Problem setting. Government policy on the development of agricultural market is defined by the Law of Ukraine "On the Fundamentals of State Agricultural Policy for the period up to 2015" dated 18 October 2005 р., № 2982-IV (hereinafter - the Law). Of the said Act could be concluded that the State's agricultural policy is a set of legal, organizational and economic measures aimed at improving the efficiency of the agricultural sector of the economy, solving social problems of the rural population and ensuring integrated and sustainable rural development (Art. 1 of the Act). Basic principles of state agricultural policy aimed at sustainable development of the agricultural sector in the national economy for the period up to 2015, consistency and comprehensiveness in the implementation of measures to implement the state agricultural policy to all government agencies and local authorities. The purpose of this article is to clarify the nature of the legal institution as the agricultural market, identify and study the elements of its structure. State agricultural policy based on national priorities and takes into account the need to integrate Ukraine into the European Union and the world economic space. An important role in the organization of the agricultural market belongs market infrastructure institutions that are designed to act as a generator of demand for agricultural products and in accordance with its price. These include: agricultural exchanges, trading houses, auctions, wholesale and retail markets, etc., on which the development of a public policy. Characterize their legal status in detail. Article 17 of the Law of Ukraine "On State Support of Agriculture of Ukraine" provides a definition of the Agrarian Exchange and the basic principles of its activity, according to which such exchange is a non-profit (non-commercial) enterprise. The founder of the Agrarian Exchange may be Cabinet of Ministers of Ukraine, represented by the Agrarian Fund. In this case, the Cabinet of Ministers of Ukraine shall founding contribution to the authorized fund (capital) of such agrarian exchange in an amount equal to the minimum requirements in the statutory fund resident bank, which has the license for the full scope of banking operations and manages the property represented by the Agrarian Fund. Members of the Agrarian Exchange may only residents. Under the Agrarian Exchange can understand the specific entity that participates in the organized market of certain agricultural products as set out by law. The Law of Ukraine "On State Support of Agriculture of Ukraine", according to the Cabinet of Ministers of Ukraine "On Agricultural Fund" of 6 July 2005 р., № 543, was created by the Agricultural Fund, which is a specialized agency of the state budget authorized by the state to implement price policies in the agricultural sector. Under the provisions of these legal acts, the Agrarian Fund belongs to the Ministry of Agrarian Policy and Food of Ukraine, is accountable to and controlled by him. The Fund is a budgetary organization has its own estimates, invoices and performs non-profit activities within the limits set by law. The role and importance of the Agrarian Fund in the modern state agrarian policy is outstanding and highlighted its objectives. Another subject of the agricultural market in Ukraine are the wholesale markets, the legal status of which is defined by the Law of Ukraine "On the wholesale markets of agricultural products" of 25 June 2009 р., № 1561-VI. According to the latter, the wholesale market for agricultural products is defined as a legal entity, the subject of which is to provide the ambassador that are engaged in the wholesale trade in agricultural products, and which as prescribed by law given the status of a wholesale market of agricultural products. The purpose of the establishment and functioning of agricultural and trade houses in Ukraine is accelerating and deepening agrarian reform by creating the market environment, the development of commodity-money relations, more advantageous realization of production and improvement of logistics agricultural producers. The legal basis for the emergence of agricultural and trade houses was at one time (already expired) Order of the Ministry of Agriculture and Food of Ukraine and the Ukrainian Academy of Agrarian Sciences of March 18, 1996 р., № 85/17 approving the Model Regulations on inter-regional and regional agro. Today the sale of agricultural products for profit is a necessary final stage of activity of any agricultural commodity. It is therefore very widespread experience fairs agricultural products that represent the movement of goods and money, the buyer gets what he needs, and the seller - financial reward for their work, compensation costs for production and financial resources needed for the next production cycle (seeds purchase, lease the required equipment, etc.). But, auctions and commodity exchanges are relatively permanent measures and institutions, exhibitions and fairs are held less frequently, but with a clear frequency. Exhibitions of agricultural and agro-industrial products and a major event is the biggest exhibition "Agro - .". It is held annually and allows producers to sell their products to customers (wholesale party). However, its main purpose - to demonstrate the achievements of the economy, establishing contacts with foreign partners, solving industry problems (during exhibitions conferences, "round tables" with a discussion of various issues of agriculture and the agro-industrial complex of Ukraine, the market of agricultural products). Fairs are primarily entertainment and tourist activities in the second - trade. The successful and regular conduct of such activities, not only is the final element of the agricultural and agro-industrial complex of Ukraine, but also elevates the authority of the state, facilitates the development of tourism resources and cultivate patriotism, preserve the good old tradition of the people and upload them young. Exhibition and fair activity in Ukraine is regulated, in particular, by the Cabinet of Ministers of Ukraine "On improvement of exhibition and fair activity in Ukraine" dated 22 August 2007 р., № 1065, approving the Concept of exhibition and fair activities and the Order of the Ministry of Agrarian Policy of Ukraine "On improvement of exhibition and fair activities in the Agriculture Ministry 'of 27 March 2008 р., № 183. The study of the current state of the agricultural market allows conclude that at present the legislation defining the legal status of the components of the agricultural market, namely: the Agricultural Exchange, the Agricultural Fund, the wholesale markets of agricultural products, agricultural and trade houses exhibitions, Fair of agricultural products is not perfect, and not always correspond to the realities of today. It is our belief system analysis and reform of legislation in a position to bring the agricultural market of Ukraine at the leading place in the world economy. To this end, for each of the entities involved in the agricultural market needs to develop a new individual legal act defining its legal status and update existing legislation. Keywords: agricultural market, the Agrarian Fund, the Agricultural exchanges, trading houses, auctions, agricultural products. ; Рассмотрены вопросы правового положения аграрного рынка Украины, исследована его структура. Определена и проанализирована суть понятий: аграрный рынок, аграрная биржа, аграрный фонд, торговые дома, аукционы, оптовые и розничные рынки сельскохозяйственной продукции. Предложен ряд мер по усовершенствованию эффективности аграрного рынка. ; Розглянуто питання правового становища аграрного ринку України, досліджено його структуру. Визначено та проаналізовано зміст понять: аграрний ринок, аграрна біржа, аграрний фонд, торгові доми, аукціони, оптові та роздрібні ринки сільськогосподарської продукції. Запропоновано низку заходів по вдосконаленню ефективності аграрного ринку
Purpose: studying of life quality indicators at elderly patients with osteoarthritis using international EuroQol questionnaire for evaluate of efficiency of sanatorium treatment.Materials and methods. 72 patients have been included in study at the age from 60 till 78 years, mean age was 67,6±8,7 years. Patients have been divided by method of randomization on two groups. Patients of one of groups in addition passed rehabilitation in sanatorium conditions for 18–21 days. Assessment of life quality related to health was conducted with use of international questionnaire EuroQol-5D-European Quality of Life instrument (EQ-5D).Results. At all patients with osteoarthritis health problems of varying degree have been revealed. In 12 months according to the questionnaire, reliable positive dynamics of life quality was observed at patients passing sanatorium treatment at the expense of improvement of ability to movement, reduce pain and discomfort and increase daily activity.Conclusions. Having of sanatorium stage of rehabilitation in complex treatment of osteoarthritis allows affect quality of life and keep remission for a longer period in comparison with outpatient treatment.KEY WORDS: quality of life, sanatorium treatments, osteoarthritis.Osteoarthritis (OA) is one of the most common disorders of the muscle-skeletal system, especially in the elderly age group ( in every third elderly person, reaching 70% among those who have over 65 years). During the natural aging occurs involutional changes in the connective tissue, especially in the tendons, ligaments, cartilage, bone tissue, in the walls of blood vessels, muscles [2]. Thus aging of body contributes to the accumulation of diseases. During the examination in elderly and senile patients were diagnosed from three to five different diseases. Modern elderly person is - a unique clinical phenomenon from the point of view on availability and the combination of its diverse in character and course of diseases that are competing for their prognostic significance and impact on quality of life. OA attributed to diseases with high comorbidity, and founded that patients with OA have a significantly higher risk of comorbid conditions than patients who do not suffering from OA [4].Clinical experience and numerous publications data suggest that OA is often associated with subsequent somatic disorders: hypertension, coronary heart disease, obesity, diabetes, lung diseases (chronic obstructive pulmonary disease) and gastro- intestinal tract diseases. The greatest burden on society observed in cases of combination OA and osteodeficiency (osteopenia, osteoporosis (OP)), which significantly decreses the quality of life [5].Quality of life - integrated description of physical, psychological, emotional and social functioning of a person based on its subjective perception. Assessment of quality of life at modern stage have more increasing strong position in medicine, reflecting on the one hand, the presence of new medical technologies that do not affect the life expectancy, but significantly improve its quality, and from the other hand - expanding activity of the patient, increasing of its role in choice of methods of diagnostic and treatment [9].When selecting the questionnaires it is important to consider that to be used in a clinical studying suitable only those that give results of the evaluation quality of life in a form of a single summary score from 0 to 1.0. These includes a generic questionnaire EQ-5D (EuroQol) [8]. This general questionnaire is easy to fill , widely used in different countries and gives during the processing of collected data single score to measure the quality of life, represented by values between 0 and 1, which also provides the possibility of its using in clinical trials. This questionnaire is widely used in various clinical situations , including in assessing the quality of life patients with rheumatic diseases [7].The aging process is controversial, because on the background of regression processes - atrophy, degradation, etc., develops progressive trends of creating the new compensatory-adaptive mechanisms to maintain homeostasis in an aging body, which, however, does not fully offset the growing phenomena of degradation [2]. It should be noted that the adaptive capacity of the aging body is reduced, the possibility of development various diseases increases. In this context, particularly important in cases of illness in the elderly patient is the role of sanogenetic mechanisms, their stimulation and support. A special interest belongs to the sanatorium stage of rehabilitation, whose mission is the prevention of disease progression, stimulation of compensatory capacity of the muscle-skeletal system and the possible restoration of joint function.Spa treatment has a special place in the treatment and preventive care of elderly patients , as a stage in the system of rehabilitation of many chronic diseases. Multi-disciplinary nature of medical rehabilitation in spa conditions, a wide range of rehabilitation methods can embrace patients of all age groups with the most common diseases [1].Compared with medication treatment, natural and artificial physical factors, when they are properly used, characterized by the absence of allergies, lower incidence and severity of side effects, the ability of positively influencing on the number of pathological processes and the whole body, thus helping to improve the quality of life and are important in the prevention of premature aging [2]. In the resort conditions further rehabilitation is indicated for patients with initial stages of OA, disabled (groups I and II), patients with resistant synovitis and comorbidity with the possibility of self-servicing (including general contraindications for a spa treatment) [3].The aim of the study. To investigate the quality of life in elderly patients with osteoarthritis using international EuroQol questionnaire to evaluate the effectiveness of spa treatment.Materials and methods. In study were included 72 patients aged from 60 to 78 years, middle age was 67,6 ± 8,7 years. Among the patients predominates women - 88.4 %. I radiographic stage of osteoarthritis by J.H. Kellgren-Lawrence [ 6] was diagnosed in 23,3 % of patients , II stage - in 76,7 %. In the view of modern geriatric approaches applying of the physical factors in patients with OA who were in the spa rehabilitation stage in the appointment of balneotherapeutic procedures we gave preference to ultrasonic inhalation of mineral waters and baths , from physiotherapy usually prescribed magnetic-lazer therapy, interferential therapy, patients also performed massage and physical rehabilitation . In order to prevent climate-adaptational and reaclimate-adaptational reactions and optimization process of climate-adaptation were included into the treatment complex ( based on established risk factors) adaptogens and treatment procedures that have adaptogenic action ( phytoaeroionisation , singlet-oxygen therapy). In the process of rehabilitation treatment in sanatorium conditions , we have selected the most effective combination of different methods of rehabilitation , which caused the most significant treatment effectiveness : a combination of balneotherapy , physiotherapy and exercise therapy. To improve continuity during medical rehabilitation, at discharging from the sanatorium patients were given written (in the form of special attractions ) recommendatitons about further treatment, lifestyle, physical activity, diet etc.By the method of randomization, patients were divided into two groups. A marked difference for the main source of clinical and functional parameters between the groups were not observed. The control group consisted of 14 patients of the same age without joint pathology. Treatment regimens differed between the studying groups the presence in one of the groups sanatorium stage of rehabilitation. In the first group (n=34) patients received Structum 500 mg 2 times a day ( within 6 months of the year ) and courses of NSAID, including mainly patients treated with meloxicam ( at a dose of 7,5 mg/d) or nimesulide (in dose of 100-200 mg/d) for 7-10 days during worcening. The patients of the second group (n=38) during the 18-21 day were on spa treatment ( once a year ), in the scheme of rehabilitation were: sitting hydrogen sulfide baths, a concentration of 80 mg/L for 10 minutes at a temperature of 360C , the course of 8 procedures every other day or ultrasonic inhalation by hydrogen sulfide water, period of 5 minutes; blue clay applications every other day at 260C temperature; interferential therapy and magnet-lazer therapy on the affected joints to 8 treatments alternately every other day ; pneumomassage ; classes of physical rehabilitation therapy, aromatherapy , singlet -oxygen therapy . After the sanatorium stage of rehabilitation patients are taking drugs containing chondroitin sulfate (within 6 months of the year), at worcening of NSAIDs.Assessment quality of life related to health , was conducted using an international EuroQol-5D-European Quality of Life instrument (EQ-5D), which consists of two parts. At first part the patient self- assessed his condition by 5 parameters: mobility, self-care , usual activities, pain and discomfort , anxiety and depression. In each variant patients could give three possible answers : No problem - 1 , there is some problem - 2, much of the problem - 3. In the second part of the questionnaire , patients assessed their health on a scale from 0 to 100 on the VAS, the so-called thermometer , where 0 means the worst condition , 100 - the best state of health of the patient. This part of the questionnaire is a quantitative assessment of general health.Statistical analysis of the results was done in the department of statistical system research at SHEE "Ternopil State Medical University by I. Y. Gorbachevsky Ministry of Health of Ukraine" in the software package Statsoft STATISTIC. To determine the reliability of the differences in the change of certain indicators were used parametric and non-parametric methods: criterion Wilkoksona, two-sided Fisher's criterion. A significant differences were considered when the degree of probability of error-free prognosis is (p) 95% (p <0.05). Results and discussion. General description of the health status of patients studied with OA according to EQ-5D questionnaire is given in the table.In all patients with osteoarthritis were found health problems of different severity degrees. Mostly suffers ability to travel and daily activity . This data confirms that the OA in the elderly age reduces quality of life. After 12 months, according to questionnaire, health status was different in two groups . Reliable positive trend was in patients from the second group 57,9 % (p < 0,05), as a result of improving the ability to travel in space , reducing pain and discomfort and increasing of daily activity.According to the second part of the questionnaire EQ-5D, at baseline, most patients had reduced general health assessment : the first group to 51,91 ± 1,07 ( median for «thermometer» EQ 52 points ) in the second group to 50,65 ± 1,17 ( median 48,5 points) in comparison with the best state of possible health. 12 months after the sanatorium stage of rehabilitation of patients with repeated testing were produced the following results : The average index quality of life on the " thermometer " EQ-5D questionnaire in the first group of patients was 54,76 ± 1,23 ( median - 56 points), the second group was 69,28 ± 0,89 ( median - 70 points), reliability differences is high : p < 0,001.In the category quality of life most of all patients reacted on the presence of sanatorium stage of rehabilitation in the category " movement in space " ( GPA retesting 1,60 ± 0,08, p < 0,001), " daily activity " ( GPA retesting 1 68 ± 0,07, p < 0,001), " pain / discomfort " ( GPA retesting 1,92 ± 0,08, p < 0,001), " anxiety / depression ( GPA retesting 1 52 ± 0,08, p < 0,05).Thus, the data suggested that in elderly patients with OA who were once a year on a spa treatment and took over 6 months structure-modification drugs significantly upgraded quality of life during 12 months.Conclusions1. Based on the analysis were founded that elderly patients with OA who underwent rehabilitation treatment in sanatorium- health resorts have continued improving quality of life in comparison with patients who were treated only in outpatient conditions.2. Availability sanatorium stage of rehabilitation in the treatment of elderly patients with OA contributes more complex influence on the human organism.3. Multi-disciplinary nature of medical rehabilitation in spa conditions , a wide range of used restorative treatment methods can affect the quality of life and maintain remission for more longer period in comparison with outpatient treatment.4. Monitoring the quality of life can not only control the functional state of the organism in the elderly aged people at various stages of treatment , but also to properly evaluate the effectiveness of treatment , and, if necessary, to carry out the correction of rehabilitation activities .Perspectives for future research. Aimed at studying the impact of rehabilitative and preventive measures on the quality of life in elderly patients with osteoarthritis at other stages of rehabilitation. Further work in this direction is reasonable and economically justified.REFERENCES1. Golyachenko A.O., Martynyuk V.I., Bakalyuk T.G. Medical rehabilitation in the spa conditions // Journal of research. - 2007 . - № 4. - P. 8-9.2. Kazymyrko V.K., KovalenkoV.N., Flehontova V.V. Involutional osteoarthritis and osteoporosis. - Donetsk: Publisher Zaslavsky A.J., 2011. - 724 p.3. Kovalenko V.N., Bortkiewicz A.P. Osteoarthritis . Practical guidance . - K.: Moryon , 2005. - 592 p.4. Mendel O.I., Naumov A.V., Alekseeva L.I. et al Osteoarthritis as a factor of risk in cardio-vascular catastrophes // Ukrainian Journal of Rheumatology . - 2010 . - № 3. - P. 68-73.5. Povoroznyuk V.V. Osteoarthritis // Art of treatments. - 2004 . - № 3. - P.16 -23.6 . Altman R., Asch E., Bloch D. et al. The American College of Rheumatology criteria for the classification and reporting of osteoarthritis of the knee // Arthritis Rheum. - 1986 . - № 29. - P. 1039-1049 .7 . Harrison M.J., Davies L.M., Bansback N.J. et al. The comparative responsiveness of the EQ-5D and SF-6D to change in patients with inflammatory arthritis // Qual Life Res. - 2009 . - № 18. - P. 1195-1205.8 . Herdman M., Gudex C., Lloyd A., et al. Development and preliminary testing of the new five-level version of EQ-5D (EQ-5D-5L) // Qual Life Res. - 2011 . - № 20 . - P. 1727-1736.9 . Langley P., Muller-Schwefe G., Nicolaou A., Liedgens H., Pergolizzi J., Varrassi G. The societal impact of pain in the European Union: health-related quality of life and healthcare resource utilization // J. Med Econ. - 2010 . - № 1. - P. 571-581. ; Мета: вивчення показників якості життя у хворих похилого віку на остеоартроз з використанням міжнародного запитальника EuroQol для оцінки ефективності санаторно-курортного лікування.Матеріали і методи. У дослідження було включено 72 пацієнти віком від 60 до 78 років, середній вік склав 67,6±8,7 року. Методом рандомізації пацієнтів було розподілено на дві групи. Пацієнти однієї з груп додатково проходили реабілітацію в умовах санаторію протягом 18-21 дня. Оцінка якості життя, пов'язаного зі здоров'ям, проводилась з використанням міжнародного запитальника EuroQol-5D-European Quality of Life instrument (EQ-5D).Результати. У всіх хворих на остеоартроз виявлено проблеми зі здоров'ям різного ступеня. Через 12 місяців за даними запитальника достовірна позитивна динаміка якості життя спостерігалася у пацієнтів, що проходили санаторно-куротне лікування, за рахунок покращення здатності до пересування, зменшення болю і дискомфорту та збільшення повсякденної активності.Висновки. Наявність санаторно-курортного етапу реабілітації у комплексному лікуванні остеоартрозу дозволяє вплинути на якість життя та зберегти ремісію на більш тривалий термін порівняно з амбулаторним лікуванням.КЛЮЧОВІ СЛОВА: якість життя, санаторно-курортне лікування, остеоартроз.
Purpose: studying of life quality indicators at elderly patients with osteoarthritis using international EuroQol questionnaire for evaluate of efficiency of sanatorium treatment.Materials and methods. 72 patients have been included in study at the age from 60 till 78 years, mean age was 67,6±8,7 years. Patients have been divided by method of randomization on two groups. Patients of one of groups in addition passed rehabilitation in sanatorium conditions for 18–21 days. Assessment of life quality related to health was conducted with use of international questionnaire EuroQol-5D-European Quality of Life instrument (EQ-5D).Results. At all patients with osteoarthritis health problems of varying degree have been revealed. In 12 months according to the questionnaire, reliable positive dynamics of life quality was observed at patients passing sanatorium treatment at the expense of improvement of ability to movement, reduce pain and discomfort and increase daily activity.Conclusions. Having of sanatorium stage of rehabilitation in complex treatment of osteoarthritis allows affect quality of life and keep remission for a longer period in comparison with outpatient treatment.KEY WORDS: quality of life, sanatorium treatments, osteoarthritis.Osteoarthritis (OA) is one of the most common disorders of the muscle-skeletal system, especially in the elderly age group ( in every third elderly person, reaching 70% among those who have over 65 years). During the natural aging occurs involutional changes in the connective tissue, especially in the tendons, ligaments, cartilage, bone tissue, in the walls of blood vessels, muscles [2]. Thus aging of body contributes to the accumulation of diseases. During the examination in elderly and senile patients were diagnosed from three to five different diseases. Modern elderly person is - a unique clinical phenomenon from the point of view on availability and the combination of its diverse in character and course of diseases that are competing for their prognostic significance and impact on quality of life. OA attributed to diseases with high comorbidity, and founded that patients with OA have a significantly higher risk of comorbid conditions than patients who do not suffering from OA [4].Clinical experience and numerous publications data suggest that OA is often associated with subsequent somatic disorders: hypertension, coronary heart disease, obesity, diabetes, lung diseases (chronic obstructive pulmonary disease) and gastro- intestinal tract diseases. The greatest burden on society observed in cases of combination OA and osteodeficiency (osteopenia, osteoporosis (OP)), which significantly decreses the quality of life [5].Quality of life - integrated description of physical, psychological, emotional and social functioning of a person based on its subjective perception. Assessment of quality of life at modern stage have more increasing strong position in medicine, reflecting on the one hand, the presence of new medical technologies that do not affect the life expectancy, but significantly improve its quality, and from the other hand - expanding activity of the patient, increasing of its role in choice of methods of diagnostic and treatment [9].When selecting the questionnaires it is important to consider that to be used in a clinical studying suitable only those that give results of the evaluation quality of life in a form of a single summary score from 0 to 1.0. These includes a generic questionnaire EQ-5D (EuroQol) [8]. This general questionnaire is easy to fill , widely used in different countries and gives during the processing of collected data single score to measure the quality of life, represented by values between 0 and 1, which also provides the possibility of its using in clinical trials. This questionnaire is widely used in various clinical situations , including in assessing the quality of life patients with rheumatic diseases [7].The aging process is controversial, because on the background of regression processes - atrophy, degradation, etc., develops progressive trends of creating the new compensatory-adaptive mechanisms to maintain homeostasis in an aging body, which, however, does not fully offset the growing phenomena of degradation [2]. It should be noted that the adaptive capacity of the aging body is reduced, the possibility of development various diseases increases. In this context, particularly important in cases of illness in the elderly patient is the role of sanogenetic mechanisms, their stimulation and support. A special interest belongs to the sanatorium stage of rehabilitation, whose mission is the prevention of disease progression, stimulation of compensatory capacity of the muscle-skeletal system and the possible restoration of joint function.Spa treatment has a special place in the treatment and preventive care of elderly patients , as a stage in the system of rehabilitation of many chronic diseases. Multi-disciplinary nature of medical rehabilitation in spa conditions, a wide range of rehabilitation methods can embrace patients of all age groups with the most common diseases [1].Compared with medication treatment, natural and artificial physical factors, when they are properly used, characterized by the absence of allergies, lower incidence and severity of side effects, the ability of positively influencing on the number of pathological processes and the whole body, thus helping to improve the quality of life and are important in the prevention of premature aging [2]. In the resort conditions further rehabilitation is indicated for patients with initial stages of OA, disabled (groups I and II), patients with resistant synovitis and comorbidity with the possibility of self-servicing (including general contraindications for a spa treatment) [3].The aim of the study. To investigate the quality of life in elderly patients with osteoarthritis using international EuroQol questionnaire to evaluate the effectiveness of spa treatment.Materials and methods. In study were included 72 patients aged from 60 to 78 years, middle age was 67,6 ± 8,7 years. Among the patients predominates women - 88.4 %. I radiographic stage of osteoarthritis by J.H. Kellgren-Lawrence [ 6] was diagnosed in 23,3 % of patients , II stage - in 76,7 %. In the view of modern geriatric approaches applying of the physical factors in patients with OA who were in the spa rehabilitation stage in the appointment of balneotherapeutic procedures we gave preference to ultrasonic inhalation of mineral waters and baths , from physiotherapy usually prescribed magnetic-lazer therapy, interferential therapy, patients also performed massage and physical rehabilitation . In order to prevent climate-adaptational and reaclimate-adaptational reactions and optimization process of climate-adaptation were included into the treatment complex ( based on established risk factors) adaptogens and treatment procedures that have adaptogenic action ( phytoaeroionisation , singlet-oxygen therapy). In the process of rehabilitation treatment in sanatorium conditions , we have selected the most effective combination of different methods of rehabilitation , which caused the most significant treatment effectiveness : a combination of balneotherapy , physiotherapy and exercise therapy. To improve continuity during medical rehabilitation, at discharging from the sanatorium patients were given written (in the form of special attractions ) recommendatitons about further treatment, lifestyle, physical activity, diet etc.By the method of randomization, patients were divided into two groups. A marked difference for the main source of clinical and functional parameters between the groups were not observed. The control group consisted of 14 patients of the same age without joint pathology. Treatment regimens differed between the studying groups the presence in one of the groups sanatorium stage of rehabilitation. In the first group (n=34) patients received Structum 500 mg 2 times a day ( within 6 months of the year ) and courses of NSAID, including mainly patients treated with meloxicam ( at a dose of 7,5 mg/d) or nimesulide (in dose of 100-200 mg/d) for 7-10 days during worcening. The patients of the second group (n=38) during the 18-21 day were on spa treatment ( once a year ), in the scheme of rehabilitation were: sitting hydrogen sulfide baths, a concentration of 80 mg/L for 10 minutes at a temperature of 360C , the course of 8 procedures every other day or ultrasonic inhalation by hydrogen sulfide water, period of 5 minutes; blue clay applications every other day at 260C temperature; interferential therapy and magnet-lazer therapy on the affected joints to 8 treatments alternately every other day ; pneumomassage ; classes of physical rehabilitation therapy, aromatherapy , singlet -oxygen therapy . After the sanatorium stage of rehabilitation patients are taking drugs containing chondroitin sulfate (within 6 months of the year), at worcening of NSAIDs.Assessment quality of life related to health , was conducted using an international EuroQol-5D-European Quality of Life instrument (EQ-5D), which consists of two parts. At first part the patient self- assessed his condition by 5 parameters: mobility, self-care , usual activities, pain and discomfort , anxiety and depression. In each variant patients could give three possible answers : No problem - 1 , there is some problem - 2, much of the problem - 3. In the second part of the questionnaire , patients assessed their health on a scale from 0 to 100 on the VAS, the so-called thermometer , where 0 means the worst condition , 100 - the best state of health of the patient. This part of the questionnaire is a quantitative assessment of general health.Statistical analysis of the results was done in the department of statistical system research at SHEE "Ternopil State Medical University by I. Y. Gorbachevsky Ministry of Health of Ukraine" in the software package Statsoft STATISTIC. To determine the reliability of the differences in the change of certain indicators were used parametric and non-parametric methods: criterion Wilkoksona, two-sided Fisher's criterion. A significant differences were considered when the degree of probability of error-free prognosis is (p) 95% (p <0.05). Results and discussion. General description of the health status of patients studied with OA according to EQ-5D questionnaire is given in the table.In all patients with osteoarthritis were found health problems of different severity degrees. Mostly suffers ability to travel and daily activity . This data confirms that the OA in the elderly age reduces quality of life. After 12 months, according to questionnaire, health status was different in two groups . Reliable positive trend was in patients from the second group 57,9 % (p < 0,05), as a result of improving the ability to travel in space , reducing pain and discomfort and increasing of daily activity.According to the second part of the questionnaire EQ-5D, at baseline, most patients had reduced general health assessment : the first group to 51,91 ± 1,07 ( median for «thermometer» EQ 52 points ) in the second group to 50,65 ± 1,17 ( median 48,5 points) in comparison with the best state of possible health. 12 months after the sanatorium stage of rehabilitation of patients with repeated testing were produced the following results : The average index quality of life on the " thermometer " EQ-5D questionnaire in the first group of patients was 54,76 ± 1,23 ( median - 56 points), the second group was 69,28 ± 0,89 ( median - 70 points), reliability differences is high : p < 0,001.In the category quality of life most of all patients reacted on the presence of sanatorium stage of rehabilitation in the category " movement in space " ( GPA retesting 1,60 ± 0,08, p < 0,001), " daily activity " ( GPA retesting 1 68 ± 0,07, p < 0,001), " pain / discomfort " ( GPA retesting 1,92 ± 0,08, p < 0,001), " anxiety / depression ( GPA retesting 1 52 ± 0,08, p < 0,05).Thus, the data suggested that in elderly patients with OA who were once a year on a spa treatment and took over 6 months structure-modification drugs significantly upgraded quality of life during 12 months.Conclusions1. Based on the analysis were founded that elderly patients with OA who underwent rehabilitation treatment in sanatorium- health resorts have continued improving quality of life in comparison with patients who were treated only in outpatient conditions.2. Availability sanatorium stage of rehabilitation in the treatment of elderly patients with OA contributes more complex influence on the human organism.3. Multi-disciplinary nature of medical rehabilitation in spa conditions , a wide range of used restorative treatment methods can affect the quality of life and maintain remission for more longer period in comparison with outpatient treatment.4. Monitoring the quality of life can not only control the functional state of the organism in the elderly aged people at various stages of treatment , but also to properly evaluate the effectiveness of treatment , and, if necessary, to carry out the correction of rehabilitation activities .Perspectives for future research. Aimed at studying the impact of rehabilitative and preventive measures on the quality of life in elderly patients with osteoarthritis at other stages of rehabilitation. Further work in this direction is reasonable and economically justified.REFERENCES1. Golyachenko A.O., Martynyuk V.I., Bakalyuk T.G. Medical rehabilitation in the spa conditions // Journal of research. - 2007 . - № 4. - P. 8-9.2. Kazymyrko V.K., KovalenkoV.N., Flehontova V.V. Involutional osteoarthritis and osteoporosis. - Donetsk: Publisher Zaslavsky A.J., 2011. - 724 p.3. Kovalenko V.N., Bortkiewicz A.P. Osteoarthritis . Practical guidance . - K.: Moryon , 2005. - 592 p.4. Mendel O.I., Naumov A.V., Alekseeva L.I. et al Osteoarthritis as a factor of risk in cardio-vascular catastrophes // Ukrainian Journal of Rheumatology . - 2010 . - № 3. - P. 68-73.5. Povoroznyuk V.V. Osteoarthritis // Art of treatments. - 2004 . - № 3. - P.16 -23.6 . Altman R., Asch E., Bloch D. et al. The American College of Rheumatology criteria for the classification and reporting of osteoarthritis of the knee // Arthritis Rheum. - 1986 . - № 29. - P. 1039-1049 .7 . Harrison M.J., Davies L.M., Bansback N.J. et al. The comparative responsiveness of the EQ-5D and SF-6D to change in patients with inflammatory arthritis // Qual Life Res. - 2009 . - № 18. - P. 1195-1205.8 . Herdman M., Gudex C., Lloyd A., et al. Development and preliminary testing of the new five-level version of EQ-5D (EQ-5D-5L) // Qual Life Res. - 2011 . - № 20 . - P. 1727-1736.9 . Langley P., Muller-Schwefe G., Nicolaou A., Liedgens H., Pergolizzi J., Varrassi G. The societal impact of pain in the European Union: health-related quality of life and healthcare resource utilization // J. Med Econ. - 2010 . - № 1. - P. 571-581. ; Мета: вивчення показників якості життя у хворих похилого віку на остеоартроз з використанням міжнародного запитальника EuroQol для оцінки ефективності санаторно-курортного лікування.Матеріали і методи. У дослідження було включено 72 пацієнти віком від 60 до 78 років, середній вік склав 67,6±8,7 року. Методом рандомізації пацієнтів було розподілено на дві групи. Пацієнти однієї з груп додатково проходили реабілітацію в умовах санаторію протягом 18-21 дня. Оцінка якості життя, пов'язаного зі здоров'ям, проводилась з використанням міжнародного запитальника EuroQol-5D-European Quality of Life instrument (EQ-5D).Результати. У всіх хворих на остеоартроз виявлено проблеми зі здоров'ям різного ступеня. Через 12 місяців за даними запитальника достовірна позитивна динаміка якості життя спостерігалася у пацієнтів, що проходили санаторно-куротне лікування, за рахунок покращення здатності до пересування, зменшення болю і дискомфорту та збільшення повсякденної активності.Висновки. Наявність санаторно-курортного етапу реабілітації у комплексному лікуванні остеоартрозу дозволяє вплинути на якість життя та зберегти ремісію на більш тривалий термін порівняно з амбулаторним лікуванням.КЛЮЧОВІ СЛОВА: якість життя, санаторно-курортне лікування, остеоартроз.
The thesis is focused on solving an important theoretical and applied problem of substantiating theoretical and methodological grounds for the international economic policy through identifying the patterns and novel forms of protectionism, and substantiating the integral scientific concept of neo-protectionism. The objective of the thesis is to develop theoretical and methodological grounds of protectionism, and to create, on this basis, an integral scientific concept of neo-protectionism in the international economic policy in the context of liberalizing global economic relations, to formulate an integrative conceptual approach to the application of neoprotectionism in the economic development policy of Ukraine.The interdisciplinary multi-criteria approach to defining protectionism from the perspective of ideology, idea, policy and practice is proposed, which allowed for investigating the transformation of its manifestation forms in the process of evolutionary development of the international economic relations. The international economic policy was studied as an unbroken continuum of the economic and political practice of the states by methodological tools of the international political economy. It is found that from the international political economy perspective a choice between protectionism and free trade as the principles for implementation of the economic policy of the state is conditional on the pattern of global economic processes with their immanent contradictions, the specifics of regionalization and integration processes, and the global economy tendencies. The choice between the government's commitment to the policy of minimizing costs and maximizing benefits, and the character of its participation in the international economic cooperation is determined by the pattern of international trade and international movement of production factors, on the one hand, and determine it, on the other hand. It is demonstrated that the choice of protectionist policy, as follows from the international political economy discourse, is conditional on: operation of public and non-public economic entities; effects from the implementation of national economic policies; the coordinating equilibrium between national, regional, interstate and global level of decision making; the existing mechanisms for global control of international economic interests.Interpretation of the international economic policy by the methodological tools of the international political economy allowed to identify the endogenous character of the external economic policy (recognizing thereby the protectionism as a policy that can be potentially demanded by the public (represented by voters), business people (represented by lobbying groups), government (which implements economic interests of the nation), and to reveal the variety of entities involved in the international economic relations, which have exogenous impact on the policy implemented by national governments (by signing trade agreements), limiting thereby the conditions for the protectionist policy implementation.Theoretical modeling of protectionist intentions in the international economic cooperation on the basis of the interdisciplinary economic-political approach laid grounds for rethinking the conclusions made by the classical and neo-classical theories of trade and the theory of correlation of production factors about the unconditional impact of the free trade principle on the population's welfare as a derivative from the function of consumption. The analysis of two groups of protectionism theories – the ones based on studies of the structure of protectionism within the countries, and the ones investigating the level of protectionism between countries in time – demonstrated that the voters' welfare or the so called "win of the majority" are the determinants of protectionist initiatives. The factors underlying the voters' demand for protectionism are highlighted: welfare measured by economic as well as social and ecological effects; social solidarity; social protection; commitment to social values; commitment to national identity; adherence to ideological principles of the policy of economic nationalism; mitigation of effects from the information asymmetry of rational voters. The pressure by lobbying groups on the choice of the principle underlying government's implementation of the external trade policy is explained by: phase of business cycle; hysteresis effects in the economy; the level of competitiveness in export-oriented sectors; the extent of import dependence in the economy; distributive and allocation effects of the economic activities.The author's concept of neo-protectionism in the international economic policy is substantiated, which is defined as a complex hierarchical set of principles, rules and instruments of protective, stimulating, discriminative and restrictive nature, implemented at mega-, meta-, macro- and mesolevel of the international economic policy. A multilevel typology of neo-protectionism is proposed, based on specific features: the level of international economic policy, generating entities, manifestation environment, instruments for the international economic policy with indirect impact. It was used to identify its essential characteristics in all the forms of manifestation of the international economic relations; to define the functions of neo-protectionism by its type (ideological, institutional, integrative, conjuncture-formative, factor-based, infrastructural, monetary, currency-based, financial, debt-based, fiscal) and sub-types (ecological, migrational, sectoral, based on primary commodities, resource-based, energy-based, technological, innovative, informational, digital, investment-based). This allowed to identify the purpose for applications of neo-protectionism at mega-, meta-, macro- and mesolevel of the international economic policy, and to visualize the degree of its functional and structural complexity and dimensionality as a phenomenon and a process, which realization varies depending on the entities applying it, the objects for which it is applying, its coverage and objectives.A theoretical and methodological approach for macro- and meta-level assessment of the international economic policy based on neo-protectionist instruments is developed. Its application enabled for outlining and describing the policy of economic nationalism (which motivation basis is formed by domination, expansion, domestic extended reproduction by creating new comparative advantages), and the policy of economic patriotism (which motivation basis is formed by rehabilitation of economic growth, curbing of the expansionary potentials of partner countries, creating new comparative advantages and achieving sustainable development), with distinguishing its sub-types: supranational, local, liberal, and conservative. The distinctive features of neo-mercantilist policy are defined, and the ways of its implementation are revealed. It is shown that the neo-mercantilist policy generates anti-competitive market distortions affecting not only foreign producers, but domestic ones as well, considering the scales of the latter involvement in global value added chains, and causes market imbalances resulting from the unfair competition. Theoretical and methodological grounds for studies of the international economic policy are improved, which is based on the principles of stability, hierarchy, adaptability, complementarity, subsidiarity, and balance, by including legitimation as a novel principle of the international economic policy implementation, which involves a combination of regulatory, de-regulatory and re-regulatory mechanisms of impact on the international economic relations, and results in the implementation of the institutional norms and rules that directly or indirectly ignore/deny/distort the agreements that exist at international/regional level, lead to anti-competitive market distortions, trade and investment imbalances, and open up opportunities for gaining new comparative advantages. Self-legitimation is defined as an attributive characteristic of the entities involved in the international economic policy at mega-, meta- and macrolevel, which enables for implementation of the neoprotectionist policy.The thesis substantiates multiple combinations in implementation of neoprotectionism through multidirectional manifestations of deregulation-regulation, integration-disintegration, coordination-de-coordination, expansion-fragmentation, balancing-unbalancing, stimulation-restriction, protection-discrimination, and the reasonability of neo-protectionist measures in the economic development policy of Ukraine.The structural components of the global economy as an environment for neoprotectionist manifestations are revealed: production and investment activities, research and development, international monetary relations. The functions of neoprotectionism within the international economic system are revealed: allocative (sectoral neo-protectionism; infrastructural neo-protectionism; factor-based neoprotectionism; integrative neo-protectionism; financial neo-protectionism; investment-based neo-protectionism); distributive (institutional neo-protectionism; fiscal neoprotectionism; financial neo-protectionism; investment-based neo-protectionism); stabilizing (monetary neo-protectionism; currency-based neo-protectionism; debtbased neo-protectionism; financial neo-protectionism; investment-based neoprotectionism). The instruments for the international economic policy with indirect impact, enabling for the implementation of neo-protectionism, are outlined as follows: fiscal, monetary and currency policies.Modeling of clustering processes in the Ukrainian economy by use of Boston matrix and Leontiev model enabled to identify four productive clusters: innovation (manufacturing of computers, electronic and optical devices; telecommunications; computer software design, consulting and information services; professional, R&D activities; information and telecommunications; printing and publishing activities; production of movies and video-films); auxiliary (supply of electricity, gas, steam and conditioned air; wholesale and retail trade; repair of automobiles and motorcycles; hotels and restaurants; financial and insurance activities); traditional (agriculture, forestry and fishing; mining and quarrying; manufacturing industries; construction; transport; storage; postal and courier services; production chemical substances and chemical products; car making and mechanical engineering; light industry), and to define the industries driving the economic growth, generating net income and having direct impact on the rates of GDP growth.A methodological approach to the assessment of the effectiveness of tax preferences and other preferences provided for residents of industrial parks is proposed, which, contrary to the existing approaches, uses applied models of the overall equilibrium for identifying the industries that have to be priority recipients of government assistance through the network of industrial parks, in the context of the intensified and leading development of the country by key macroeconomic indicators, and for quantitative optimization of the preferences considering the stable revenues of the public budget, which enabled to substantiate the nomenclature of efficient stimuli for residents of industrial parks, to achieve the objectives: to make the national industry move up in the value added chains and create a closed-loop innovation cycle in Ukraine.The system of tax and other preferences for residents of industrial parks, intended to recover and further the innovation-driven development of the production and export capacities of the Ukrainian economy, is assessed, which enabled to adapt international experiences of using the mechanism of free economic zones to the domestic practice, to create a favorable investment environment for high tech productions in the national economy for the period required by them to form competitive advantages. ; У дисертації розроблено цілісну наукову концепцію неопротекціонізму у міжнародній економічній політиці в умовах лібералізації світогосподарських зв'язків і на цій основі сформульовано інтегративний концептуальний підхід застосування неопротекціонізму в політиці економічного розвитку України.В роботі запропоновано міждисциплінарний багатокатегоріальний підхід до визначення протекціонізму з позицій ідеології, ідеї, політики і практики, що дозволило дослідити трансформацію форм його прояву в процесі еволюційного розвитку міжнародних економічних відносин. Міжнародна економічна політика досліджувалась в нерозривній єдності економічної й політичної практики держав методологічним інструментарієм міжнародної політичної економії. Встановлено, що з позиції міжнародної політичної економії, на вибір між протекціонізмом чи вільною торгівлею як принципами реалізації економічної політики держави впливають стан світогосподарських процесів з іманентними їм суперечностями, особливості протікання процесів регіоналізації та інтеграції і тенденції розвитку світової економіки. Вибір між сповідуванням державою політики мінімізації втрат чи максимізації вигод, а також характер її участі в міжнародному економічному співробітництві, з одного боку, детермінується станом міжнародної торгівлі і міжнародного переміщення факторів виробництва, а, з іншого боку, визначає його. Виявлено, що на вибір протекціоністської політики, згідно теоретичного дискурсу міжнародної політичної економії, впливають: діяльність державних і недержавних суб'єктів господарювання; ефекти від реалізації національних економічних політик; стан координаційної рівноваги між національним, регіональним, міждержавним і глобальним рівнями прийняття рішень; формування механізмів глобального управління міжнародними економічними процесами.Інтерпретація міжнародної економічної політики методологічним інструментарієм міжнародної політичної економії дозволила виявити ендогенний характер зовнішньоекономічної політики (тим самим визнаючи протекціонізм як політику, на яку потенційно може формувати запит суспільство (в особі виборців), підприємці (в особі лобістських груп), уряд (що реалізує економічні інтереси держави)) й водночас ідентифікувати різноманіття суб'єктів міжнародних економічних відносин, що чинять екзогенний вплив на реалізацію політики національних держав (шляхом підписання торговельних угод), тим самим обмежуючи умови для реалізації протекціоністської політики.Теоретичне моделювання протекціоністських інтенцій в міжнародному економічному співробітництві на основі міждисциплінарного економікополітичного підходу дало підстави до переосмислення висновків класичної, неокласичної теорій торгівлі і теорії співвідношення факторів виробництва про беззастережний вплив принципу вільної торгівлі на «добробут» населення як похідну від функції споживання. Аналіз двох груп теорій протекціонізму – як тих, що базуються на дослідженні структури протекціонізму в межах країн, так і тих, що досліджують рівень протекціонізму між країнами в часі – дозволив встановити, що добробут виборців або т.зв. виграш більшості лежить в основі ініціювання вжиття протекціоністських заходів. Встановлено, що з боку населення затребуваність на протекціонізм може бути продиктована запитом на: добробут, що вимірюється, окрім економічних, ще й соціальними і екологічними ефектами; соціальну солідарність; соціальне забезпечення; відстоювання соціальних цінностей; відстоювання національної ідентичності; сповідування ідеологічних принципів політики економічного націоналізму; нівелювання ефектів інформаційної асиметрії раціональних виборців. З боку лобістських груп тиск на вибір принципу реалізації зовнішньоторговельної політики урядом пояснюється: стадією бізнес-циклу; ефектами гістерезису в економіці; рівнем конкурентоспроможності експортоорієнтованих секторів; ступенем імпортозалежності економіки; дистрибутивними й алокаційними ефектами економічної діяльності.В дисертації обґрунтовано авторську концепцію неопротекціонізму в міжнародній економічній політиці, під яким розуміється складноієрархічна сукупність принципів, правил та інструментів захисного, стимулюючого, дискримінаційного та рестрикційного характеру, що реалізується на мега-, мета-, макро- і мезорівнях міжнародної економічної політики. В дослідженні запропоновано багаторівневу типологізацію неопротекціонізму за конкретними ознаками, до яких віднесено: рівень міжнародної економічної політики, суб'єкти генерування, середовище прояву, інструменти міжнародної економічної політики непрямого впливу, що дало змогу виявити його сутнісні характеристики у всіх формах прояву міжнародних економічних відносин; встановити функції, що виконує неопротекціонізм залежно від його типів (ідеологічний, інституційний, інтеграційний, кон'юнктуро-формуючий/ галузевий, факторний, інфраструктурний, монетарний, валютний, фінансовий, борговий, фіскальний) та підтипів (екологічний, міграційний, сировинний, ресурсний, енергетичний, технологічний, інноваційний, інформаційний, цифровий, інвестиційний). Це дозволило ідентифікувати мету застосування неопротекціонізму на мега-, мета-, макро- і мезорівні міжнародної економічної політики, та візуалізувати ступінь його функціонально-структурної складності та розмірності як явища та процесу, реалізація якого видозмінюється залежно від суб'єктів, які його застосовують, об'єктів, на які розповсюджується його дія, простору застосування, цілей здійснення.В роботі розроблено науково-методичний підхід оцінювання міжнародної економічної політики на макро- і мета- рівнях, зумовленої використанням інструментарію неопротекціонізму, застосування якого дозволило виокремити і охарактеризувати політику економічного націоналізму (мотиваційною основою якого виступають домінування, експансія, забезпечення національного розширеного відтворення шляхом створення нових порівняльних переваг) і політику економічного патріотизму (мотиваційною основою якого виступають відновлення економічного зростання, стримування експансійного потенціалу країн-партнерів, створення нових порівняльних переваг й досягнення сталого розвитку) з виокремленням таких його підтипів, як наднаціональний, локальний, ліберальний, консервативний. Визначено характерні риси політики неомеркантилізму і встановлено способи, в які вона може реалізовуватись. Встановлено, що політика неомеркантилізму продукує антиконкурентні ринкові викривлення, які зачіпають не лише іноземних виробників, але й національних, беручи до уваги ступінь залучення останніх до глобальних ланцюгів створення доданої вартості, і призводить до ринкових дисбалансів внаслідок несправедливої конкуренції.Удосконалено теоретико-методологічні засади дослідження міжнародної економічної політики, що визначається принципами стійкості, ієрархічності, адаптивності, комплементарності, субсидіарності та збалансованості, шляхом включення легітимації як новітнього принципу здійснення міжнародної економічної політики, що передбачає комбінування регуляторних, дерегуляторних та ререгуляторних механізмів впливу на міжнародні економічні відносини, результується в імплементації таких інституційних норм і правил, які прямо чи опосередковано нехтують/спростовують/викривлюють домовленості, що існують на міжнародному/регіональному рівні, призводять до антиконкурентних ринкових деформацій, торговельних й інвестиційних дисбалансів та уможливлюють отримання нових порівняльних переваг. Самолегітимація визначена як атрибутивна характеристика суб'єктів міжнародної економічної політики на мега-, мета- і макрорівнях, що уможливлює реалізацію політики неопротекціонізму.В дисертаційному дослідженні обґрунтовано множинні комбінації реалізації неопротекціонізму через різноспрямовані прояви дерегуляціїрегуляції, інтеграції-дезінтеграції, координації-декоординації, розширенняфрагментації, врівноваження-розбалансування, стимулювання-обмеження, захисту-дискримінації та доцільність застосування неопротекціонізму в політиці економічного розвитку України.Встановлено, що структурними елементами світового господарства як середовища прояву неопротекціонізму виступають: виробничо-інвестиційна сфера діяльності, науково-технічна сфера, сфера міжнародної торгівлі, міжнародні валютно-фінансові та кредитні відносини. Виявлено, що неопротекціонізм в межах міжнародної економічної системи виконує наступні функції: регуляторну (ідеологіний неопротекціонізм; інтеграційний неопротекціонізм; факторний неопротекціонізм; монетарний неопротекціонізм; валютний неопротекціонізм; борговий неопротекціонізм; фінансовий неопротекціонізм; інвестиційний неопротекціонізм); алокаційну (кон'юнктурноформуючий/галузевий неопротекціонізм; інфраструктурний неопротекціонізм; факторний неопротекціонізм; інтеграційний неопротекціонізм; фінансовий неопротекціонізм; інвестиційний неопротекціонізм); дистрибутивну (інституційний неопротекціонізм; фіскальний неопротекціонізм; фінансовий неопротекціонізм; інвестиційний неопротекціонізм); стабілізаційну (монетарний неопротекціонізм; валютний неопротекціонізм; борговий неопротекціонізм; фінансовий неопротекціонізм; інвестиційний неопротекціонізм).Моделювання процесів кластерізації української економіки із використанням бостонської матриці та моделі Леонтьєва дозволило виділити чотири продуктивні кластери: інноваційний (виробництво комп'ютерів, електронної та оптичної продукції; телекомунікації (електрозв'язок); комп'ютерне програмування, консультування та надання інформаційних послуг; професійна, наукова та технічна діяльність; інформація та телекомунікації; видавнича діяльність; виробництво кіно- та відеофільмів; допоміжний (постачання електроенергії, газу, пари та кондиційованого повітря; оптова та роздрібна торгівля; ремонт автотранспортних засобів і мотоциклів; тимчасове розміщування й організація харчування; фінансова та страхова діяльність), традиційний (сільське, лісове та рибне господарство; добувна промисловість і розроблення кар'єрів; переробна промисловість; будівництво; транспорт, складське господарство, поштова та кур'єрська діяльність; виробництво хімічних речовин і хімічної продукції), стратегічний (транспорт, складське господарство, поштова та кур'єрська діяльність; виробництво хімічних речовин і хімічної продукції; автомобіле- та машинобудування; легка промисловість) та визначити галузі-драйвери економічного зростання, в яких можливе отримання високого чистого валового доходу та які безпосередньо впливають на темпи зростання ВВП.Запропоновано методологічний підхід до оцінювання ефективності надання податкових пільг й інших преференцій резидентам індустріальних парків, який, на відміну від існуючих підходів, передбачає використання прикладних моделей загальної рівноваги для ідентифікації пріоритетних галузей-реципієнтів державної допомоги через мережу індустріальних парків у контексті активізації випереджаючого розвитку країни за ключовими макроекономічними показниками, а також визначення оптимального обсягу відповідних преференцій з міркувань сталих надходжень державного бюджету, що дозволило обґрунтувати перелік перспективних стимулів резидентам індустріальних парків для досягнення цілей висхідного руху вітчизняної промисловості ланцюгами доданої вартості й створення замкнутого циклу інновацій в Україні.В роботі проведено оцінку використання системи податкових й інших преференцій для резидентів індустріальних парків з метою відновлення та забезпечення подальшого інноваційного розвитку виробничо-експортного потенціалу України, що дало змогу адаптувати міжнародний досвід використання механізму вільних економічних зон до вітчизняної практики задля створення сприятливого інвестиційного середовища для нових високотехнологічних виробництв у національній економіці на період формування ними конкурентних переваг.
