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Apteka Weekly, N 31
"EU HELPS TO REFORM UKRAINIAN HEALTH SYSTEM"
There are many suggestions today as to how the Ukrainian health care system
needs to be reformed. Such initiatives are put forth by representatives from
state authorities, NGOs, professional organizations, and scientific
institutions. In their suggestions, they emphasize the necessity to take into
account relevant positive international experience, specifically that of EU
countries. An optimal way to transfer the experience is immediate participation
of European experts in making recommendations on optimization of the Ukrainian
health care system operation.
Since late 2003, the European Union has been implementing a project on Health
Financing and Management in Ukraine. The key element of the Project is to
promote implementation of a compulsory state social health insurance system.
The Project deputy manager, Eero Linnakko from Finland, kindly agreed to tell
about Project activities and implementation progress.
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Apteka Weekly, N 38
"EU PROJECT ON HEALTH FINANCING AND MANAGEMENT IN UKRAINE:
FROM PILOT REGIONS TO THE NATIONAL LEVEL"
Implementation of the EU project on Health Financing and Management in Ukraine
started on Dec. 12, 2003. The Project aims to provide technical assistance in
reforming the Ukrainian health care system. One of the most important
activities under the Project is to practice new models of health financing and
management based on two pilot regions - Popilnya Raion of Zhytomyr Oblast and
Zolochiv Raion of Kharkiv Oblast (see Apteka Weekly No. 31 (452) of Aug. 16,
2004). To this end, the Project intends to use state-of-the-art strategies that
have proven their effectiveness in other European countries, including those
whose health care systems quite recently were similar to that in Ukraine. One
of the ultimate goals of this Project activity is to demonstrate the
effectiveness and efficiency of these strategies using the example of pilot
regions.
We asked Volodymyr Rudy, Ukrainian Project Director, to amplify on the Project
implementation in the pilot regions.
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Golos Ukrainy, 02/07/2004, Vasyl Hara
"On the Way of Political Intrigues"
The article deals with health protection of population of Ukraine. At
present, health protection is one of the most poignant social problems. The
issue of health insurance is not new in Ukrainian history. In fact, it is
health insurance that initiated formation of the basis for social insurance.
Each time MPs' attempts to develop and approve the law on state social health
insurance encounter intense resistance from opposition forces. The
constitutional right of citizens of Ukraine is sacrificed to corporate
interests of insurance companies and destructive political forces. That is why
the cost of the unsuccessful voting of the draft law on mandatory state social
health insurance is the nation's health.
see Ukrainian version
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Segodnja, 24/06/2004
"Insurance Medicine Will Be Implemented in Zhytomyr
Oblast"
Information that a pilot EU TACIS Project "Health Financing and
Management in Ukraine" has started up in Zhytomyr Oblast. The project is
focused on implementation of insurance medicine in Kharkiv and Zhytomyr
regions. The reason for that was successful activity of the charity
organisation "Hospital Cash of Zhytomyr Oblast". The Project
allocated 4.5 mln. euro for Kharkiv and Zhytomyr oblasts
see Ukrainian version
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UNIAN, Business News, 22/06/04
"In Zhytomyr Oblast an EU Project for Implementation of
Insurance Medicine Has Started Up"
see Ukrainian version
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Delovaya Stolitsa, 21/06/2004, Lilia Didenko
"The Parliament Let Down the Capital City Administration"
Information that the Kyiv major has taken a serious offense with Verhovna Rada
members. Last week they voted down again the draft law on mandatory state
health insurance. Now the idea of implementation of insurance medicine
cherished by Kyiv authorities will stay deprived of legal support for at least
one more year.
see Ukrainian version
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Ukraina I Mir Segodnja, 19-25/06/2004
"His Position is Just Vozianov"
The newspaper publishes a conversation with Alexander Fedorovich Vozianov, the
President of the Academy of Medical Sciences of Ukraine. The Professor believes
that mandatory health insurance can only function in the country with a strong
economy. As a result of insurance medicine implementation, Ukraine will receive
a few new billionaires who will impose their conditions on physicians. And
people will be waiting for some deductions from the dependent bank. According
to A.F. Vozianov, the only form of health insurance that can be implemented at
the present stage is voluntary insurance.
see Ukrainian version
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Profil, 21/06/2004
"There Will Be No Mandatory Health Insurance"
Information that the Parliament rejected the draft law "On Mandatory
Health Insurance" and sent it back for revision. The central place within
the new system of health insurance in the draft law is attributed to the Health
Insurance Fund, into which employers should pay their insurance fees. The
insufficiently defined system of control and use of the Fund's means became the
reason for rejection of this draft law.
see Ukrainian version
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Kontrakty, 21/06/2004, Victoria Ratna
"Insurance Obligation Is Postponed"
see Ukrainian version
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Pravda Ukrainy, 17/06/2004
"Health Insurance Won't Come In Force Again"
Information that Verhovna Rada of Ukraine once again rejected
implementation of mandatory state social health insurance.
see Ukrainian version
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Silski Visti, 17/06/2004, Nina Tsjupa
"Health Insurance Has Been Voted Down"
see Ukrainian version
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Profil-Ukraina, 14/06/2004, Yury Gusev
"I'm Not Afraid of Injections!"
An article about health insurance of children. At present, only a few insurance
companies offer insurance programs for children. Among them -
"Ukrinmedstrah", "Inkomstrah", "Skide-West" and
SG "TAS". As insurants themselves mention, insurance programs for
children are far not cheap and surely unprofitable for insurance companies,
especially insurance programs for children under one. The cheapest basic
insurance program costs, on average, 500-570 UAH a year and includes only the
opportunity of a medical examination in hospital by profile specialists during
one year.
see Ukrainian version
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Zerkalo Nedeli, 12/06/2004, Oleg Peretyaka
"Illusions of Healthcare, or It is Not By Chance
that Free Cheese Lies In the Mousetrap"
An article about illusions of our society's
perception of the existing system of healthcare. The author mentions the lack
of financing of the branch as one of such illusions, i.e. the idea that if
medicine is made chargeable (or mandatory health insurance is implemented), all
problems will be solved. This idea is illusionary. According to the author,
increasing of financing under the current system of distribution of budgetary
funds and organisation of medical assistance will not bring in qualitative
changes into the sphere of healthcare. Until medical assistance is not an
economic category, until the healthcare system is not transformed
significantly, lack of financial resources will be the constant companion of
Ukrainian healthcare, reminding carrying water in a sieve.
see Ukrainian version
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