FINANCIAL MECHANISMS OF PUBLIC MANAGEMENT OF THE TRANSFORMATION OF THE MEDICAL SYSTEM OF UKRAINE IN MARKET CONDITIONS

Анотація

The features of the main models of financing the health care system in the world are described in the article. The priorities for the development of a multi-channel system of medical financing in Ukraine, which should be based on the budget-insurance financing model with the obligatory harmonious use of all other available financial sources (both budget and private resource), are identified. The modern financial mechanism of state management of the transformation of the medical system, which provides for the departure from medical subventions to more efficient distribution and use of funds through a single customer paid for actually provided medical services and provides the following elements: state guaranteed package of medical services for all citizens, a single national customer of medical services, payment for medical services upon request (“money follows the patient”) on the basis of the standard per person for a particular unit, as well as on the basis of payment for the treated case in case of specialized care of all units of medical care is described. The principles of financing primary, secondary (specialized) and tertiary (highly specialized) medical care institutions during the 2018-2020 reform is determined. It is proposed to develop compulsory health insurance, which would guarantee citizens the opportunity to receive medical care in accordance with the approved programs of compulsory health insurance. At the same time, it is essential that all segments of the population can receive guarantees of medical protection. It is envisaged that the insurance medicine system, which allows, on the one hand, to organize full funding of the industry and control the targeted use of funds, and on the other – to directly interest doctors, administrative and service staff in the results of their work.

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