MUNICIPAL ORGANIZATION AS A MECHANISM OF HEALTH CARE REFORM OF TERNOPIL IN TERMS OF DECENTRALIZATION
DOI:
https://doi.org/10.11603/1681-2786.2019.1.10284Keywords:
децентралізація, health, financing, budget, decentralizationAbstract
Purpose: to consider the mechanism of the municipal order of the medical industry of the Ternopil city in conditions of decentralization and reformation of the health care system.
Materials and Methods. The principles of financing the health care system of the Ternopil city and the work of local medical institutions. Research methods are description, analysis, synthesis, generalization, graphic design.
Results. Over the past few years, in a context of decentralization, the important task of local authorities is to create maximum opportunities to provide high-quality and affordable services without increasing the tax burden on people. Every year, the budget of the medical industry of the Ternopil city faces the problem of underfunding from the state budget. Only in 2018 the deficit of the budget on wages was almost UAH 50 million. Therefore, Ternopil city council compensates this difference by its own means. So, in 2018, the financing of the city budget is 65 million 377 thousand UAH or 24.3 % of the total financing of medicine. In 2019, the health care sector of the city put up 84.6 million UAH or 33.6 % of the total budget. It is also established that the budget of medicine in 2018 – socially directed. The main emphasis is on the issue of free recipes, dentistry of privileged categories of citizens, medical assistance to members of the anti-terrorist organization, and Chernobyl victims. Healthcare is the priority of the Ternopil City Council. Therefore, the funds from the city budget are allocated not only to the social structure, but also for capital repairs, reconstruction, procurement of new equipment. Also, due to the funds allocated from the city budget, for the first time in many years there is no shortage of funds for wages.
Conclusions. There is a clear positive tendency to finance the medical industry of the city from the city budget, as evidenced by the lack of salary arrears for health care providers, the modernization of medical facilities and their equipment with modern equipment, life expectancy for Ternopil regions, positive natural growth.
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