Health Care Provision in State Institutions in the Context Of COVID-19

Abstract

The main purpose of the research is to analyse the financial provision of health care in public institutions on the example of the State Emergency Service and to develop proposals for improving the medical system of the SES, taking into account the challenges of COVID-19. The paper presents the results of an empirical analysis of the amount of funding for health care facilities outside the structure of the Ministry of Health, on the example of the medical system of the State Emergency Service of the Ministry of Internal Affairs of Ukraine during 2017-2022. At a separate stage of the study, the volume and target of additional funding for health care from the Fund for Combating COVID-19 in 2020 were analysed. The analysis showed a lower level of remuneration of specialists and a worse financial situation of health care facilities subordinated to the Department of Medical and Biological Protection and Occupational Safety of the SES of Ukraine. In order to improve the health protection system of the SES, a number of proposals have been developed, namely: formation of a subdivision for analysis of problematic issues of the SES and legislative work to eliminate the identified shortcomings; digitalization and automation of reporting within the medical system of the SES of Ukraine; coverage of the activities of health care institutions of the SES in the media and social networks; advising and conducting licensing and accreditation of health care institutions of the SES; justification for increasing funding for the medical sector of the SES and increasing the salaries of medical workers; expanding the provision of paid services to the population; search for funding outside the budget of the SES within the national budget and outside the state budget from sources not prohibited by law, involvement of humanitarian and charitable organizations, patrons; maintaining and improving the level of qualification of medical staff, improving information and communication work with staff; conducting training and preparation of medical and support specialists for emergency response activities, conducting interdepartmental and local training with the involvement of specialists from local and international humanitarian organizations. The results of the study can be useful in the development of regulations and legislation in the field of medical care of the SES of Ukraine.