Medical management: a model for giving medical aid to children with infectious-inflammatory diseases of the urinary system
Authors: Bezruk Volodymyr Volodymyrovych ,   Department of Pediatrics, Neonatology and Perinatology Medicine, Bukovinian State Medical University, Chernivtsi, Ukraine, Shkrobanets Igor Dmytrovych ,   Department of Medical and Organizational Management, National Academy of Medical Sciences of Ukraine, Kiev, Ukraine, Godovanets Oleksii Serhiiovych ,   Department of Pediatrics, Neonatology and Perinatology Medicine, Bukovinian State Medical University, Chernivtsi, Ukraine, Buriak Oleksandr Hryhorovych ,   Department of Pediatrics, Neonatology and Perinatology Medicine, Bukovinian State Medical University, Chernivtsi, Ukraine, Popelyuk Nataliya Oleksandrivna ,   Department of Pediatrics, Neonatology and Perinatology Medicine, Bukovinian State Medical University, Chernivtsi, Ukraine, Voytkevich Nina Ivanivna ,   Department of Foreign Languages, Bukovinian State Medical University, Chernivtsi, Ukraine, Makarova Olena Victorivna ,   Department of Care for Patients and Higher Nursing Education, Bukovinian State Medical University, Chernivtsi, Ukraine, Yurkiv Oksana Ivanivna ,   Department of Care for Patients and Higher Nursing Education, Bukovinian State Medical University, Chernivtsi, Ukraine, Sheremet Michael Ivanovych ,   Surgery Department No.1, Bukovinian State Medical University, Chernivtsi, Ukraine, Boilookyi Oleksandr Vyacheslavovich ,   Surgery Department No.1, Bukovinian State Medical University, Chernivtsi, Ukraine, Hresko Mykhailo Mykhailovich ,   Surgery Department No.1, Bukovinian State Medical University, Chernivtsi, Ukraine, Velia Mariya Ivanivna ,   Department of Pharmacy, Bukovinian State Medical University, Chernivtsi, Ukraine, Yurniuk Svyatoslava Vasylivna ,   Department of Pharmacy, Bukovinian State Medical University, Chernivtsi, Ukraine, Seniuk Bogdana Petrivna ,   Department of Internal Medicine, Bukovinian State Medical University, Chernivtsi, Ukraine, Hresko Maryna Dmytrivna ,   Department of Obstetrics and Gynecology, Bukovinian State Medical University, Chernivtsi, Ukraine
Published: October 2021

Increasing requirements of medical aid given to children with infectious-inflammatory diseases of the urinary system stipulate the necessity to improve its quality using evidence-based therapeutic-diagnostic and organization technologies. The aim of the work – to substantiate, develop the improved model of the specialized nephrology care for children with infectious inflammatory diseases of the urinary system at the regional level. The official statistical data have been studied (2006 to 2017); information-analytical and statistical methods have been used. A bacteriological study (2009–2016) of urine samples was carried out for 3089 children (0–17 years old) in the Chernivtsi region. They formed the foundation for substantiation and development of an improved functional-organizational model of the system. In addition to the existing and functionally changed elements contains new elements: regional/inter-regional center of specialized medical aid to children with infectious-inflammatory diseases of the urinary system. Implementation of the elements of the suggested improved model in a part of a rational approach in distribution of functions concerning medical observation of patients at the stages of giving medical aid enabled to make the period of hospitalization of nephrological patients 11,40% shorter and an average period of treatment of patients with infectious-inflammatory diseases of the urinary system 2,93% shorter.