Socio-Economic Problems
of the Modern Period of Ukraine

Collection SEPSPU -- sep2021.01.016

Repository of Institute of Regional Research UDC 330.567.28:332.1(477); JEL O15, H51, I18
Shults, S., & Karpyak, M. (2021). Rozvytok domohospodarstv rehioniv Ukrayiny: proyavy ta naslidky sotsial'noyi eksklyuziyi [Development of households in the regions of Ukraine: manifestations and consequences of social exclusion]. In Sotsial'no-ekonomichni problemy suchasnoho periodu Ukrayiny [Socio-Economic Problems of the Modern Period of Ukraine]: Vol. 147 (1) (pp. 16-20). DOI: [in Ukrainian].
Sources: 3


Shults Svitlana Leonidivna

Doctor of Economics, Professor

Head of the Department of regional economic policy of the Dolishniy Institute of Regional Research of NAS of Ukraine

Contacts:, (032)270-70-89, (+38097)253-66-22


Karpyak (Husyeva) Mariya Oleksandrivna

Ph.D. of Economics

Senior Researcher of the Department of regional economic policy of the Dolishniy Institute of Regional Research of NAS of Ukraine




The article reveals the essence, causes, and negative consequences of social exclusion. It substantiates that poverty, unemployment, insufficient participation of an individual in the socio-economic development of the regions, and limited access to social values and life opportunities are the consequences of social exclusion. The peculiarities of the manifestation of social exclusion in terms of limiting households’ access to various types of medical services are examined. Based on the data of sample surveys on households’ self-assessment of health status and the level of accessibility of certain types of medical care conducted by the state statistical offices, its differences by place of residence are analyzed. The paper proves that the lowest level of accessibility is observed when purchasing drugs, conducting medical examinations, and receiving treatment in the hospital. The reasons that limit the accessibility of healthcare services are identified as well as a comparative analysis of the level of household access to health services at the regional and urban and rural levels is conducted. The analysis of the level of households’ access to medical services proves that the rural population is the most vulnerable to social exclusion due to the lack of facilities that provide services, lack of timely emergency medical services, and lack of nearby health facilities. The need to provide households with an adequate level of medical services both in terms of improving the opportunities to purchase medicines and the prospects of visiting a specialist of the required profile of services is substantiated. The solution of economic problems related to the growth of population incomes, investments in the development of local communities, and the completion of reforms in the sectoral decentralization sphere will play a significant role in ensuring the equality of the population in obtaining various public goods regardless of the place of residence.


social exclusion, households, health care, medical services


  1. Shults, S. L. (Ed.) (2020). Eksklyuzyvnist’ rehulyuvannya sotsial’no-ekonomichnoho rozvytku rehioniv: sutnist’, proyavy ta zahrozy [Exclusivity of regulation of socio-economic development of regions: essence, manifestations and threats]. Lviv: Dolishniy Institute of Regional Research of NAS of Ukraine. [in Ukrainian].
  2. Abrakhamson, P. (2001). Sotsial’naya eksklyuziya i bednost’ [Social exclusion and poverty]. Obshchestvennyye nauki i sovremennost’ – Social sciences and modernity, 2, 158-166. [in Russian].
  3. Samootsinka naselennyam stanu zdorov»ya ta rivnya dostupnosti okremykh vydiv medychnoyi dopomohy u 2019 rotsi [Self-assessment of the population’s health status and the level of availability of certain types of medical care in 2019]: Statistical publication (2020). Kyiv: State Statistics Service of Ukraine. Retrieved from [in Ukrainian].

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