МЕХАНІЗМИ ІНТЕГРАЦІЇ В ДІЯЛЬНОСТІ НАДКЛАСТЕРНИХ ЛІКАРЕНЬ (ЗА ДАНИМИ СОЦІОЛОГІЧНОГО ДОСЛІДЖЕННЯ)

Integration is considered a mechanism for improving the comprehensive coverage of the population with medical care, improving its quality, reducing segmentation and differentiation, and rational use of health resources. In Ukraine, the reform of the health care sector, the COVID-19 epidemic and its consequences, and the war unleashed by the aggressor have led to changes in the mechanisms of cooperation and interaction between medical and non-medical institutions interested in preserving and restoring the health of the population. It requires targeted scientific research, in particular, integration into the activities of supracluster hospitals, where high-tech specialized medical care is provided to the population of the region.Aim of the study. To investigate the management mechanisms of integration in the activities of supracluster hospitals.Material and methods. The materials selected were questionnaires filled out by the heads of departments of two supracluster (regional) hospitals (a total of 58 units: 33 units from respondents of the first group and 25 units from respondents of the second group). Methods used: sociological; medical statistical; logical-structural analysis; generalization.Results. 16 (48.5%) respondents in the first group and 9 (36.0%) people in the second group indicated telemedicine services; 20 (60.6%) people of the first group and 12 (48.0%) people of the second group reported on emergency medicine outpatient services; 19 (57.6%) and 12 (48.0%) people, respectively, indicated the joint development and use of clinical patient routes. Accordingly, 13 (39.4%) and 8 (32.0%) managers stated about joint implementation of preventive campaigns. Only 4 (12.1%) respondents from the first group and 5 (20.0%) respondents from the second group reported the functioning of an end-to-end electronic information system in the region. 28 (84.8%) respondents from the first group and 17 (68.0%) respondents from the second group reported professional personal communication between hospital specialists and specialists from other healthcare institutions. They use telephone, social networks, and e-mail to communicate. Accordingly, 11 (33.3%) and 7 (28.0%) people reported a regular exchange of information with the Disease Control and Prevention Center. According to the survey, cooperation with social protection bodies and public patient organizations occurs only when necessary.Conclusions. The mechanisms of integration and coordination between regional hospitals and other healthcare institutions and non-medical institutions in the region need to be improved and strengthened.