INVESTING IN THE HEALTHCARE SECTOR: DOMESTIC AND FOREIGN EXPERIENCE

  • Svitlana Alimova
Keywords: healthcare, financing of the healthcare sector, state budget, local budget, consolidated budget, state financial policy

Abstract

The role of a state in financing of the healthcare sector in Ukraine and all around the world is researched in the article. The current state of development of the healthcare investing in Ukraine is analyzed. It is established that the sector is very unattractive for investments both in Ukraine, and in foreign countries. The main problems of the sector are defined, namely: inefficiency of structure of medical care; poor quality of medical care; problems of medicines provision; low salaries of health workers; outdated equipment; lack of capital repairs and so forth. It is proved that the attraction of public funds is not enough for development of the sector. To get the high-quality healthcare services for the people of Ukraine, it is necessary to attract the private sector financial resources that could be reached with publicprivate partnership. Experience of other countries, such as France, Germany, the countries of Eastern and the Central Europe, is analyzed. Also the experience of obligatory medical insurance of Moldova and the Czech Republic, which is topical for implementation in Ukraine, is considered.

References

1. Libanova, E., & Kurylo I. (2012). Demohrafichnyy prohnoz: shcho ochikuvaty [Demographic forecast: what to expect] // Uryadovyy kuryer – Governmental courier, 18 (4662). Retrieved from http://ukurier.gov.ua/media/ documents/2012/02/23/specvypysk18.pdf [in Ukrainian].

2. Bayeva, O. V. Menedzhment u haluzi okhorony zdorovya [Management of health], Retrieved from http://pidruchniki. ws/1640011637428/meditsina/sistema_ohoroni_zdorovya_ukrayini. [in Ukrainian].

3. (2011), Reytynhova otsinka stanu zdorovya naselennya, diyalnosti ta resursnoho zabezpechennya zakladiv okhorony zdorovya Ukrayiny za poperednimy danymy monitorynhu 2010 roku [Rating evaluation of health status, activities and resources for health care of Ukraine on preliminary data monitoring 2010]. K: Kyiv. [in Ukrainian].

4. Ukaz Prezydenta Ukrayiny «Pro Stratehiyu staloho rozvytku «Ukrayina–2020» [Decree of the President of Ukraine «On Strategy for Sustainable Development «Ukraine–2020»]. (n.d.). president. gov.ua. Retrieved from http://www.president.gov. ua/documents/18688.html/ [in Ukrainian].

5. Lyakhovchenko, L. A. Udoskonalennya derzhavnoho upravlinnya finansovym zabezpechennyam systemy okhorony zdorovya v Ukrayini [Improvements of government expenditure on health care in Ukraine]. (n.d.). academy.gov.ua. Retrieved from http://www.academy.gov.ua/ ej/ej10/doc_pdf/Lyahovchenko.pdf/ [in Ukrainian].

6. Sait kanalu «Novyny–24» [Sait of the channel «News–24»]. 24tv.ua. Retrieved from http://24tv.ua/ [in Ukrainian].

7. Radutskyy, M. (2015), Zminyuysya abo pomry. Shcho vryatuye ukrayinsku medytsynu [Zminyuysyaordie. Thatwillsave Ukrainianmedicine]. (n.d.). ukr.media/politics. Retrieved from https://ukr.media/politics/228437/ [in Ukrainian].

8. Za dva roky kilkist zadovolenykh medytsynoyu skorotylasya 2,5 razy [For two years, the number of satisfied medicine decreased 2.5 times]. CORRUPT. UA antykoruptsiynyy blokpost – CORRUPT. UA anticorruption checkpoint. Retrieved from http://corruptua.org/2013/ 06/za-dva-roki-kilkist-zadovolenih-meditsinoyuskorotilasya-v-2-5-razi/ [in Ukrainian].

9. Proekt rekomendatsiy parlamentskykh slukhan na temu: «Suchasnyy stan, shlyakhy i perspektyvy reformy u sferi okhorony zdorov’ya Ukrayiny» [The draft recommendations of the parliamentary hearings on the topic: «Current state and prospects ways to reform healthcare Ukraine»]. Retrieved from http://www.apteka. ua/article/235648/ [in Ukrainian].

10. Zakon Ukrayinskoyi Radyanskoyi Sotsialistychnoyi Respubliky «Pro respublikanskyy byudzhet Ukrayinskoyi RSR na 1991 rik» [Law of the Ukrainian Soviet Socialist Republic «On the republican budget of the Ukrainian SSR in 1991»]. (n.d.). zakon.rada.gov.ua. Retrieved fromhttp://zakon3.rada.gov.ua/laws/show/579-12/ [in Ukrainian]

11. Zakon Ukrayiny «Pro Derzhavnyy byudzhet Ukrayiny na 1992 rik» [Law of Ukraine «On State Budget of Ukraine for 1992»]. (n.d.). zakon. rada.gov.ua. Retrieved from http://zakon4.rada. gov.ua/laws/show/2477-12/ [in Ukrainian].

12. Zakon Ukrayiny «Pro Derzhavnyy byudzhet Ukrayiny na 1993 rik» [Law of Ukraine «On State Budget of Ukraine for 1993»]. (n.d.). zakon. rada.gov.ua. Retrieved from http://zakon2.rada. gov.ua/laws/show/3091-12/ [in Ukrainian].

13. Zakon Ukrayiny «Pro Derzhavnyy byudzhet Ukrayiny na 1994 rik» [Law of Ukraine «On State Budget of Ukraine for 1994»]. (n.d.). zakon. rada.gov.ua. Retrieved from http://zakon2.rada. gov.ua/laws/show/3898-12/ [in Ukrainian].

14. Zakon Ukrayiny «Pro Derzhavnyy byudzhet Ukrayiny na 1995 rik» [Law of Ukraine «On State Budget of Ukraine for 1995»]. (n.d.). zakon. rada.gov.ua. Retrieved from http://zakon3.rada. gov.ua/laws/show/126/95-vr/ [in Ukrainian].

15. Zakon Ukrayiny «Pro Derzhavnyy byudzhet Ukrayiny na 1996 rik» [Law of Ukraine «On State Budget of Ukraine for 1996»]. (n.d.). zakon. rada.gov.ua. Retrieved from http://zakon4.rada. gov.ua/laws/show/96/96-vr/ [in Ukrainian].

16. Zakon Ukrayiny «Pro Derzhavnyy byudzhet Ukrayiny na 1997 rik» [Law of Ukraine «On State Budget of Ukraine for 1997»]. (n.d.). zakon. rada.gov.ua. Retrieved from http://zakon3.rada. gov.ua/laws/show/404/97-vr/ [in Ukrainian].

17. Zakon Ukrayiny «Pro Derzhavnyy byudzhet Ukrayiny na 1998 rik» [Law of Ukraine «On State Budget of Ukraine for 1998»]. (n.d.). zakon. rada.gov.ua. Retrieved from http://zakon4.rada. gov.ua/laws/show/796/97-%D0%B2%D1%80/ [in Ukrainian].

18. Zakon Ukrayiny «Pro Derzhavnyy byudzhet Ukrayiny na 1999 rik» [Law of Ukraine «On State Budget of Ukraine for 1999»]. (n.d.). zakon.rada.gov.ua. Retrieved from http://za- kon2.rada.gov.ua/laws/show/378-14/page4/ [in Ukrainian].

19. Sait Ministerstva «Ministerstvo finansiv Ukrayiny» [Site of the Ministry «Ministry of Finance of Ukraine»]. minfin.com.ua. Retrieved from http://index.minfin.com.ua/index/gdp/ [in Ukrainian].

20. Statystychnyy zbirnyk «Byudzhet 2000» [Statistical Yearbook «Budget 2000»]. Ministerstvo finansiv Ukrayiny – Ministry of Finance of Ukraine. Retrieved from http://index.minfin. com.ua/ [in Ukrainian].

21. Statystychnyy zbirnyk «Byudzhet 2001» [Statistical Yearbook «Budget 2001»]. Ministerstvo finansiv Ukrayiny – Ministry of Finance of Ukraine. Retrieved from http://index.minfin. com.ua/ [in Ukrainian].

22. Statystychnyy zbirnyk «Byudzhet 2002» [Statistical Yearbook «Budget 2002»]. Ministerstvo finansiv Ukrayiny – Ministry of Finance of Ukraine. Retrieved from http://index.minfin. com.ua/ [in Ukrainian].

23. Statystychnyy zbirnyk «Byudzhet 2003» [Statistical Yearbook «Budget 2003»]. Ministerstvo finansiv Ukrayiny – Ministry of Finance of Ukraine. Retrieved from http://index.minfin. com.ua/ [in Ukrainian].

24. Statystychnyy zbirnyk «Byudzhet 2004» [Statistical Yearbook «Budget 2004»]. Ministerstvo finansiv Ukrayiny – Ministry of Finance of Ukraine. Retrieved from http://index.minfin. com.ua/ [in Ukrainian].

25. Statystychnyy zbirnyk «Byudzhet 2005» [Statistical Yearbook «Budget 2005»]. Ministerstvo finansiv Ukrayiny – Ministry of Finance of Ukraine. Retrieved from http://index.minfin. com.ua/ [in Ukrainian].

26. Statystychnyy zbirnyk «Byudzhet 2006» [Statistical Yearbook «Budget 2006»]. Ministerstvo finansiv Ukrayiny – Ministry of Finance of Ukraine. Retrieved from http://index.minfin. com.ua/ [in Ukrainian].

27. Nakaz Ministerstva okhorony zdorovya «Pro zatverdzhennya perelikiv zakladiv okhorony zdorovya, likarskykh provizorskykh posad ta posad molodshykh spetsialistiv z farmatsevtychnoyu osvitoyu zakladiv okhorony zdorovya» [Order of the Ministry of Health of Ukraine «On approval of the list of health care, medical provizorskyh positions and positions for junior specialists in pharmaceutical education of health care»]. (n.d.). zakon.rada.gov.ua. Retrieved from http:// zakon2.rada.gov.ua/laws/show/z0892-02/ [in Ukrainian].

28. Fedorchuk, D. (2013), Derzhavno-pryvatne partnerstvo u sferi okhorony zdorovya [Public-private partnership in the health sector]. Yurydychna hazeta – Legal newspaper, 41, 34 – 35 [in Ukrainian].

29. Hohlyo, O. (2006), Systema obrazovanyya y dolhosrochnuy rost v Chekhyy. Beyond Transition – Beyond Transition, 3, 14–15 [in Russian].

30. Karamyshev, D. V. & Nemchenko A.S. (2003), Finansuvannya okhorony zdorovya. Svitovyy dosvid: Metodychni rekomendatsiyi dlya slukhachiv zaochnoyi formy navchannya za spetsialnistyu «Derzhavne upravlinnya» i spetsializatsiyeyu «Upravlinnya okhoronoyu zdorovya» [Financing health. International experience: method. Recommendations for students of correspondence courses in specialty «Public Administration» and specialization «Health management»]. Kh.: Vyd-vo KharRI [in Ukrainian].
Published
2018-08-28
How to Cite
Alimova, S. (2018). INVESTING IN THE HEALTHCARE SECTOR: DOMESTIC AND FOREIGN EXPERIENCE. Strategic Priorities, 38(1), 63-72. Retrieved from https://niss-priority.com/index.php/journal/article/view/200