REPORT ON THE THREE-DAY'S SEMINAR:
"MEDICAL INSURANCE: EXPERIENCE OF THE EU COUNTRIES"
Held in Kiev 18-20 May 2004
The aim of the three-day open seminar "Medical
Insurance: Experience of the EU Countries", held from the
18th till the 20th of May in Kyiv Medical Academy of After-graduate
Education named after P.L.Shupik within the EU project "Health
Financing and Management" was to familiarize specialists
of different levels engaged in health financing and management
with experience of the European Union countries. The seminar was
not just to familiarize the mentioned specialists with international
experience in the sphere of medical insurance but also to help
to avoid mistakes made by other countries in the process of introduction
of medical insurance. The seminar fulfilled its main tasks, such
as:
- support of the discussion of the conception
of mandatory medical insurance;
- support of the further directions of the Project
and
- spreading of the information about the Project
among the concerned specialists.
At the seminar foreign experts demonstrated the
process of introduction of different systems of medical insurance
and the way of their functioning in other countries. Countries
represented at the seminar had different experience. Czech Republic,
Poland and Estonia reformed their systems in 90-ies, and the fact
that is of great importance for Ukraine is that their systems
of health care were similar to that of Ukraine. Germany, that
is transforming its system of health care, is to introduce alterations
due to the general aging of the population that causes growth
in costs for existing system of health care that is relevant to
Ukraine as well.
Open seminar included plenary sessions, work groups
in the form of "round tables", presentation of the work
groups, final discussion and statements, final plenary session.
The main topic for discussion was introduced at the plenary session,
detailed discussion was held in the work groups that comprised
specialists interested in some aspects of the topic.
After the seminar the participants were given the
questionnaire the aim of which was to assess the seminar and given
materials by the specialists on the matters of financing and management
that work in the sphere of health care in Ukraine.
The main tasks of the questionnaire:
- To give overall assess of the seminar;
- To assess usefulness of the given materials
and possibility of their further usage in the job of the participants.
- To find the most important topics of those
that were discussed at the seminar and topics for further measurers
of the Project.
The questionnaire was held in the written form
after the seminar (plenary discussion and final speech of the
facilitator prof. I.M.Soloneko the Head of the Department of the
Health Care Management of the National Academy of State Administration
to the President of Ukraine).
During the last day of the seminar, on the 20th
of May 32 registered participants were given the questionnaires.
Employees of the Project received 24 filled questionnaires.
To the question "What is your overall evaluation
of the seminar?" - 95% respondents gave positive answer:
excellent (54%) and good (41%) and there was no negative evaluations.
Such evaluation of the seminar is possible due to the high professional
level of the prepared material and given information.
95% respondents are sure that they will be able
to use received information in their professional activity and
none of them is sure he won't. In their explanations respondents
emphasized the following facts as the most important:
- Information received at the seminar;
- Possibility to discuss problematic matters
with Ukrainian colleagues and foreign specialists-experts of
the Project;
- Possibility to shape agreed view on further
development of the processes aimed at improvement effective
financing and management in the sphere of health care.
Respondents pointed out that topics concerned experience
of the EU countries and analysis of possibilities of usage of
the effective normative legal base of Ukraine for introduction
of new models of financing and management were the most important
topics of the seminar. Presentations concerning experience of
Estonia and Poland were named as the most interesting and important,
as systems of the mentioned countries were similar to that that
exists in Ukraine.
As far as topics of the future seminars are concerned,
41% of the respondents would like to hear the reports of the international
experts and to discuss financial and economic aspects of health
care system and introduction of the medical insurance. The participants
would also like to study the experience of the close neighbours
of Ukraine that is Moldavia and Russia in particular. They are
also interested in studying experience of some regions of Ukraine
that have already made some steps in introduction of the medical
insurance and in more detailed studying of the effective normative
legal basis of Ukraine.
Proposals of the participants of the seminar will
be used in drawing out future measures within the Project. For
example, the next seminar "Assess of the Medical Services
Costs" will take place in the city of Kyiv in September 2004;
the aim of this seminar is to define financial aspects of the
system of health care and of those connected with medical insurance
in particular. In October the seminar on the matters of contracting
will be held.
In the part "Other Comments" alongside
with thanks for the organizing the seminar the participants state
the necessity of involving officials of the Ministry of Health
to the seminars, plenary meetings and discussions in the work
groups and of elucidating materials of the seminar.
The seminar will become an important step in planning
and organizing of the seminars and trainings within the Project.
The project thanks to the participants who appraised the seminar
so highly.
Appendices:
- Conclusions of the questionnaire;
- Reports on the results of work in the groups;
- Final resolution of the seminar;
- Press publications.
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