FINANCIAL AND ECONOMIC ASPECTS OF THE FUNCTIONING AND DEVELOPMENT OF THE HEALTH CARE SECTOR IN UKRAINE

Анотація

With Ukraine taking a course to implement systemic sectoral reforms to improve the quality of services provided to the population, decentralize resources and powers, and form an effective system of public governance, health care reform, among others, plays an important role. Their effective implementation requires scientific discussion and analysis of causal relationships. The purpose of the article is to identify and analyze the financial and economic problems of the health care system in Ukraine. The article identifies and analyzes the negative aspects of the functioning and development of the health care sector. Among the key ones are: Ukraine lags behind European countries in terms of life expectancy, mortality and health; low level of financial support for the healthcare sector; high level of attraction of private funds of patients with unsatisfactory quality of received services; excessive centralization of health care management, which has led to a lack of a transparent state-guaranteed package of health services and an increase in corruption in the procurement, education, certification and employment of health workers. Emphasis is placed on the shortcomings of the mechanism of financing disease prevention, primary health care, provision of outpatient and inpatient medical services. Among them are: duplication of services and inefficient use of financial resources at the subnational level; low efficiency of use of medical subvention funds; constant change in the mechanism of providing transfers in the field of health care, etc. Possible areas for improving health care funding are outlined. Emphasis is placed on the expediency of reforming the health care sector in terms of income mobilization in the context of coverage of the population with basic medical guarantees and the effectiveness of the organization of the process of such funding.

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