New approaches to financing the health care system
AbstractMain areas of state budget expenditures have been identified in the article. They include financing the staff of the Ministry of Health of Ukraine, the State Service of Ukraine for Medicines and Drug Control, the National Health Service of Ukraine, the Ministry of Health of Ukraine. It has been emphasized that the adoption of the Concept of Health Care Financing Reform at the legislative level was important during the reform of the health care system of Ukraine, according to which the implementation of a large-scale transformation of health care system financing has begun. The initial provisions of the concept of health care financing reform have been studied, namely: the purpose of health care financing reform and its principles. The directions of the health care system's reforming that affected the financial mechanism of public administration have been proposed. One of the key reasons for the successful implementation of the health care financing reform is the stable political commitments and high-quality interdepartmental relations between the Cabinet of Ministers, the Ministry of Health, the National Health Service of Ukraine and the Ministry of Finance. It has been noted that the main problem of imperfection of financial provision of health care in Ukraine is the lack of clear criteria for assessing the effectiveness of the use of budget resources at different levels of government and health care facilities. The transformed system of financing of primary medical care in Ukraine has been presented and characterized, the algorithm of calculation of budgetary financing of the medical sphere has been given. It has been found out that the implementation of the concept of health care financing reform took place together with the development of the legal mechanism, which provided for the adoption of regulations. The main directions of improving the financial mechanism of public administration of the healthcare system have been identified: at the level of public administration of the healthcare system, at the level of reforming the state regulation of healthcare institutions.
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