ANALYSIS OF STATE GOVERNANCE IN THE FIELD OF HEALTHCARE IN UKRAINE AND FOREIGN COUNTRIES
Abstract
The current state of health care in Ukraine is characterized by low efficiency of available logistical using and human resources, slow pace of change in the introduction of innovative diagnostic methods and technologies and lack of understanding of the implementation of standards and indicators of quality and effective management of health services. The goals of health care are to improve health and meet the needs of consumers. The state of the population health depends not only on the provided medical services, but to a large extent on other factors, including the state of the environment, individual heredity, behavioral risk factors, socio-economic status of society and the state of the health care system (Obolenskyi O.Iu., 2007:191). Health care activities should be based on the end results, namely: improving the health of the population; cost and quality of medical services, their availability; fairness and efficiency in the provision of medical services; the effectiveness of mechanisms to protect citizens from financial risk in case of disease (Surmin Yu. P. 2006:307) The authors emphasize the unity of the approach to health care reform in Ukraine at all levels of departmental and national medicine. The study highlights the causes, conditions of formation and functioning of departmental medicine in Ukraine and around the world. The article uses methods of generalization and systematization, grouping and comparison, classification and analogy and systems analysis, as well as the dialectical method and the method of forecasting. The authors analyze the state of health care reform over the past 10 years in countries with high (Britain, France, USA) and low economies (India), with ongoing military conflicts (Israel), with high life expectancy (Italy), with transition economy (Croatia) and in the post-Soviet countries that joined the European Union (Lithuania). The study focuses on the rating indicators of gross domestic product (GDP) and life expectancy, according to analytical reports of international organizations WHO, OECD, International Commonwealth Fund and others.
References
2. Aleksandar Džakula, Andrija Štampar, Anna Sagan, Nika Pavić, Karmen Lončarek, Sekelj-Kauzlarić, (2014). Health Systems in Transition Health System Review Retrieved from https://apps.who.int/iris/handle/10665/ 128604 [in English].
3. Andrea Poscia, Andrea Silenzi, and Walter Ricciardi. (2020). Organization and financing of public health services in Europe: Country reports. Retrieved from https://www.ncbi.nlm.nih.gov/books/NBK5073 28/ [in English].
4. Avi Y. Ellencweig, David P. Ch1nitz(2020). Israel’s health system reform. The role of management in ensuring access and improving health status. Retrieved from https://academic.oup.com/eurpub/article/3/2/85/438960 [in English].
5. Ayushman Bharat – National Health Protection Mission. Retrieved from https://www.india.gov.in/spotlight/ayushman-bharat-national-health-protection-mission [in English].
6. Bilynskа M., Radysh Ya. (2013). Derzhavna polityka u sferi okhorony zdorovia [State policy in the field of health care] in 2 parts Part 1. 396 p. Kyiv: NAPA. [in Ukrainian].
7. Cabinet approves Continuation and Revamping of the Scheme for Financial Support to Public Private Partnerships in Infrastructure Viability Gap Funding VGF Scheme. (2020, November 11) PIB Delhi. Retrieved from https://www.pib.gov.in/PressReleasePage. aspx?PRID=1671914[in English].
8. Demianchuk O. P. “Derzhavna polityka” ta “publichna polityka” : variant perekhidnoho periodu. [“Public policy” and “public policy”: a variant of the transition period]. Retrieved from [in Ukrainian].
9. Daniel Simonet (2021). French Idiosyncratic Health-Care Reforms, Performance Management and Its Political Repercussions. Retrieved from https://nih.gov/pmc/articles/PMC8286423/ [in English].
10. Ezra Klein (2020). In the UK’s health system, rationing isn’t a dirty word. Retrieved from https://www.vox.com/2020/1/28/21074386/health-care-rationing-britain-nhs-nice-medicarefor-all [in English].
11. Hlossaryi termynov, yspolzuemыkh v seryy “Zdorove dlia vsekh”. [Glossary of terms used in the Health for All series]. Retrieved from http://www.who.int [in Ukrainian]. Geneva: WHO, 1984. № 1–8.
12. INDIA INVESTMENT GRIDE. (2020) Retrieved from https://indiainvest mentgrid.gov.in/[in English].
13. Kaminska T M., (2012). Svitovi modeli finansuvannia okhorony zdorovia [World models of health care financing]. Visnyk Natsionalnoho universytetu “Iurydychna akademiia Ukrainy imeni Yaroslava Mudroho” № 1 (8). Retrieved from [in Ukrainian].
14. Leapfrogging to a Digital Healthcare System: Re-imagining Healthcare for Every Indian. BCG and FICCI. (2020, December 20) Retrieved from https://www.bcg.com/en-in/leapfroggingto-a-digital-healthcare-system [in English].
15. Mimi Chung (2021). Health care reform: learning from other major health care systems. Retrieved from https://pphr.princeton.edu/2017/12/02/unhealthy-health-care-a-cursoryoverview-of-major-health-care-systems/ [in English].
16. Obolenskyi O.Iu., Solonenko I.M., Zhalilo L.I. et all. (2007). Upravlinnia okhoronoiu zdorovia na mistsevomu rivni: natsionalnyi ta zarubizhnyi dosvid. [Local health management: national and foreign experience.] Kyiv: Asotsiatsiia mist Ukrainy ta hromad, 191 р. [in Ukrainian].
17. Petrenko O. (2011). Systema okhorony zdorovia Ukrainy: realii ta perspektyvy. Druha sesiia Shkoly profesiinoi zhurnalistyky [The second session of the School of Professional Journalism] “Nova Ukraina”. Kyiv. 11 p. [in Ukrainian].
18. Robin Osborn, David Squires, Michelle M. Doty, Dana O. Sarnak, Eric C. Schneider, M.D. (2016). In New Survey of 11 Countries,U.S. Adults Still Struggle with Access to and Affordability of Health Care. Retrieved from https://commed.vcu.edu/Chronic_Disease/finance/2017/CWSurvey_ 2016.pdf [in English].
19. State of Health in the EU Lithuaniа Country Health Profile 2021 Retrieved from https://www.oecd-ilibrary.org/docserver/2 0b64b36-en.pdf?expires =1642888091&id=id&accname=guest&checksum=7FA7AA6C25A147DB17F63779F977D0F2 [in English].
20. Stratehiia staloho rozvytku Ukrainy – 2030. [Strategy of sustainable development of Ukraine – 2030.] Retrieved from http://nbu viap.gov .ua/images/praktuka_susp_peretvoren/2021/20.pdf [in Ukrainian].
21. Srinivisan R. (2020). Halth care in india – vision 2020 issues and prospects. Retrieved from https://www.niti.gov.in/planningcommission.gov.in/docs/reports/genrep/bkpap2020/26_bg2020.pdf [in English].
22. Surmin Yu. P. (2006). Maisternia vchenoho : pidruchnyk dlia naukovtsia. [Scientist’s workshop: a textbook for a scientist.] Navch.-metod. tsentr “Konsortsium z udoskonalennia menedzhment-osvity v Ukraini”,. 302 р. Kyiv [in Ukrainian].
23. Tarun Khanna, Jorge Paulo Lemann, Nachiket More, Sandhya Venkateswaran., (2021). Transition paths towards better health outcomes in India. Retrieved from https://www.brookings.edu/blog/up-front/2021/ 06/29/transition-paths-towards-better-health-outcomes-inindia-optimizi ng-the-use-of-existing-pooled government-funds/ [in English].
24. The Economic Arrangements Law (Legislative Amendments to Achieve Budgetary Goals and the Economic Policy for the Year 2008) 5768-2008. Retrieved from https://main.knesset.gov.il/Activity/Legislation/Laws/Pages/LawBill.aspx?t=LawReshumot&lawitemid= 262800 [in English].
25. United Nations Millennium Development Goals (MDGs). Retrieved from https://www.who.int/news-room/fact-sheets/detail/millennium-development-goals-(mdgs) [in English].
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