Ukraine: Health system review. Health Systems in Transition (original) (raw)
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Health systems in transition, 2010
The HiT profiles are country-based reports that provide a detailed description of a health system and of policy initiatives in progress or under development. HiTs examine different approaches to the organization, financing and delivery of health services and the role of the main actors in health systems; describe the institutional framework, process, content and implementation of health and health care policies; and highlight challenges and areas that require more in-depth analysis. The Ukrainian health system has preserved the fundamental features of the Soviet Semashko system against a background of other changes, which are developed on market economic principles. The transition from centralized financing to its extreme decentralization is the main difference in the health system in comparison with the classic Soviet model. Health facilities are now functionally subordinate to the Ministry of Health, but managerially and financially answerable to the regional and local self-govern...
Public and Municipal Finance, 2019
In Ukraine, there is a steady increase in the mortality rate of the population, which is due to the low quality of medical provision. The main advantages and the efficiency factor of the health care system in the Western European countries are analyzed; the key factors regulating medical provision in Ukraine are systematized; the effectiveness of modern health care reform in Ukraine is evaluated; practical recommendations to improve the administrative and legal regulation of the system are developed. The analysis showed that the effectiveness of health care reform in Ukraine is currently about 30%, and the high mortality rate of the population in Ukraine is primarily due to the low quality of medical care and inadequate investment in the industry. The main health problems in Ukraine are failure to comply with legislation on the amount of funding and remuneration in the public health system, high levels of corruption and lack of control over the competence of doctors, inaccessibility...
Ukrainian health care system and its chances for successful transition from Soviet legacies
23 November, 2018
Background: Ukraine, one of the largest states formed on the rubble of the Soviet Union, is widely perceived as a country that has lost its opportunities. Being devastated by corruption, it shows incapable to modernize and enter the economic path of sustainable growth. Similarly in the health care system no deeper reform efforts have been taken in the entire post-soviet period, leaving the system in bonds of ineffective solutions taken out of the Soviet era.
The Case for Ukraine's Healthcare Reform
2018
Executive Summary: Ukraine's financial and political plight since the fall of the Soviet Union has had a substantial negative impact on the health of its people. For decades, common indicators of health dropped to pre-independence levels, opposite of global trends. Regrettably Ukraine's underfunded and inefficient Semashko healthcare model has done little to ameliorate the problem and resulted in limited financial protection with out-of-pocket expenses dominating health spending. Sensitive to these issues, the Ukrainian government began a reform in 2018 with the creation of the National Health Service of Ukraine. The health service is designed to give citizens access to any level of care with an emphasis on primary care and takes advantage of new technologies to improve transparency. Its single payer structure gives more administrative power to the local level, with the aim of reducing the cost of healthcare overall through increased efficiency and buying power. While the reform won't be fully implemented until 2020, initial figures look promising as over 12 million Ukrainians have already signed up for the NHSU. To truly achieve universal health coverage, however, the NHSU will need further expansion after 2020 as current estimates suggest that only half of the population will be covered.
Evaluating Progress towards Universal Health Coverage in Ukraine
Technium Social Sciences Journal, 2020
The healthcare system of Ukraine is characterized by low ratings, not only in terms of health outcomes, but also in terms of access to services, where one of the main obstacles is the financial problem, equity and justice, as well as the lack of implementation of measures aimed at positively stimulating the health potential of the population countries. The latest political revolution in Ukraine (2014) once again opened up the possibility of implementing a project of deep modernization of the Ukrainian state. However, at this time, we can witness the birth of an entirely new system of healthcare in Ukraine formed “from scratch”: with new priorities as well as completely new approaches and management principles. The transformation of the health care system began to develop gradually, with a focus on primary health care. Significant progress has been made over the past few years towards a human-centered model for the provision of health services. The process to build the National Healt...
Management of Primary Health Care Facilities in Ukraine
Universal Journal of Public Health, 2022
The influence of globalization and the strengthening of Ukraine’s aspirations to successfully integrate into the European Union and become a full member of the international community necessitate the reform of the health care system and the payment of considerable attention to primary health care. In this context, the issue of effective management of primary health care facilities, increasing the capacity of their managers and determining the role of local governments towards them takes on increasing importance. The purpose of the research lies in substantiating the theoretical and applied principles for studying the management of primary health care facilities in Ukraine and assessing the impact of decentralization reforms on them. The general and special methods of economic analysis have been used in the research, in particular as follows: scientific abstraction and historical method, analysis, synthesis, analogies, comparisons, systematization, generalization, graphic method. Regarding the results of studying the state and trends in the management of primary health care facilities in Ukraine and the impact of the decentralization reform on them, their direct interaction has been established, which consists in obtaining additional opportunities for the implementation of managerial functions based on accessibility, openness, timeliness and effectiveness. It has been revealed that the volume of financing primary health care in Ukraine in the amount of 13 283 800,00 thousand UAH in 2018, 15 314 892,9 thousand UAH in 2019 and 20 667 909,1 thousand UAH in 2020 is in deficit and constitutes an average 4,1 % of the country’s GDP (in the Netherlands – 9,9 %; Denmark – 9,6 %; France – 9,0 %; Austria – 8,7 %; Germany – 8,6 %; the USA – 8,1 %; Sweden – 7,9 %; Great Britain – 7,8 %; Italy – 7,2 %; Poland – 4,7 %). It has been proven that the mechanism for managing primary health care facilities requires revision and improvement, which is proposed to be carried out taking into account the level of development of a particular region in which these institutions operate within the capabilities of local governments and their financial solvency.
Health Financing Problems of Ukraine
"Public management and administration in Ukraine", 2019
The study to analyze the problems of financing health care in Ukraine. An analyses was performed of Ukrainian law for healthcare, original publications on financing this sector, statistical and audit reports of authorized bodies and organizations. The results of the analyses showed current situation for using of the budget funds and problems of financing of the healthcare sector.
Development of primary health care in Ukraine in the light of global trends
Medycyna Ogólna i Nauki o Zdrowiu, 2015
Introduction and objective. In the article various approaches, principles and requirements as to the organization of the primary health care (PHC) are analyzed, the efficiency of which has been proved in well-planned international studies. The aim of the study is to assess the compliance of the approaches for the renovation of the system of PHC provision in Ukraine with international factual standards. Material and methods. The comparative characteristics of the PHC organization in different countries of Europe have been conducted. It has been proved that the model of modernization of healthcare in Ukraine fully corresponds to the principles, requirements and criteria that were created for the effective functioning of PHC worldwide. Results. The complex of measures relating to the implementation of the model of PHC modernization in Ukraine, based on the use of actual data and its context, has been defined.
Analysis of Main Trends of Development of Health Care in Ukraine
Wiadomości Lekarskie
The aim: To substantiate the conceptual approaches of building a cluster model of primary medical care at the level of the hospital district in terms of the development of family medicine, in particular, the consolidation of health care institutions as the main providers of medical services in the provision of primary medical care in the hospital district and improving its efficiency. Materials and methods: Methods of structural and logical analysis, bibliosemantic, abstraction and generalization were used in this work. Results: The analysis of the legal framework in the field of health care of Ukraine demonstrated multiple attempts to reform it in order to increase the availability and efficiency of medical and pharmaceutical services. The practical implementation of any innovative project becomes much more difficult or even impossible without a carefully developed plan. Today in Ukraine there are 1,469 united territorial communities, 136 districts, so more than one thousand primar...
Constitutional and Municipal Trends in the Reform of the Ukrainian Health Care System
Mishyna Natalya V., Batanov Olexandr V., Fedorenko Vladyslav L., Batanova Natalya M. Constitutional and Municipal Trends in the Reform of the Ukrainian Health Care System. Krytyka Prawa, Niezależne studia nad prawem. tom 14 (2), nr 2/2022. S. 99-111, 2022
The aim of the article is to offer proposals for reforming and speeding up health care in Ukraine, in particular by comparing the current system with a decentralized system. The methodology of this research follows basic social science methods (formal analysis, inductive method, deductive method, analogy, synthesis, etc.). With these methods, we address the issues of the health care reform in Ukraine.