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[;乌克兰实施国家保障民众医疗保健计划的法律基础与前景]

[; LEGAL GROUNDING AND PERSPECTIVES FOR IMPLEMENTING THE PROGRAM OF STATE GUARANTEES FOR MEDICAL CARE OF THE POPULATION IN UKRAINE].

作者信息

Muliar G, Solonenko O, Pokalchuk M, Pletnova A, Dombrovan N

机构信息

1Academy of Labour of Social Relations and Tourism, Kyiv; Ukraine.

2National Academy of Internal Affairs, Kyiv;Ukraine.

出版信息

Georgian Med News. 2020 Jul-Aug(304-305):195-199.

Abstract

The objective of this article is a comprehensive analysis and study of normative and legal acts regulating the reform of financing the health care system, the introduction of the programs of state guarantees for medical care of the population and determining the perspectives for implementing the programs of state guarantees for medical care of the population in Ukraine. The authors of the study have used theoretical (analysis, generalization, systematization, etc.) and empirical (observation, classification, comparison, etc.) methods.; The conducted analysis of international experience has established that countries such as Bulgaria, Georgia, Estonia, Lithuania, Moldova, Poland, Romania, Croatia and others had already gone through the process of introducing guarantees in the health care sector. It has been concluded that the main features of the term of "guaranteed package" should include: a clear definition of the rights to receive medical services; financing from the budget; consideration of the priority of various types of medical services.; The programs of medical guarantees of Ukraine during 2018-2020 have been analyzed. Specific features of their implementation have been determined; the tariff rates and correction factors have been analyzed. The main tariff rates for financing medical services have been distinguished: capitation rate; rate for the treated case or payment for diagnostically related groups; the rate on a medical service, where a separate service is the chargeable unit; global rate; rate on the results of the implementation of medical service contracts.

摘要

本文的目的是对规范医疗保健系统融资改革、引入国家医疗保障计划以及确定乌克兰实施国家医疗保障计划前景的规范性和法律行为进行全面分析和研究。该研究的作者使用了理论(分析、概括、系统化等)和实证(观察、分类、比较等)方法。对国际经验的分析表明,保加利亚、格鲁吉亚、爱沙尼亚、立陶宛、摩尔多瓦、波兰、罗马尼亚、克罗地亚等国家已经经历了在医疗保健领域引入保障措施的过程。得出的结论是,“保障套餐”这一术语的主要特征应包括:接受医疗服务权利的明确定义;预算融资;各类医疗服务优先级的考量。对乌克兰2018 - 2020年期间的医疗保障计划进行了分析。确定了其实施的具体特征;分析了费率和校正系数。区分了医疗服务融资的主要费率:人均定额费率;治疗病例费率或诊断相关组付费;以单项服务作为计费单位的医疗服务费率;总费率;医疗服务合同执行结果费率。

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