[MULTI-FACTOR MODEL OF FINANCING PREVENTION AND TREATMENT OF DIROPHILARIOSIS (BASIC PRINCIPLES AND INDICATORS OF EFFICIENCY)]

The aim of the study was to substantiate the effectiveness and feasibility of the practical application of the multifactorial model of financing the prevention and treatment of dirofilariasis, its principles and methodological approaches. The basic principles of the multifactor model - an integrated approach, a combination of public and private financing, ensuring continuity of financing, discreteness of expenses; methodology for determining the effectiveness of the use of financial resources on the calculation of the return on costs for the prevention and treatment of dirofilariasis were justified. The effectiveness of local budget spending on the treatment of territories of the Kharkov region from mosquitoes on the base on the proposed principles and methodology was analyzed. As a result of the study, it has been proven the limited budgetary funds do not allow the implementation of long-term comprehensive programs for the prevention and treatment of dirofilariasis. The use of a multifactorial model of financing will allow overcoming budgetary constraints, significantly increasing the financial resources of the fight against dirofilariasis, optimizing the expenditures of state and local budgets, and ensuring targeted use of funds from the state, territorial communities, enterprises and the population.

[COMPARATIVE ANALYSIS OF THE COST OF TREATMENT OF ECHINOCOCCOSIS BY THERAPEUTIC AND SURGICAL METHODS (BASED ON THE STEP-DOWN METHODOLOGY)]

The aim of the study was to carry out a comparative economic analysis of the costs of therapeutic and surgical treatment of liver echinococcosis based on the developed methodological approaches and principles for calculating the cost of complex medical services in accordance with the «step-down» methodology. The model for calculating the cost of complex medical services for the treatment of echinococcosis was justified. The sum of costs of outpatient and inpatient units that directly provide medical care (direct costs) to the costs of support centers (indirect costs) was adjusted, which among simple medical services based on the chosen criterion were distributed. Calculation of costing items out on the basis of the direct-cost costing method was carried. Based on the proposed model, a comparative analysis of the cost of treatment of liver echinococcosis using therapeutic and surgical methods was carried out. As a result of the study, it was proved that the therapeutic method is less expensive than the surgical method. This is the basis to recommend it for wider use in medical practice, especially in cases when there is a problem of choosing the method of treatment of echinococcosis. Cost optimization is facilitated by a combination of surgical intervention and therapeutic treatment.

[THE ITERATIVE APPROACH TO PRICING LABORATORY SERVICES FOR THE PROVISION OF MEDICAL AID (COPROPROCYCOSOPHICAL EXAMINATION ON LYAMBLIOSIS)]

The purpose of the study was to substantiate the theoretical and methodical principles of pricing for laboratory services in the diagnosis of giardiasis, taking into account their iterability and peculiarities of parasitic research methods. The methods of laboratory study of gum disease of native smear, treated with Lyulol solution, and ether-formalin enrichment on the criteria of their quality and effectiveness are analyzed. On the basis of the study of the effectiveness of the first and repeated analyzes, the conclusion on the iterative nature of laboratory studies of giardiasis and the effectiveness of the use of an iterative approach to the determination of prices for laboratory services is substantiated. The approaches to pricing laboratories providing diagnostic services for giardiasis in Ukraine are analyzed. The necessity of applying the price trajectory for laboratory diagnosis of giardiasis on the basis of multiplicity of researches (interactive approach) and the determination of the minimum and maximum price levels (the minimax approach) is proved. The main factors of pricing for laboratory diagnostics of giardiasis are identified and characterized: iterative research, economic efficiency, social value, value for the patient, competitiveness and reputation.