ukrainian population. Materials and methods. The materials used for the study were the data of the official statistical reporting for the period of 2005–2014, namely the forms: No. 20 “Report of the medical and preventive institution” (annual) (268 units); No. 17 “Report on medical personnel” (annual) (268 units); No. 21-А “Report on medical assistance to the parturient women, newborns and infants” (annual) (268 units), consolidated by separate administrative territories of Ukraine (total of 804 units). Study of the primary material involves the use of methods of systematic approach and analysis, epidemiological, medical-statistical methods of research and content analysis. Results. Trends were detected towards reducing the number of ophthalmologists in Ukraine, including pediatric ones, with regional peculiarities of increasing their number in certain regions, mainly the Western and Central macroregions. Despite the fluctuation in the ophthalmologist availability per 10 thousand people, it was the highest in Kyiv (1.49), Lviv (1.05) and Zaporizhzhia (1.0) regions, with an average of 0.74 per 10 thousand people in Ukraine. Ophthalmologist availability was lowest in Donetsk (0.25), Luhansk (0.18), Kherson (0.57), Mykolaiv (0.59) and Kropyvnytskyi (0.61) regions. Along with a decrease in the absolute number of ophthalmologists in Ukraine, the number of ophthalmologists’ posts has decreased, with an average value of 90.25 %. The results of the retrospective study revealed a gradual decrease in the number of pediatric ophthalmologists in Ukraine, along with an increase in the percentage of pediatric ophthalmologists of retirement and preretirement age, which by the end of 2014 amounted to 31.7 %. With a gradual decrease in the number of registered positions of pediatric ophthalmologists, their availability varies within 86.33 %. Regional peculiarities of pediatric ophthalmologist availability showed almost double increase in the Transcarpathian, Ivano-Frankivsk, Lviv, Rivne and Chernivtsi regions, with the highest values in Kyiv. Conclusions. In Ukraine, there is a gradual decrease in both the absolute number of ophthalmologists (–16.1 %), in particular pediatric ones (–25.14 %), and their availability (–8.64 % and –20.0 %, respectively), with simultaneous decrease (by 4.4 %) of their posts (from 94.4 in 2005 to 90.25 in 2014). The regional peculiarities of the staffing of the pediatric ophthalmic service are an increase in ophthalmologist availability in the regions of the Western and Central macroregions of Ukraine (Kyiv — +48.8 %, Lviv — +25.0 %) with traditionally high ophthalmologist availability, including pediatric ones, in Kyiv (1.49 and 0.22, respectively) and Lviv (1.05 and 0.19 respectively) regions. At the same time, the availability of pediatric ophthalmologists in the Kropyvnytskyi (0.06), Cherkassy (0.06) regions remains low. During the study, the absolute number of pediatric ophthalmologists in these areas decreased almost twice. A half (52.9 %) of practicing ophthalmologists, and in some regions even more than a half (Odesa — 72.3 %, Lviv — 68.2 %), have a higher qualification category, which testifies to their professionalism, high level of knowledge and their long experience.


Keywords


regional peculiarities of providing ophthalmic care; ophthalmologists availability, in particular pediatric ones

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