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乌克兰医疗保健部门实施国际经验的组织和法律决定因素。

Organizational and legal determinants of implementing international experience in the health care sector of Ukraine.

作者信息

Teremetskyi Vladislav I, Knysh Serhii V, Stratonov Vasyl M, Khramtsov Oleksandr М, Stashchak Mykola V

机构信息

Ternopil National Economic University, Ternopil, Ukraine.

Rivne Institute Of The Kiev University Of Law Of The National Academy Of Sciences Of Ukraine, Rivne, Ukraine.

出版信息

Wiad Lek. 2019;72(4):711-715.

Abstract

OBJECTIVE

Introduction: The reform of the health care system, which is taking place in Ukraine today, is aimed at increasing the efficiency of providing timely and quality medical care. The aim of the paper is to provide theoretical and practical study of existing models of organizing the health care system in the leading foreign countries, as well as to substantiate the possibility of implementing the most optimal of them in Ukraine.

PATIENTS AND METHODS

Materials and methods: The author of the article has used the methods of analysis and synthesis, as well as comparative and legal method. In particular, the author has carried out the analysis of the experience of different countries in organizing the health care system.

RESULTS

Review: The author has studied international experience of legal regulation of the relations in the health care sphere, which use private, state and mixed models of the organization and financing of the health care system.

CONCLUSION

Conclusions: The author has emphasized on the necessity of using the latest achievements of the leading foreign countries in the sphere of the organization of the health care system and the establishment of additional guarantees for the financially disadvantaged groups of citizens, through the development and financing of social programs for the availability of medical care (based on the model of existing Medicare and Medicade programs in the USA); the application of marginal maximum prices for health services provided by private health care facilities (Japan); introduction of compulsory payment to the insurance fund from the income of legal entities employing hired labor (Germany), etc.

摘要

目的

引言:乌克兰目前正在进行的医疗保健系统改革旨在提高提供及时和高质量医疗服务的效率。本文的目的是对主要外国组织医疗保健系统的现有模式进行理论和实践研究,并论证在乌克兰实施其中最优模式的可能性。

患者与方法

材料与方法:本文作者采用了分析与综合方法以及比较和法律方法。特别是,作者对不同国家组织医疗保健系统的经验进行了分析。

结果

综述:作者研究了医疗保健领域关系法律规范的国际经验,这些经验采用了医疗保健系统组织和融资的私人、国家和混合模式。

结论

结论:作者强调有必要借鉴主要外国在医疗保健系统组织领域的最新成果,并通过制定和资助医疗服务可及性社会项目(基于美国现有医疗保险和医疗补助项目模式),为经济弱势群体建立额外保障;对私立医疗保健机构提供的医疗服务应用边际最高价格(日本);从雇佣劳动力的法人实体收入中强制向保险基金缴费(德国)等。

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