The aim: To assess the impact of adverse factors on the lifestyle and health status of students in conditions of prolonged isolation. Materials and methods: Data collection was carried out by anonymous survey using the survio.com online survey service. The study involved 273 students of Kharkiv National Medical University: 47 men (17,2%) and 226 women (82,8%) aged 17 to 20. Age of 85% of respondents is 18-20 years old. 38 (13,9%) students are from 21 to 25 years old and 3 students (1,1%) – over 25 years old. Results: A comparative analysis revealed the characteristic changes in the students' lifestyle. If under normal conditions the majority of students (63.7%) use their free time for walks outdoors, and 46.5% spend it at the computer, then during quarantine most respondents spend leisure time in front of a computer monitor (64.8%) or watching TV (71.4%). These indices were the result of a direct restriction on the interaction of students with the environment and the prohibition of their stay outside the zone of residence. Conclusions: The most common negative changes of the students' health were sleep disturbances and headaches. The second most common symptoms are changes in the musculoskeletal system, associated mainly with physical inactivity. The third ones are deterioration of vision and psycho-emotional state of students.

Financing of the needs of the health care system of Ukraine at the current stage takes place in the form of payment for packages of contracted services by the National Health Service of Ukraine. One of these packages is palliative and hospice care (PHC). In the professional environment, there is a debate about the composition of this package and the amount of funding. The right to PHC is one of the important components of the general right of Ukrainians to health care, and it must be ensured both from the point of view of medical ethics and to fulfill Ukraine's international obligations. The calculation of the amount of PHC financing is carried out in accordance with the data of demographic statistics (in particular, the number of available adult population and children aged 0–14), the calculated number of patients who need PHC, the availability of hospices, palliative departments and beds, as well as the possibility of their creation/deployment, presence of field (mobile) PHC teams, which should provide approximately 60% of such assistance. The study calculated the need for the Ukrainian PHC system in personnel and material resources: the number of palliative departments and beds, mobile teams, doctors and nurses, for the period 2018–2020. It was established that the minimum and optimal number of required palliative departments during this period ranged from 83 to 257 for adults and 19 to 66 for children, the number of required beds was (1,136–1,434) and (576–629), outpatient (mobile) services – (259–517) and (59–396), inpatient doctors – (215–285) and (118–52), inpatient nurses – (568–1,720) and (104–944), doctors of mobile teams – (518–2,066) and (118–1,582), nurses of mobile teams – (518–6,197) and (118–4,746), respectively. Factors that can cause calculation errors (specificity of treatment and prevention facilities in the regions, the presence of palliative patients in a small number who should be provided with help at home), other limitations of the study are established. Keywords: hospices, mobile palliative care services, human resources, contracted medical services.

Palliative care, and hospice care as part of it, are designed to improve the quality of life of patients ending in incurable disease and to help members of their families. In only 20 count­ries around the world are Palliative and Hospice Care (PHC) properly integrated into the health care system. Proper PHC organization requires efforts at the public and political levels, a system of regulations. The study was conducted to determine the procedure for providing PHC in Ukraine and to establish its compliance with the needs of the medical community and Ukrainian society. The hierarchical system of legislative acts of Ukraine of PHC provision (Constitution of Ukraine, laws of Ukraine, orders of the Ministry of Health of Ukraine), which is comparable to the guidelines of the World Health Organization, was studied by the method of systematic analysis. Ukraine belongs to the group of countries with separate specialized PHC institutions, but the work of these institutions does not show signs of systemic organization at the state level (Group 3a according to the modified classification of Wright, Lynch & Clark, 2008/2011). In terms of the number of beds, Ukraine is provided with palliative care by 40.5% (1,500 instead of 3,700, which is calculated as 100 beds per 1 million population), with virtually no hospices at home. It is established that not all the main directions of PHC system development meet the modern needs of the medical community and Ukrainian society. It is considered necessary to study the experience of more successful PHC organization in Group 4b by Wright, Lynch & Clark’s countries classification. Keywords: public health, legal support, incurable diseases.