DETERMINANTS OF SUCCESSFUL TRANSFORMATION OF THE MEDICAL SYSTEM IN THE EU AND UKRAINE: COMPARATIVE ANALYSIS

Анотація

The need to study the effectiveness of the health care system in developed countries in order to assess the state of development of the medical system and analyze the key determinants of its effective transformation is emphasized in the article. The idea, that general indicator that characterizes the efficiency of the medical industry is the indicator of life expectancy, is determined. The dependences of the level of life expectancy on the level of well-being and total health care costs are studied. It was found that life expectancy significantly depends on the level of real gross domestic product per capita at the purchasing power parity of the population in countries with lower levels of socio-economic security and quality of life, a lower life expectancy is recorded. It has been determined that increasing health care expenditures to a certain level has a positive impact on the efficiency of the medical sector, although it depends more on the scheme of attracting and allocating financial resources. In addition, the dynamics of the development of medical systems in Eastern Europe by indicators of life expectancy at birth, the level of expenditures on medicine in general and funding schemes, the share of health care costs “out of pocket”, the level of costs for medical facilities and reimbursement medicines for the population, etc. are analyzed. It is determined that the experience of countries similar in level of socio-economic development to Ukraine can be extrapolated to the domestic practice of state management of the medical system.

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