PROBLEMATIC ISSUES OF THE PUBLIC HEALTH MAINTENANCE AT HEALTHCARE FACILITIES UNDER MARITAL LAW

determining the functioning features of health maintenance by the health care and health protectionfacilities of the NPP surveillance zone during epidemics, epidemic situations and manmade accidents under martial law and possible terrorist acts.

Quantitative and qualitative methods of sociological research were applied namely the analysis ofresource potential indicators, population surveys and method of expert assessments. When obtaining primary empirical data, the simple data sorting, their pairwise or sequential comparison, as well as procedures ensuring the identification of the measured variable were used. An informal analysis of legislative and regulatory documents wasapplied. The official sources of information, statistical data, scientific publications, legislative and regulatory actson health maintenance were the study subject.

Analysis of the health maintenance parameters in the studied areas of the South Ukrainian NPP observation zone was conducted namely: values of the resource potential based on reporting of the Department of Healthof the Mykolaiv Regional State Administration for 2022-2023 and the first half of 2024 and study of public opinionregarding the activities of healthcare facilities' infrastructure, in particular the state of outpatient care, hospitalwork, energy, water and heat supply, attitude to introduction of the outofpocket medical services during martiallaw. An expert survey was conducted to assess the types of health care (emergency, primary, secondary, tertiary, medical rehabilitation), implementation of its basic principles, levels of preparedness of health care system for epidemics and epidemic situations, preparedness and response to emergencies (accidents, terrorist acts). Effectivenessof the medical information and communication system regarding health care and medical assistance to populationin healthcare facilities and provision of specialists with analytical and operational information were assessed.

Analysis of the data obtained on the issues of public health care under martial law indicated the insufficiently effective functioning of its separate components due to both shortage of personnel (doctors and nursingstaff) and the insufficiently effective implementation of healthcare information systems and eHealth technologiesin the practical activities of health care facilities. It is necessary to develop and implement the management decisions directed at ensuring the readiness of healthcare facilities for epidemics and epidemic situations and manmade emergencies, as well as training personnel through the specialized education and general system of trainingof working doctors.