The healthcare system of Ukraine reforming:the important tasks of the current stage

Яковенко, Ігор Валентинович and Царенко, А.В. and Тихоненко, С.В. (2020) The healthcare system of Ukraine reforming:the important tasks of the current stage Здоров'я суспільства, 9 (4). pp. 83-91.

[thumbnail of I_Yakovenko_A_Carenko_S_Tihonenko_M_9_RSOZU_FITU.pdf] Text
I_Yakovenko_A_Carenko_S_Tihonenko_M_9_RSOZU_FITU.pdf - Published Version

Download (502kB)


Purpose of the study: to discuss and determine the optimal approaches and solutions to the crisis situation to ensure the financial accessibility of the population of Ukraine to secondary and tertiary medical care in the context of the Healthcare System reforming and the Covid-19 pandemic fighting. Materials and methods: regulatory-legal acts, sources of scientific literature; research methods: system approach, system analysis, comparison and generalization. Results and its discussion. An analysis of the Healthcare System reforming model indicates a significant shortage of the medical sector funds. The financial crisis in the health sector was also affected by a significant reallocation of funds in favor of primary health care (PHC). To remedy this situation, it is necessary to involve United Territorial Communities (UTC) in financing medical care, including to give to the UTC the right to pay for treatment of community residents at the expense of local budgets. It is necessary to develop a special mechanism for medical care for patients with chronic diseases. It is advisable to convert some part of healthcare facilities (HCF) into social and medical centers, where chronic patients, including palliative patients, will be able to receive planned maintenance therapy and rehabilitation, and in certain situations, even isolation. These may be nursing facilities that focus on physician prescriptions fulfilling, psychological and social support, and spiritual guidance. Another important and painful issue is the future of the leading medical centers and clinics of the National Academy of Medical Sciences of Ukraine, the Ministry of Health of Ukraine and the State Administration Affairs. Many areas of the Healthcare System reforming require drastic measures to correct previously launched mechanisms, as well as the innovative approaches introduction. Conclusions: The analysis of the current situation of the Health Guarantee Program within the framework of healthcare reform implementation has revealed significant shortcomings in the legal framework and mechanisms for financing secondary and tertiary health care. It is necessary to introduce changes in the organizational model of PHC, where the main link should be a family medicine ambulant clinic as a legal entity. Innovative approaches and additional sources of health care funding should be implemented. This requires additions to the current legal framework, which would take into account the shortcomings of the health care reform current model and the experience of the regions.

Item Type: Article
Uncontrolled Keywords: health care reform; health care facilities funding mechanisms; regulatory framework; socio-medical centers; primary health care; secondary and tertiary health care, health care insurance
Subjects: Статті у журналах > Фахові (входять до переліку фахових, затверджений МОН)
Divisions: Факультети > Факультет інформаційних технологій та управління > Кафедра управління
Depositing User: Марія Миколаївна Шульга
Date Deposited: 10 Dec 2021 11:36
Last Modified: 10 Dec 2021 11:36

Actions (login required)

View Item View Item