The Verkhovna Rada Resolution # 2426-IV as of February 4, 2005
About the Action Program of the Cabinet of
Ministers of Ukraine
Citizens' belief in future will be strengthening along with
increasing their life expectancy and birth rate, and decreasing death rate. To
provide quality and accessible health services, the Government will be
the guaranteed package of free health services for every citizen;
introduction of the unified system of indices for health facilities'
renewal of healthcare system in every town and village;
health financing re-focusing on the primary care;
introduction of mandatory health insurance and promotion of supplementary
voluntary health insurance;
promotion to the establishment of the family medicine and family physicians;
creation of the conditions for full vital activity of disabled people
(invalids), the priority rehabilitation of the war veterans and labour
free provision of medicine, drugs, special food to children-invalids, creation
of the conditions to their full vital activity in the community;
development and implementation of the effective mechanism for controlling the
production, import and realisation of pharmaceuticals;
introduction of telemedicine as means of accessibility to quality healthcare to
the whole population, including rural areas;
promotion of healthy lifestyle;
a ten-time increase of the amount of financial aid when a child is born.
The full text of the Resolution can be
http://www.rada.gov.ua/ or in Room 113
Ludmila Podgornaya, Head of Division of Health
Insurance Legal Provision
Why does Ukraine need a project like this?
Starting January, 2004, the EU/TACIS Project "Health Financing and
Management in Ukraine" has begun its activity aiming at providing for financing
and management efficiency improvement in the national health care system.
The TACIS program created in 1991 is the main instrument of
cooperation between the EU and ex-soviet countries, mostly providing technical
The European Union is an inexhaustible source of working
experience in socially oriented market economy. And it is from here where
Ukraine can gain the required knowledge and assistance concerned with the
issues of raising the operating efficiency in health care, as for a long time
this particular sphere has remained apart from market reforms gaining their
spin in other fields of Ukrainian economy.
What does MoH expect from the Project implementation, what is its
Ukraine has clearly defined its home and foreign policy towards
European integration. It presupposes conducting economic reforms, bringing
Ukrainian legislation in compliance with the European one, implementing the
Agreement on partnership and cooperation with the EU.
Positive dynamics of basic macroeconomic indicators allows to
predict that the economic growth in Ukraine is to acquire a stable and systemic
character. These external factors are going to make a positive impact on the
financial input into the health care sphere.
Nowadays we concentrate our attention specifically on the issues
related to increasing the draft on funds efficiency, improvement of medical aid
organization through developing, as a priority, primary medicosanitary aid and
family doctor's institution, wide-scale implementing of ambulatory medical
services as an alternative for in-patient treatment, regulating the health care
establishments network and structure.
The urgency of the EU/TACIS Project is determined, first of all,
by the necessity to prepare the sphere for mandatory health insurance
implementation, which is stipulated by numerous Presidential Decrees and the
Program of Governmental Activity, to work out the corresponding legislative
acts as well as to train health care staff to work under new conditions.
European experts' assistance is going to allow us to take into
consideration the experience of progressive countries and main approaches
adopted in the European region countries.
Within the framework of the project there have been chosen two
Pilot regions (Kharkiv and Zhytomir oblasts), on whose basis new financial
management models are to be developed and tested.
In what way can other countries' progressive experience be applied
The practical work of the Project is to be focused on the four
main directions, in particular:
health care management optimization under conditions of medical insurance
system implementation in Ukraine. This direction is to cover both, the highest
administrative level structures of the field and internal local level
managerial structures of health care establishments;development and
implementation, on the basis of the Pilot regions, of all components required
for health insurance system implementation in Ukraine; development and
implementation of comprehensive training processes for specialists at different
administrative levels, heads of health care establishments and the future
health insurance system experts in the field of health financing and
management; conducting campaigns aimed at increasing the level of public
awareness of health care organization issues.
Besides that, a joint work of the Project, MoH and other
interested parties is to be conducted on the issues of developing the
legislative framework for mandatory state social health insurance taking into
account the European legislation, developing and testing the health insurance
program, procedures of contracting medical services providers.
A special place in the Project work is devoted to the issues
related to the improvement of informational and technical support in health
The work is to partially be conducted at the national level, while
its other part is to be realized on the Pilot regions basis.