UDC [338.45:61](477); JEL I11, M12, M38 Kvasniy, L. H., Shcherban, O. Ya., & Khoma, T. V. (2019). Otsinyuvannya systemy okhorony zdorov’ya v Ukrayini v konteksti yakosti nadannya medychnoyi dopomohy [Evaluation of the state of the health system in ukraine in the context of the quality of provision of medical aid]. In Sotsial'no-ekonomichni problemy suchasnoho periodu Ukrayiny [Socio-Economic Problems of the Modern Period of Ukraine]: Vol. 137 (3) (pp. 37-41). DOI: https://doi.org/10.36818/2071-4653-2019-3-6. [in Ukrainian]. Sources: 8
Authors
Kvasniy Lyubov HryhorivnaPh.D. of Economics, Associate Professor
Associate Professor of the Department of economics and management of the Drohobych Ivan Franko State Pedagogical University
Contacts: lg_k@ukr.net
Webpages:
Shcherban Oresta YaroslavivnaPh.D. of Economics
Associate Professor of the Department of finance, accounting and analysis of the Institute of Entrepreneurship and Advanced Technologies of the Lviv Polytechnic National University
Contacts: mppjavir@ukr.net
Webpages:
Khoma Taras VolodymyrovychPostgraduate of the Precarpathian Institute n.a. M. Hrushevsky of the Interregional Academy of Personnel Management
Contacts: lg_k@ukr.net
Webpages:
ResumeIn the process of implementation of the reform of the health care system and implementation of priority directions of socio-economic development of Ukraine, which is closely intertwined with the requirements of the time regarding the preservation and improvement of the health of population, attention was paid to the quality management of health care. The purpose of the article is to study the indicators of health care in the dynamics, which determine the state of health system and characterize the quality of medical and service provision. The article outlines the peculiarities of the concept of health protection in Ukraine. It proves that the domestic health care system is outdated, since it is based on the Soviet model of Semashko against the backdrop of high levels of corruption, the lack of proper modernization, non-compliance with the needs of the population, which in general have led to its ineffectiveness. The main indicators of the health system in dynamics are estimated and the periods of expected life expectancy are highlighted. The low average life expectancy in Ukraine is established to be caused mainly by the fundamental difference between the European and Ukrainian standards of living, the level of well-being of the population and the quality of medical services. In order to improve the quality of the provision of medical care in health care institutions in the current conditions of medical reform, it is proposed to transfer to the financing of medicine on an insurance basis, which will allow distributing the risks of illness and expenses for treatment between insured persons, and direct the collected funds to pay for the insured event in case of illness. This can be considered the only way to provide high-quality medical protection without financial stress for Ukrainian citizens.
Keywords:health care, quality of medical care, health indicators, health system reform, medical insurance on an insurance basis
References- Natsional’na stratehiya reformuvannya systemy okhorony zdorov’ya v Ukrayini na period 2015-2020 rokiv [National strategy for reforming the health care system in Ukraine for the period 2015-2020] (2015). Strategic Advisory Group on Healthcare Reform in Ukraine: Website. Retrieved from http://healthsag.org.ua/strategiya [in Ukrainian].
- Knyazevych, V. M., Lazoryshynets, V. V., & Yakovenko, I. V. (2009). Okhorona zdorov’ya Ukrainy: stan, problemy, perspektyvy [Health care in Ukraine: state, problems, perspectives]. Kyiv-Ternopil. [in Ukrainian].
- Popchenko, T. P. (2011). Reformuvannya sfery okhorony zdorov’ya Ukrayiny: orhanizatsiyne, normatyvno-pravove ta finansovo-ekonomichne zabezpechennya [Reforming of the healthcare sector in Ukraine: organizational, regulatory and financial and economic support]: Analytical report. Kyiv. [in Ukrainian].
- Lekhan, V. M., Slabkyy, H. O., & Shevchenko, M. V. (2010). Stratehiya rozvytku systemy okhorony zdorov’ya: ukrayinskyi vymir [Health Care Development Strategy: Ukrainian Dimension] Ukrayina. Zdorov”ya natsiyi – Ukraine. The nation's health, № 1 (13), 5-23. [in Ukrainian].
- World Bank: Website (2019). Retrieved from http:// data.worldbank.org
- Shchorichna dopovid’ za 2018 rik [Annual report for 2018] (2019). Ukrainian Institute for Strategic Studies: Website. Retrieved from www.uiph.kiev.ua [in Ukrainian].
- Ukrayina ocholyla reytynh smertnosti cherez nepravyl’ne kharchuvannya [Ukraine has led the death rate due to malnutrition] (2019, Jan 16). Konkurent: Website. Retrieved from https://konkurent.in.ua/publication/35384/ukraina-ocholila-reyting-smertnosti-cherez-nepravilne-harchuvannya [in Ukrainian].
- Getting better: improving health systems outcomes in Europe and Central Asia (2013). World Bank: Website. Retrieved from http://documents.worldbank.org/curated/en/953751468250295078/Getting-better-improving-health-system-outcomes-in-Europe-and-Central-Asia
|