Health Financing Reform in Ukraine
Title | Health Financing Reform in Ukraine PDF eBook |
Author | Caryn Bredenkamp |
Publisher | World Bank Publications |
Pages | 111 |
Release | 2022-07-18 |
Genre | Law |
ISBN | 1464818401 |
In 2015, the government of Ukraine initiated transformative reforms of its health system with the goals of improving the health outcomes of the population and providing financial protection from excessive out-of-pocket health care payments. This was to be implemented through modernizing and integrating the service delivery system, introducing changes to provider payment arrangements that incentivize efficiency, and improving the quality of care. It culminated in the passage of a new health financing law--the Law on Financial Guarantees for Health Care Services 2017--which established a health benefit package called the Program of Medical Guarantees (PMG), and also created the National Health Services of Ukraine (NHSU) to serve as strategic purchaser for this program. A joint World Health Organization--World Bank review of the early reforms was published in 2019 that took stock of reform progress since 2017. Two years later, implementation of the health financing reforms has progressed substantially, and it is time to again review where things stand and what the future directions should be. There have been many important accomplishments over the past two years, both in terms of institutional reform and expansion in access to care. The COVID-19 pandemic precipitated adjustments to existing health financing levels and arrangements. At the same time, the pandemic delayed implementation of some aspects of the health financing reforms, such as the anticipated transition to case-based payments. This report provides a comprehensive description and assessment of the development and implementation of policies associated with the PMG reform from the start of the reform in 2017 through mid-2021. It examines (1) how the PMG is financed, (2) strategic purchasing of the different components of PMG benefit package, and (3) the governance arrangements of the PMG. This includes changes in the packages, their contracting arrangements, how they are paid, their complementary enabling reforms, and the extent to which the population is benefiting from them. The report also positions these developments within broader contextual discussions of the financing and organization of health care in Ukraine in order to make the key features of the financing reforms and their importance accessible to domestic and international audiences. Adjustment by the health sector to cope with the COVID-19 pandemic is a common thread. Each section concludes with a set of key recommendations.
Implementing Health Financing Reform
Title | Implementing Health Financing Reform PDF eBook |
Author | Joseph Kutzin |
Publisher | World Health Organization |
Pages | 438 |
Release | 2010 |
Genre | Medical |
ISBN |
Analyses the experience with the financing reforms implemented by the countries of Central Europe, Eastern Europe, the Cauxasus and Central Asia.
Good Practices in Health Financing
Title | Good Practices in Health Financing PDF eBook |
Author | Pablo Enrique Gottret |
Publisher | World Bank Publications |
Pages | 530 |
Release | 2008-01-01 |
Genre | Medical |
ISBN | 0821375121 |
This volume focuses on nine countries that have completed, or are well along in the process of carrying out, major health financing reforms. These countries have significantly expanded their people's health care coverage or maintained such coverage after prolonged political or economic shocks (e.g., following the collapse ofthe Soviet Union). In doing so, this report seeks to expand the evidence base on "good performance" in health financing reforms in low- and middle-income countries. The countries chosen for the study were Chile, Colombia, Costa Rica, Estonia, the Kyrgyz Republic, Sri Lanka, Thailand, Tunisia, and Vietnam.
Ukrainian Health Care System and Its Chances for Successful Transition from Soviet Legacies
Title | Ukrainian Health Care System and Its Chances for Successful Transition from Soviet Legacies PDF eBook |
Author | Piotr Romaniuk |
Publisher | |
Pages | 0 |
Release | 2022 |
Genre | |
ISBN |
BackgroundUkraine, one of the largest states formed on the rubble of the Soviet Union, is widely perceived as a country that has lost its opportunities. Being devastated by corruption, it shows incapable to modernize and enter the economic path of sustainable growth. Similarly in the health care system no deeper reform efforts have been taken in the entire post-soviet period, leaving the system in bonds of ineffective solutions taken out of the Soviet era.Main bodyThe recent geopolitical and economic crisis seem to favor the introduction of radical solutions that might lead to a rapid change in the organizational paradigm of the economic system, as well as in health care in Ukraine. In this paper we aim to highlight the key features of the ongoing health reform in Ukraine, identify basic challenges for it, and assess rationality and feasibility of the reform. We found that the projected scope and schedule of changes in the Ukrainian health system give promising prognosis regarding its final effect.ConclusionsThe final success of health reform in Ukraine is dependent on a number of factors, including the financial foundation arising of economic stability of the country, balance assurance between public and private spending for health and ability to eliminate the long-lasting practices, particularly when they are connected with activities of lobbying groups occupying particular positions in the health system. A consequence of actions taken by the political decision-makers in the longer perspective are also to highly determine the reform's chances for success.
Implementing Health Financing Reform
Title | Implementing Health Financing Reform PDF eBook |
Author | J. Kutzin |
Publisher | |
Pages | 0 |
Release | 2010 |
Genre | Economics |
ISBN | 9789289042123 |
Since 1990 the social and economic policies of the transition countries of central and eastern Europe the Caucasus and central Asia have diverged including the way they have reformed the financing of their health systems. This book analyses this rich experience in a systematic way. It reviews the background to health financing systems and reform in these countries starting with the legacy of the systems in the USSR and central and eastern Europe before 1990 and the consequences (particularly fiscal) of the transition for their organization and performance. Using in-depth country case experienc.
Fiscal Sustainability of Health Systems Bridging Health and Finance Perspectives
Title | Fiscal Sustainability of Health Systems Bridging Health and Finance Perspectives PDF eBook |
Author | OECD |
Publisher | OECD Publishing |
Pages | 264 |
Release | 2015-09-24 |
Genre | |
ISBN | 9264233385 |
The health systems we enjoy today, and expected medical advances in the future, will be difficult to finance from public resources without major reforms. Public health spending in OECD countries has grown rapidly over most of the last half century. These spending increases have contributed to ...
China's Healthcare System and Reform
Title | China's Healthcare System and Reform PDF eBook |
Author | Lawton Robert Burns |
Publisher | Cambridge University Press |
Pages | 744 |
Release | 2017-01-26 |
Genre | Business & Economics |
ISBN | 1316738396 |
This volume provides a comprehensive review of China's healthcare system and policy reforms in the context of the global economy. Following a value-chain framework, the 16 chapters cover the payers, the providers, and the producers (manufacturers) in China's system. It also provides a detailed analysis of the historical development of China's healthcare system, the current state of its broad reforms, and the uneasy balance between China's market-driven approach and governmental regulation. Most importantly, it devotes considerable attention to the major problems confronting China, including chronic illness, public health, and long-term care and economic security for the elderly. Burns and Liu have assembled the latest research from leading health economists and political scientists, as well as senior public health officials and corporate executives, making this book an essential read for industry professionals, policymakers, researchers, and students studying comparative health systems across the world.