Abstract

In the modern world, with the general growth of GDP and GDP per capita, socio-economic inequality is growing, primarily in access to modern social benefits, one of which is health care. The realization of the human right to quality medical services determines the direction of the state policy in Ukraine on reforming the current health care system and creating an effective national model. An important condition for improving public health is equal access for all citizens to quality health care, regardless of solvency. The problem of social inequality requires a comprehensive understanding, especially in terms of economics, which captures clear quantitative methods of the real state of property stratification and assesses the probability of its further dynamics. Recent studies show that only about 50 % of the population rated their health as good, about 10 % as poor, with 81 % seeking medical attention in the last 12 months. Similar indicators of the EU countries are an order of magnitude better — almost 70 % of the population assess their health as good and 8 % as bad. Ireland can serve as a model with 84 % and 3.5 % respectively. One of the reasons for the low assessment of their health by the population of Ukraine is the low level of availability of medical care, the ability to purchase medicines and medical supplies depending on the place of residence. Among all the reasons for the inability to receive medical care, buy medicines and medical supplies, more than 90 % of respondents say the cost of treatment or medical services is too high. To eliminate inequalities in access to quality health care and create a health care system that meets the needs of the population, medical reform is needed, the main focus of which should be on creating a new model of health care in Ukraine. Health care reform in Ukraine is impossible without setting priorities. Based on the experience of the British health system, taking into account the experience of other developed countries, as well as its own, the following priorities can be identified: the introduction of a mechanism for paying for medical services on the principle of "money follows the patient", access to medicines and public health.

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