SOCIAL, MEDICAL АND ECONOMIC EFFICIENCY ОF HEALTH CARE ІN THE PERIOD OF REFORM
DOI:
https://doi.org/10.11603/bmbr.2706-6290.2020.1.10612Keywords:
mortality, morbidity, fertility, human reproduction, reformsAbstract
In the 28 years of it Ukraine's independence, 28 healthcare ministers – academics with a worldwide name, professors and just ordinary people – have been at the forefront of health care. All of them have promised to improve health care and achieve positive outcomes in human health indexes. Instead, human health has been steadily deteriorating and has seen unprecedented results – a decrease of 8 million people.
The aim of the study – to analyze and evaluate the social, medical and economic effectiveness of health care during its reform period.
Materials and Methods. The data of general and sectoral medical statistics for the whole period of existence of independent Ukraine, data of sociological survey of women of childbearing age were used. Statistical, sociological methods and systematic analysis were used to process the materials.
Results. To date, very negative effects have been noted in the sections of social, medical and economic health care efficiency. Population mortality and morbidity are increasing, but the cost of medicine remains extremely low. Medical reform stands apart from all problems.
Conclusions. Medical reform does not solve its main task – ensuring social, medical and economic efficiency. Continuing this tradition will lead to catastrophic consequences for the Ukrainian people.
References
Holiachenko OM, Holiachenko AO, Shulhai AH. Actual problems of health of the Ukrainian people (socio-medical research). [Актуальні проблеми здоров’я української людності (соціально-медичне дослідження): монографія] Ternopil: Lileia; 2012. Ukrainian.
Hnidyuk IV. [Current state of financial support for the healthcare industry]. Economic Annals-XXI. 2015;155(11-12): 73-7. Ukrainian.
Sitash TD. [Financing the health care system in Ukraine: trends and reforms]. Mekhan. rehul. ekon. 2012;1: 164-69. Available from: http://nbuv.gov.ua/UJRN/Mre_2012_1_19. Ukrainian.
Ustinov O. [Actual health problems in the third millennium]. Ukr med zhurn. 2013;3(95): 28-31. Ukrainian.
Starodubov VI. Assessment of the effectiveness of regional health systems. Menedz zdravokh. 2010;3: 15-25. Russian.
Demographic outlook for Ukraine until 2026. [Демографічні перспективи України до 2026 року] Kyiv; 1999. Ukrainian.
Holiachenko O, Hanitkevych Ya. History of medicine. [Історія медицини : посібник. – 2-ге вид., допов.] Ternopil: TDMU; 2016. Ukrainian.
Horokhov SV, Starynchuk SD. [Comparative analysis of health insurance systems in foreign countries]. Aktual prob filosof i sots. 2016;9: 24-8. Ukrainian.
Kostenko TA, Stokoliuk VV, Zavoloka LO. [Status and prospects of development of health insurance in Ukraine, taking into account foreign experience]. Young Scientist. 2018;5(57): 721-25. Ukrainian.
Aleksandrova OY. [Demographic security of Ukraine: assessment of the state, accents of state regulation]. Аhrosvit. 2017; 18: 69-75. Ukrainian.
Statistical information of the State Statistics Service of Ukraine. Available from: http:/ /www.ukrstat.gov.ua/
Official site of statistics of Ukraine. Available from: http:/ /www.ukrstat.gov.ua/
Sazonets IL, Zuma IYa. Identification of problems and main directions of reforming the health care system of Ukraine. Public Administration: Improvement and Development. 2018;12. Available from: http://www.dy.nayka.com.ua. Ukrainian. DOI: https://doi.org/10.32702/2307-2156-2018.12.2
Downloads
Published
How to Cite
Issue
Section
Accepted 2020-04-02
Published 2020-05-22
