EXPERIENCE OF THE USA PERINATAL CARE SYSTEM CHANGES FOR REFORMING THE HEALTH CARE SYSTEM OF UKRAINE
DOI:
https://doi.org/10.51547/ppp.dp.ua/2023.5.6Keywords:
health care, perinatal care system, medical services, integrated services, organization of adequate care, Ukraine, USA, international experienceAbstract
The article examines the experience of changes in the US perinatal care system with the aim of identifying elements of development that may be useful for perinatal care system reforming in Ukraine. The US perinatal care system was analyzed from the managerial point of view; it was established that it is characterized by complex combination of state and private medical services providers, the multi-level structure of medical and social programs, complex of services aimed at ensuring the health and well-being of pregnant women, mothers and newborns, as well as families with children. The indicators used to assess the timeliness and availability of the US perinatal care services at the prenatal period were studied. The organizational and management structure of childbirth services and their provision by authorities has been determined. An example of the services integration and system support of perinatal care is presented using the example of the infrastructure for breastfeeding promotion and support in the US. It has been established that it is quite broad and takes place at all stages of perinatal care. It includes: health care facilities, community-based support groups, social and informational support programs, public organizations and scientific institutions related to breastfeeding support, Internet resources, workplace support. The problem of perinatal mental health is outlined, the solution of which is extremely relevant for Ukraine in wartime. There are determined directions in which the community, medical and management environment work to solve problems in the development of the perinatal care system in the US, and which can be used to improve the effectiveness of the perinatal care system in Ukraine.
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