УДК 33.338.4

DOI: https://doi.org/10.36887/2415-8453-2024-3-29

Shyshka Ihor
Candidate of Medical Sciences, Associate Professor,
Classic Private University
https://orcid.org/0009-0003-4365-8638

JEL classification: I15, O210

The article analyzes the performance indicators of the health care system for the period 2010-2019. The analysis and characterization of the main indicators of the health care system for the period 2010-2019 allowed the author to conclude that the existing infrastructure of the industry is still quite cumbersome, characterized by the dominance of specialized and inpatient medical care and the irrational use of the potential of outpatient polyclinic institutions. According to the main criteria, such as the relationship of property rights, methods of financing, the role of the state in the management of the industry, and mechanisms for stimulating medical workers and consumers of services, the domestic health care system still has signs of the Semashko`s model, which does not meet modern requirements regarding the need to use high-value medical technologies and is unable to provide high-quality medical services. The main criteria for the classification of healthcare systems are identified and the affiliation of the healthcare system of Ukraine to one of the models of medical systems has been identified. Approaches to creating a system of hospital districts in accordance with the current legislation of Ukraine are characterized. It was determined that the main tool for reforming the national health care system is the creation of hospital districts, which will ensure the provision of higher quality medical services and significantly reduce the costs of maintaining the medical infrastructure in Ukraine. At the same time, one notes that strategic planning at all levels of the national health care system should be the leading technology for the formation of an effective system of medical institutions.

Keywords: health care system, system of medical institutions, models of medical systems, hospital district, hospital cluster.

Rеferences

  1. Demohrafichna ta sotsial’na statystyka. Okhorona zdorov’ia. [Demographic and social statistics. Health care]. Available at:https://www.ukrstat.gov.ua/.
  2. Smiianov,A. (2021). Osnovni modeli system okhorony zdorov’ia ta dzherela ikh finansuvannia. Prezentatsiia. [Basic models of health care systems and sources of their financing. Presentation]. Available at:https://pubhealth.med.sumdu.edu.ua/wp-content/uploads/2021/02/Lecture-6-Public-health-propaedeutics.pdf.
  3. Reshota, (2020). Klasyfikatsiia osnovnykh modelej medychnykh system u sviti ta shliakh Ukrainy. [Classification of the main models of medical systems in the world and the path of Ukraine]. Available at:https://ingeniusua.org/articles/klasyfikatsiya-osnovnykh-modeley-medychnykh-system-u-sviti-ta-shlyakh-ukrayiny#:~:text.
  4. Osnovy zakonodavstva Ukrainy z okhorony zdorov’ia: Zakon Ukrainy. (1992). [Fundamentals of Ukrainian legislation on health care: Law of Ukraine]. № 2801-XII dated November 19, 1992. Available at:https://zakon.rada.gov.ua/laws/show/2801-12#Text.
  5. Deiaki pytannia orhanizatsii spromozhnoi merezhi zakladiv okhorony zdorov’ia: Postanova KMU. (2019). [Some issues of the organization of a capable network of health care institutions: Resolution of the CMU]. № 174 dated November 27, 2019. Available at:https://zakon.rada.gov.ua/laws/show/174-2023-%D0%BF#Text.
  6. Pro normatyv prybuttia bryhad ekstrenoi (shvydkoi) medychnoi dopomohy na mistse podii: Postanova Kabinetu Ministriv Ukrainy. (2020). [On the standard for the arrival of emergency (ambulance) medical aid teams at the scene of the incident: Resolution of the Cabinet of Ministers of Ukraine]. № 1271 dated December 16, 2020. Available at:https://zakon.rada.gov.ua/laws/show/1271-2020-%D0%BF#Text.
  7. Yak MOZ i KMU vyznachatymut’ mezhi ta merezhu likaren’ hospital’nykh okruhiv. (2022). [How the Ministry of Health and the CMU will determine the boundaries and network of hospitals of hospital districts]. Available at:https://dzplatforma.com.ua/news/57506-yak-moz-i-kmu-viznachatimut-mezhi-ta-merezhu-likaren-gospitalnikh-okrugiv.
  8. Hutsaliuk,M., Navolokina, A.S. (2018). «Evaluation of the competitiveness of the field of higher medical education and its institutions in the context of economic interaction». Efektyvna ekonomika. № 5. Available at:http://www.economy.nayka.com.ua/?op=1&z=7085.
  9. Hutsaliuk,M. (2019). «Analysis of the state of human resources in the health care sector of Ukraine during the reform period». Visnyk ekonomichnoi nauky Ukrainy. № 2 (37). рр. 110-114.
  10. Hutsaliuk,M., Navolokina, A.S. (2020). «Research on the economic interaction between the labor market and human resources in the healthcare sector in Ukraine». Economic innovations. Vol. 22. Issue 1 (74). рр. 37-51.

The article was received 03.08.2024