Grounds of necessity to carry out reforms in health care system in Ukraine: historical aspect

  • I. P. Krynychna Dnipropetrovsk regional institute of public administration of National academy for public administration under the President of Ukraine
Keywords: public administration, health care reform, health insurance, initial care, medical care, medical services, health care resources

Abstract

The article studies the historical experience of reforming the health care system in Ukraine, which allow clearing up the basic problems of public administration. Thus, the health care legislation is characterized as a fragmentary and complex thing with common overlaps and vaguely defined areas of accountability of financial and material resources and a significant deficit of funding. In turn, there is an urgent need for a fundamental change in strategy of the state policy concerning the restructuring of the health care system, which would involve fundamentally new mechanisms of public administration that must be adapted to the specific social problems and opportunities, particularly in conditions of limited resources. It is determined that reforming the health care systems of the former Soviet Union countries has similar nature with Ukraine, namely: the lack of government funding, poor quality of medical care, high level of medical services payment by citizens, the low level of wages of health care employees, and, as a consequence, the limited availability of the population to qualitative health services. On the basis of the results of the analysis of existing and not solved problems of the health care system it is proved the necessity to introduce new mechanisms of control in this field: the development of a system of compulsory medical insurance; the combination of budget and insurance sources of financing the health care system; the growing funding for the health care system; the development of initial care; adjustment of the state guarantees, according to the state financial opportunities; increasing the wages of health care employees; search for new organizational forms of health care institutions; increase the efficiency of health care resources; privatization and improvement of the structure of the medical care system. The formation of Ukraine as an independent state is accompanied by considerable difficulties. The deepened political and socially oriented economic market transformations are initiated simultaneously with the restructuring of the state apparatus, including the managerial one. In these conditions, human health is seen as a socio-economic value. Therefore, there was a need for coordinated actions of the state administration aimed at improving the public health system.

Author Biography

I. P. Krynychna, Dnipropetrovsk regional institute of public administration of National academy for public administration under the President of Ukraine
Published
2015-03-18
How to Cite
Krynychna, I. P. (2015). Grounds of necessity to carry out reforms in health care system in Ukraine: historical aspect. Public Administration Aspects, 3(3), 19-26. https://doi.org/10.15421/151515
Section
Theory and history of public administration