Document Detail

Ukraine health system review.
MedLine Citation:
PMID:  21429862     Owner:  NLM     Status:  In-Data-Review    
The HiT profiles are country-based reports that provide a detailed description of a health system and of policy initiatives in progress or under development. HiTs examine different approaches to the organization, financing and delivery of health services and the role of the main actors in health systems; describe the institutional framework, process, content and implementation of health and health care policies; and highlight challenges and areas that require more in-depth analysis.The Ukrainian health system has preserved the fundamental features of the Soviet Semashko system against a background of other changes, which are developed on market economic principles. The transition from centralized financing to its extreme decentralization is the main difference in the health system in comparison with the classic Soviet model. Health facilities are now functionally subordinate to the Ministry of Health, but managerially and financially answerable to the regional and local self-government, which has constrained the implementation of health policy and fragmented health financing. Health care expenditure in Ukraine is low by regional standards and has not increased significantly as a proportion of gross domestic product (GDP) since the mid 1990s; expenditure cannot match the constitutional guarantees of access to unlimited care. Although prepaid schemes such as sickness funds are growing in importance, out-of-pocket payments account for 37.4% of total health expenditure.The core challenges for Ukrainian health care therefore remain the ineffective protection of the population from the risk of catastrophic health care costs and the structural inefficiency of the health system, which is caused by the inefficient system of health care financing. Health system weaknesses are highlighted by increasing rates of avoidable mortality. Recent political impasse has complicated health system reforms and policy-makers face significant challenges in overcoming popular distrust and fatigue in the face of necessary but as yet unimplemented reforms.
Valery Lekhan; Volodymyr Rudiy; Erica Richardson
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Health systems in transition     Volume:  12     ISSN:  1817-6119     ISO Abbreviation:  Health Syst Transit     Publication Date:  2010 Dec 
Date Detail:
Created Date:  2011-03-24     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101492637     Medline TA:  Health Syst Transit     Country:  Denmark    
Other Details:
Languages:  eng     Pagination:  1-185     Citation Subset:  IM    
Copyright Information:
World Health Organization 2010, on behalf of the European Observatory on health systems and Policies.
Dnipropetrovsk State Medical Academy; Committee on Health of the Verkhovna Rada [Parliament] of Ukraine; European Observatory on Health systems and Policies.
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