CHARACTERISTICS OF THE VOLUME AND OUTCOMES OF MEDICAL CARE FOR PATIENTS WITH SKIN CANCER IN UKRAINE IN 2010-2020

Wiad Lek. 2023;76(4):799-804. doi: 10.36740/WLek202304115.

Abstract

Objective: The aim: To investigate the dynamics of the volumes and outcomes of medical care for patients with skin cancer in Ukraine during 2010-2020.

Patients and methods: Materials and methods: Official statistical data from the reports of the Center for Medical Statistics of the Center for public health of the Ministry of Health of Ukraine and the National Cancer Registry for 2010-2020. Statistical and bibliosemantic methods were used in the work.

Results: Results: A decrease in the capacity to provide medical care to patients with skin cancer was identified, as evidenced by a decrease in the number of oncological dispensaries, oncological and examination rooms in outpatient clinics, oncological and radiological beds, with a relatively unchanged level of staffing. An analysis of the main indicators of the organization and activities of medical care for patients with cancer skin revealed problems with early detection of tumors, in particular during preventive examinations, and incomplete coverage of patients with stages I-II of the disease with special treatment. The positive dynamics of melanoma treatment outcome indicators were revealed (increase in accumulation index, 5-year patient survival rate, decrease in lethality and mortality).

Conclusion: Conclusions: the organization of medical care for patients with skin tumors, especially non-melanoma ones, needs further improvement in the context of preventive interventions, ensuring the coverage of patients with special treatment.

Keywords: completeness of treatment coverage; hospital beds; organization of medical care; skin cancer; availability of doctors; timeliness of detection.

MeSH terms

  • Humans
  • Physical Examination
  • Public Health
  • Radiology*
  • Skin Neoplasms* / epidemiology
  • Skin Neoplasms* / therapy
  • Ukraine