COMPARATIVE ANALYSIS OF HEALTH FINANCING IN UKRAINE AND EU COUNTRIES
DOI:
https://doi.org/10.11603/1681-2786.2021.1.12142Keywords:
financing, health care, mental health, health care reformAbstract
Purpose: to carry out a comparative analysis of the financing of health care in Ukraine and the EU countries in recent years.
Materials and methods. Theoretical-comparative, bibliosemantic analysis of data on health care financing in Ukraine and EU countries has been using.
Results. Scientific sources of domestic and foreign research, Laws of Ukraine, Concepts of state programs, and EU resolutions are analyzed, and the main problems of incomplete medical reform have been highlighting. Several regulations have been adopted in Ukraine to implement health care reform successfully. Positive changes in health care reform Ukraine is directly dependent on health expenditures in GDP. A sizeable amount of funds has spent on health care in 2013 – 4,23 %, but in 2019 this figure was the lowest in the last years of independence – 2,4 % of GDP. Sharp fluctuations in the financing of health care hurt the creation of the new National Health Service of Ukraine, on the reform as a whole, as well as on the life expectancy of the population in Ukraine. Positive examples in the health care reform of both the Republic of Poland and other European countries are the separation of targeted funds for mental health care from the budget, which belong to local governments of health care institutions, and the much-needed law on compulsory health insurance in many countries around the world. The mental health of the population of Poland and the EU is one of the priorities and an integral part of health care reform. The resolution of the WHO, the Council of the EU, the Council of Europe since 1975 emphasizes the importance of adequate and fair investment in the mental health system, which affects the health of the world’s population. In 2019, the WHO and the World Bank analyzed the reform of health care financing for 2016–2019 to provide strategic recommendations for improving the provision of medical services.
Conclusions. According to the results of the analysis, the imperfection of financing of the CHC of Ukraine was established, which affects the quality of medical care and the need to regularly adjust/monitor the effectiveness of the new model of financing the health care system of Ukraine and the introduction of compulsory health insurance.
References
Gaidash D.S. (2015). Finansuvannia systemy okhorony zdorovia Polshchi: dosvid dlia Ukrayiny [Polish health care financing of Poland: an experience for Ukraine]. Aktualni problemy derzhavnoho upravlinnya – Actual Problems of Public Administration, 1(47), 339-346 [in Ukrainian].
Zvit Natsionalnoyi sluzhby zdorovia Ukrayiny 2019 [Report of the National Health Service of Ukraine 2019]. nszu.gov.ua. Retrieved from: https://nszu.gov.ua/gromadyanam/zviti-nszu [in Ukrainian].
(2017). Pro derzhavni finansovi harantiyi medychnoho obsluhovuvannya naselennya. Zakon Ukrayiny vid 19.10.2017 No 2168-VIII [About the state financial guarantees of medical service of the population. Law of Ukraine of 19.10.2017 No 2168-VIII]. zakon.rada.gov.ua. Retrieved from: https://zakon.rada.gov.ua/laws/show/2168-19#Text [in Ukrainian].
(2017). Pro utvorennya Natsionalnoyi sluzhby zdorovia Ukrayiny. Postanova Kabinetu Ministriv Ukrayiny vid 27 hrudnya 2017 r. No 1101-2017-p [On the establishment of the National Health Service of Ukraine. Resolution of the Cabinet of Ministers of Ukraine of December 27, 2017, No 1101-2017-n]. zakon.rada.gov.ua. Retrieved from: https://zakon.rada.gov.ua/laws/show/1101-2017-%D0%BF#Text [in Ukrainian].
Soldatenko, O. (2018). Suchasnyy stan pravovoho rehulyuvannya finansuvannya sfery okhorony zdorovia Ukrayiny [The current state of legal regulation of health care financing in Ukraine]. Pidpryyemstvo, hospodarstvo i pravo – Enterprise, Economy, and Law, 2, 142-147 [in Ukrainian].
Spilnyy zvit VOOZ ta Svitovoho banku. Ukrayina: ohlyad reformy finansuvannya systemy okhorony zdorovia 2016-2019 [Joint report of the WHO and the World Bank. Ukraine: A Review of Health Care Financing Reform 2016-2019]. www.euro.who. Retrieved from: https://www.euro.who.int/__data/assets/pdf_file/0018/425340/WHO-WB-Joint-Report_UKR_Full-report_Web.pdf [in Ukrainian].
Chorna, V.V. (2020). Reformuvannya okhorony zdorovia dlya zmitsnennya psykhichnoho zdorovia naselennya Ukrayiny ta dosvit krayin YES [Health care reform to strengthen the mental health of the population of Ukraine and the experience of EU countries]. Visnyk Vinnytskoho natsionalnoho medychnoho universytetu – Bulletin of Vinnytsia National Medical University, 24(3), 447-456 [in Ukrainian].
Shevchenko, M.V. (2010). Zahalni vytraty na okhoronu zdorovya v Ukrayini (za danymy natsionalnykh rakhunkiv okhorony zdorovia) [Total health expenditures in Ukraine (according to national health accounts) Ukraine]. Ukrayina. Zdorovia natsiyi – Ukraine. Health of the Nation, 2(14), 84-88 [in Ukrainian].
Chorna, V., Makhniuk, V., Gumeniuk, N., Khliestova, S. & Тomashevskyi, A. (2020). Cоmparative analysis of morbidity indicators among the population of the EU and Ukraine under conditions of stressed load of the anti-nerrorist operations and psychoprophylaxis measures. Georgian Medical News, 5(302), 147-154.
Mental health in transition: evaluation results and recommendations for the integration of mental health into the primary care system and community platforms in Ukraine. International Medical Corps with the support of the World Bank Group. documents.worldbank.org › 120767-Ukrainian-PUBLIC-mental-health-UA ipz.org.ua › uploads › 2018/01 › MH-report-for_INTERNET_All_ua
Roland, M., & Dudley, R.A. (2015). How financial and reputational incentives can be used to improve medical care. Health Services Research, 50 (Suppl 2), 2090-2115. doi: 10.1111/1475-6773.12419
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2021 Bulletin of Social Hygiene and Health Protection Organization of Ukraine
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish in this journal agree to the following terms:
1. The authors reserve the right to authorship of the work and pass the journal right of first publication of this work is licensed under a Creative Commons Attribution License, which allows others to freely distribute the work published with reference to the authors of the original work and the first publication of this magazine.
2. Authors are entitled to enter into a separate agreement on additional non-exclusive distribution of work in the form in which it was published in the magazine (eg work place in the electronic repository institution or publish monographs in part), provided that the reference to the first publication of this magazine.
3. Policy magazine allows and encourages authors placement on the Internet (eg, in storage facilities or on personal websites) manuscript of how to submit the manuscript to the editor and during his editorial processing, since it contributes to productive scientific discussion and positive impact on the efficiency and dynamics of citing published work (see. The Effect of Open Access).
