title: [Ukrainian experience of health care for patients with diabetes].
abstract: BACKGROUND
  diabetes mellitus is among the main challenges in the establishment of an effective health care system. A significant prevalence of disease and, consequently, a large number of complications, caused by it, provokes a constant searching for new measures and means for the struggle. In Ukraine, as in other countries, among methods of such a struggle is to standardize medical care.
  
  
  OBJECTIVE
  explore the state of health care for patients with diabetes in Ukraine.
  
  
  METHODS
  to study the frequency of the measurement of certain quality indicators of patients with diabetes it was organized cross-sectional trial by the anonymous survey of 242 patients with a previously verified diagnosis of more than 2 years, at services of primary and secondary health care.
  
  
  RESULTS
  obtained results are showed the presence of significant weaknesses in the providing of quality health care for patients with diabetes, in comparison with the requirements of national standards. Considering the features of detected flaws, they should be regarded as a result of an insufficient level of knowledge of their disease among patients and, possibly, the low average level of their income.
  
  
  CONCLUSIONS
  the level of health care for patients of both types of diabetes does not meet recommended. Recommendations, which does not require personal expenses, are realized more efficiently, but not at the target level. Among the Ukrainian population level of implementation of the recommendations related to personal costs spending is at a critically low level, regardless of the type of disease. Solving of the identified problems could be achieved through the development of the network of primary health care services, closer to the patients, in conjunction with the organization and promotion of self-educational projects for patients and their physicians.
authors.affiliation: Національна медична академія післядипломної освіти ім. П.Л. Шупика, Київ, Україна.
authors.forename: Лариса Ф
authors.initials: ЛФ
authors.lastname: Матюха
authors.affiliation: Національна медична академія післядипломної освіти ім. П.Л. Шупика, Київ, Україна.
authors.forename: Тетяна А
authors.initials: ТА
authors.lastname: Титова
authors.affiliation: Національна медична академія післядипломної освіти ім. П.Л. Шупика, Київ, Україна.
authors.forename: Тетяна М
authors.initials: ТМ
authors.lastname: Бухановська
authors.affiliation: Національна медична академія післядипломної освіти ім. П.Л. Шупика, Київ, Україна.
authors.forename: Богдан О
authors.initials: БО
authors.lastname: Смаль
mesh_terms: D000328:Adult; D000368:Aged; D003430:Cross-Sectional Studies; D003695:Delivery of Health Care / Q000592:standards*; D003920:Diabetes Mellitus / Q000628:therapy*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011787:Quality of Health Care; D014455:Ukraine; D055815:Young Adult
keywords: Diabetes mellitus; Ukraine; health care delivery; prevention; standardization