Behavioral, social, economic and legal dimension of the public health system of Ukraine: descriptive, canonical and factor analysis

Abstract

The aimis to develop an integrated indicator that characterizes the degree of satisfaction of the population with medical services. Materials and methods: integrated indicator was formed in terms of three stages for 24 regions of Ukraine and Kyiv. At the first stage, the expediency of using five influential groups of input indicators (behavioral, physical, economic, social and legal orientation) with a total of 59 features using descriptive modeling is substantiated. At the second stage, canonical correlation models were developed for the most correlated complex features, which form an indicator of the population satisfaction degree with the received medical services: physical condition features, social and behavioral orientation qualities. The third stage of factor modeling (using orthogonal transformation methods Varimax, Quartimax and Equimax) allowed identifying the five most influential factors for the formation of an integrated indicator and the development of econometric models for the healthcare state. Results: the necessity to improve the medical service quality and innovation in healthcare reform is confirmed sincethere were no regions where citizens were fully satisfied with the medical service level. The population of most Ukrainian regions (76% of regions), including Kyiv, is rather dissatisfied with the received medical services. Conclusions: the study results provide ample opportunities for healthcare workers, medical professionals, and public authorities to ensure quality and timely adjustment of existing rules and regulations within the Health Care Reform, improving the level of public satisfaction with the received medical services, and the immediate improvement of the nation’s health.