MЕDICAL REFORМ IN UKRAINE: PECULIARITIES OF IMPLEMENTATION
Journal Title: Юридичний науковий електронний журнал - Year 2017, Vol 6, Issue
Abstract
The article is devoted to the actual issues of implementation of medical reform in Ukraine. This article outlines the main goal of the medical reform in 2017, namely improving the quality of services and cutting medical expenses. All proposed and indicated changes in this area are contained in the Law of Ukraine «On State Financial Guarantees of Public Health Care» of 13.07.17. From this, the medical reform involves the creation of a new executive body – the National Health Service. It is supposed that this service will conclude contracts for medical care of the population within a state-guaranteed package with health care institutions of any form of ownership and sole proprietors. There is another feature of the reform, namely the autonomy of hospitals. It is characterized by the availability of its own budget, and the ability to spend money as it sees fit. The law stipulates that at least 5% of Ukraine’s GDP will be allocated annually to the implementation of the health guarantees program. Budget money will not be allocated to hospitals for their existence, but for patients for treatment. From this, its significance is contained in the transfer of more powers to organize the organization of medicine in the field. This means that the head of the health facility will be able to offer their colleagues a cash allocation scheme. The fees for the services provided to the doctor will be transparent. This is a matter to be addressed by the insurance agency. More doctors will be able to practice privately. The main areas of medical reform in Ukraine in 2017 will be for the most part the primary link of medical institutions, that is, outpatient clinics, as well as medical workers. Every citizen of the country will be able to choose a doctor who trusts his health and health of his children. A separate direction of the reform in 2017 will be the preparation for further changes in the hospital (ie, the hospital) link. More autonomy will be received by medical institutions. The whole process of implementing this reform will be divided into three stages: The first stage of the reform is for 3 years. First, it will relate to the initial level, which is now gradually and occurs, and from 2018 – the secondary, since 2019 – tertiary. Based on the above, one can distinguish both positive and negative features of the innovation. As for the pros, the new reform implies the withdrawal of Ukrainian medicine to a new level. Do not arrange medical reform in Ukraine will be only those doctors who are unsure of the quality of their work and those who can not compete. The article analyzes the importance of making significant changes in the field of medicine. The main problems and obstacles of introduction of new principles of interaction are considered. The pluses and minuses of transformations are mentioned. The goals of the reform are highlighted. Reform is not a quick process, which means that it will take three years for Ukraine to fully realize it. In Ukrainian medicine, international practice will be applied that will increase the medicine of our country to the desired level.
Authors and Affiliations
А. В. Аксютіна, Н. В. Сердюкова
Keywords
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