Establishment of a comprehensive system for the provision of medical services in Ukraine on market principles
Keywords:
health care, medical services, medical services market, medical system, public administration.
Abstract
The aim of the article is to develop recommendations for the formation of a comprehensive system of medical services in Ukraine on a market basis. Subject of research is the formation of a model of such a medical system, which would guarantee the quality, accessibility and transparency of medical services for the population. Methodology: In the course of the research the following methods are used: analysis and synthesis methods, structural and systematic analysis method, graphic method, method of generalization. Research results: The principles of State management of the transformation of health care systems in Ukraine to support the development of the medical services market are established. The stages of State management of the medical system transformation process in accordance with market principles of functioning are described. Practical consequences: The model of the comprehensive system of providing medical services on a market basis, as well as the assurance of highly specialized and high-tech types of medical care to all the people are proposed. Value / originality: It is determined that the changes in the health care system should be based on prudent public administration, which, in its turn, is grounded on the relevant principles, defined by the authors.
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References
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21NBUV$%3C.%3E%29%2A%28%3C.%3EU%3D%D0%A39%284%D0%A3%D0%9A%
D0%A0%29280%3C.%3E%29&Z21ID=&S21SRW=TIPVID&S21SRD=DOWN&S21STN=
1&S21REF=10&S21CNR=20
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Tomchuk-Ponomarenko, N.V., Lozova, G.M., Pashniuk, L.O., & Krasnopolska, T. (2021). Transformation of Public Administration of the Social and Economic Policy in Ukraine by the Example of the Healthcare Reformation. Journal of Environmental Treatment Techniques, 9(2), pp. 421-427. https://doi.org/10.47277/JETT/9(2)427
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Vasyuk, M. (2018). Public administration bodies as subjects of services in the medical sector of Ukraine. Entrepreneurship, Economy and Law, No. 12, pp. 172 – 175.
Voronenko, Yu.V, & Goyda, N.G. (2013). Healthcare reformation: success and obstacles. Modern medical technology, No. 2, pp. 24-26.
Barzylovych, A.D. (2020). National medical services market participants in Ukraine. East European Scientific Journal, No. 1(53), pp. 23-28.
Betliy, O.V., Kuziakiv, O.V., & Onishchenko, K.V. (2007). The evaluation of health care system in Ukraine in the context of structural and quality-enhancing reforms. Moscow: EERC.
Bilinskyi, D., & Damirchyiev, M. (2019). International economic standards of medical provision: legal characteristics and problems of implementation in Ukraine. Baltic Journal of Economic Studies, 5(5), pp. 28-31. https://doi.org/10.30525/2256-0742/2019-5-5-28-31
Bilynska, M. and Radysh, Y., eds. (2013). State policy in health protection. Collective monograph in 2 Parts. Part 1. Kiev: NADU. http://academy.gov.ua/NMKD/library_nadu/Monogr/457d99ff-a477-4205-baaf-2cee246fe3da.pdf
Clemens, T., Michelsen, K., Commers, M., Garelb, P., Dowdeswellc, B., & Brand, H. (2014). European hospital reforms in times of crisis: aligning cost containment needs with plans for structural re-design? Health Policy, 117(1), pp. 6-14. https://doi.org/10.1016/j.healthpol.2014.03.008
Dubas-Jakóbczyka, K., Kowalska-Bobkob, I., & Sowada, C. (2019). The 2017 reform of the hospital sector in Poland – The challenge of consistent design. Health Policy, 123(6), pp. 538-543. https://doi.org/10.1016/j.healthpol.2019.03.013
Ginter, P. M., Duncan, W. J., & Swayne, L. E. (2018). The strategic management of health care organizations. USA: John Wiley & Sons.
Kravchenko, S.O., & Shpachuk, V.V. (2019). Directions of the State policy of healthcare reform in Ukraine. International Journal of Advanced Biotechnology and Research, Special Issue-1, pp. 580 – 586.
Lekhan, V., Rudiy, V., & Shishkin, S. (2007). The Ukrainian health financing system and options for reform: a thorough analysis of the health care financing system in the Ukraine and suggestions for feasible changes. Copenhagen: WHO Regional Office for Europe
Lekhan, V.N., Rudiy, V.M., Shevchenko, M.V., & Nitzan Kaluski, D., & Richardson, E. (2015). Ukraine: Health system review. Health Systems in Transition, 17(2), pp. 1-153.
Ling, L., & Hongqiao, F. (2017). China’s healthcare system reform: Progress and prospect. International Journal of Health Planning and Management, No. 32, pp. 240-253. https://doi.org/10.1002/hpm.2424
Mikhno, I., Koval, V., & Ternavskyi, A. (2020). Strategic management of healthcare institution development of the national medical services market. Access to Science, Business, Innovation in Digital Economy, 1(2), pp. 157-170. https://doi.org/10.46656/access.2020.1.2(7)
Muzyka, I.S. (2016). Reformation of health protection: problems, analysis, implementation directions (by example of the Carpathian region of Ukraine). Economics and the national economy management, No.2, pp. 38-43.
Nasiri, F., & Moselhi, O. (2017). Healthcare facilities maintenance management: a literature review. Journal of Facilities Management, 15(4), pp. 1-24.
Obama, B. (2016). United States healthcare reform progress to date and next steps. JAMA, 316(5), pp. 525-532. https://doi.org/10.1001/jama.2016.9797
Paryzkyi, I.V. (2018). State Policy of Innovative Development of National Economy: Situation and Issues of Implementation. Journal of Advanced Research in Law and Economics, 9(8), pp. 2721-2732. https://journals.aserspublishing.eu/jarle/article/view/4129
Pashkov, V., Udovyka, L., & Dichko, H. (2018). International medical law and its impact on the Ukrainian health care legislation. Wiadomości Lekarskie, Vol. LXXI, No. 1, Part II, pp. 201-205.
Rechel, B., Blackburn, C.M., Spencer, N.J., & Rechel, B. (2011). Regulatory barriers to equity in a health system in transition: a qualitative study in Bulgaria. Health Policy, 123(6), pp. 538-543. https://doi.org/10.1186/1472-6963-11-219
Safonov, Yu. M., & Borshch, V. I. (2019). Strategic model of managing healthcare facilities. Global Academics, No. 3(4), pp. 15-22.
Shevchuk, O., Zui, V., Kompaniiets, I., Martynovskyi, V., & Matat, Y. (2021). Public-private partnerships in the healthcare sphere: legal models in Ukraine and foreign countries. Amazonia Investiga, 10(37), pp. 168-179. https://doi.org/10.34069/AI/2021.37.01.17. https://amazoniainvestiga.info/index.php/amazonia/article/view/1535
Shevchuk, V., Chernyak V., Kovalchuk T., Pedan M., Pankov O. et al. (2016). The development for salvation. Kyiv: Geoprint. http://www.irbis-nbuv.gov.ua/cgi-bin/irbis_nbuv/cgiirbis_64.exe?C21COM=S&I21DBN=EC&P21DBN=&S21FMT=JwU_B&S21ALL=%28%3C.%3EI%3D%
21NBUV$%3C.%3E%29%2A%28%3C.%3EU%3D%D0%A39%284%D0%A3%D0%9A%
D0%A0%29280%3C.%3E%29&Z21ID=&S21SRW=TIPVID&S21SRD=DOWN&S21STN=
1&S21REF=10&S21CNR=20
Shohet, I.M. (2006). Key performance indicators for strategic healthcare facilities maintenance. Journal of Construction Engineering and Management, 132(4), pp. 345-352.
Tomchuk-Ponomarenko, N.V., Lozova, G.M., Pashniuk, L.O., & Krasnopolska, T. (2021). Transformation of Public Administration of the Social and Economic Policy in Ukraine by the Example of the Healthcare Reformation. Journal of Environmental Treatment Techniques, 9(2), pp. 421-427. https://doi.org/10.47277/JETT/9(2)427
UN General Assembly (2015). Resolution adopted by the General Assembly on 25 September 2015 “Transforming our world: the 2030 Agenda for Sustainable Development”. Available online. In: https://www.un.org/ga/search/view_doc.asp?symbol=A/RES/70/1&Lang=E
Vasyuk, M. (2018). Public administration bodies as subjects of services in the medical sector of Ukraine. Entrepreneurship, Economy and Law, No. 12, pp. 172 – 175.
Voronenko, Yu.V, & Goyda, N.G. (2013). Healthcare reformation: success and obstacles. Modern medical technology, No. 2, pp. 24-26.
Published
2021-08-31
How to Cite
Shevchuk, V., Ivanchov, P., Paryzkyi, I., Lakiichuk, Y., & Oksin, V. (2021). Establishment of a comprehensive system for the provision of medical services in Ukraine on market principles. Amazonia Investiga, 10(43), 158-167. https://doi.org/10.34069/AI/2021.43.07.16
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