Vol. 7, Issue 1 (2018)

Author(s):
Kozlova ІV

Abstract:
Family medicine is in a dynamic state of rapid development in many regions. New technologies, collaborations, changes in pedagogy, variable methods of training, and system-wide support might represent opportunities for advancement of the discipline and of population health. The new definition focuses on a unique and enduring attribute of the specialty: holistic care. This core characteristic of general practice encompasses patient-centred care and continuity across the family lifecycle. The effect of primary care is believed to be due to its local adaptability and the complex interaction of the tenets of primary care. The need to integrate Ukraine into Europe prompted radical changes in financing and searching for new methods in medical education whilst at the same time creating a new system of primary health care. Training for family physicians usually is a process that begins with medical university, continues through residency, and lasts throughout a physician's career. Training for family medicine in Ukraine includes undergraduate education, residency (internship), specialty training and re-training and continuous professional development. The main problem is to provide a substantial quantity of general practitioners to cover affordable primary care for the Ukrainian population. Other problems include the insufficient financing and equipment of primary care centers, low number of computers, paper medical records and low salary. Further steps of reforming provide reformation of the financing system, organization of hospital areas, wide implementation health insurance, state reimbursement of medications, implementation of syndrome classification, improvement of national clinical guidelines.