Evaluating Progress towards Universal Health Coverage in Ukraine

Oleksii Korzh

doi:10.47577/tssj.v13i1.1825

Abstract

The healthcare system of Ukraine is characterized by low ratings, not only in terms of health outcomes, but also in terms of access to services, where one of the main obstacles is the financial problem, equity and justice, as well as the lack of implementation of measures aimed at positively stimulating the health potential of the population countries. The latest political revolution in Ukraine (2014) once again opened up the possibility of implementing a project of deep modernization of the Ukrainian state. However, at this time, we can witness the birth of an entirely new system of healthcare in Ukraine formed “from scratch”: with new priorities as well as completely new approaches and management principles. The transformation of the health care system began to develop gradually, with a focus on primary health care. Significant progress has been made over the past few years towards a human-centered model for the provision of health services. The process to build the National Health Service has started, which should fundamentally change the funding system by focusing not on beds (as was the case before) but on the principle “money follows the patient,” thereby planning to gradually transfer to insurance medicine.

Highlights

The Ukrainian health care system is characterized by organizational and financial inefficiency, inadequacy to the population’s health needs and the lack of deeper reforms throughout the post-communist transition
In 1996 the government made an attempt to normalize the situation and official rates were set for fees charged for patients for the provision of services not covered by state guarantees [4], in practice this mechanism was fictitious, and the border between paid and free benefits remains very unclear
All of this has been reflected in the low level of concordance to the health needs of individuals and groups, which, in turn, leads to a deterioration in the health status of the Technium Social Sciences Journal Vol 13, 1-5, November 2020 ISSN: 2668-7798 www.techniumscience.com country's population

Summary

Introduction

Background The Ukrainian health care system is characterized by organizational and financial inefficiency, inadequacy to the population’s health needs and the lack of deeper reforms throughout the post-communist transition. All those that took place and were aimed at modernizing existing solutions (introducing a family medicine model in primary health care, changing methods of financing services, introducing additional financing mechanisms) were purely initial and were introduced only in some areas of the country, or as their own kind of experiment mechanism [1, 2].

Results

Conclusion