The need of changing the paradigm of thinking of a general practitioner in connection with the International Classification of Primary health Care (icpc-2) implementation in ukraine

O. G. Shekera, N. V. Medvedovska, A. V. Tsarenko


Background. The article provides an overview of the current International Classification of Primary Health Care (ICPC-2) that will be used daily by General Practitioner-Family Doctor (GP-FD) in providing primary health care (PHС) to patients in Ukraine. The peculiarities of a new approaches implementation, application of this international classification with taking into account national peculiarities of the organization of PHС provision in conditions of reforming the Health Care System in Ukraine are described. An analytical review is useful for GP-FDfor expanding their outlook, ensuring a continuous process of their self-education and further professional activity in a context of the practical ICPC-2 application, the implementation of a specially developed informative systems in accordance with ICPC-2 principles. The purpose of the research was to describe the main approaches and opportunities of the ICPC-2 implementation to provide PHC in Ukraine, based on the principles of General Medical Practice-Family Medicine. Materials and methods. Methods of semantic evaluation of scientific documents, as well as the method of structural and logical analysis were used in the process of research. Results. The modern international classification ICPC-2 for the provision of PHC is analyzed. Attention is paid to the peculiarities of the patients’ reasons for the visit coding and a diagnostic process, which will be performed by a GP-FD with a focus on the implementation of the current syndromal approach. The classification, discussed in this article, was approved by the Order of the Ministry of Health of Ukraine dated January 4, 2018, No. 13 "On certain issues of the application of the Ukrainian-language version of the International Classification of Primary Health Care (ICPC-2-E)". Conclusions. For effective development of the health care system it is necessary that its foundation (primary health care) corresponds to the current state of development of the industry as a whole, was adequate to modern, qualitatively new economic-legal relations taking into account the best domestic and world experience. The use in the everyday practice of information systems based on the ICPC-2 with further implementation will simplify the GP-FD work "in uncertainty conditions" when providing PHC. The above described should be taken into account in the programs of post-graduate education of GP-FD.


primary health care; continuous professional development; International Classification of Primary HealthCare (ICPC-2)

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