№ 2/2016

Fìnansi Ukr. 2016 (2): 64–82

FINANCIAL AND ECONOMIC REGULATION

PAVLIUK Klavdiia ¹

¹SESE “The Academy of Financial Management”
OrcID ID : https://orcid.org/0000-0002-9495-6630

Financing mechanisms of improvement of medical services in Ukraine

At the present stage of socio-economic development of Ukraine the health care system faces serious challenges that determine the need for reform of all its components, especially financial support and funding. Based on the assessment of the effectiveness of different models of health care - the budget, insurance, hybrid (budget-insurance) - reasoned feasibility of preservation budget model in Ukraine, which is most consistent with the realities of socio-economic development and has significant potential to improve efficiency. The tendencies of budget financing of health care is indicated on an insufficient level of public funding. Proved that improving the quality and accessibility of health care can be achieved not only by increasing funding, but also by increasing the efficiency of budgetary resources, particularly for funding hospitals as the most costly component of healthcare. The methods of financing inpatient care, their advantages and disadvantages as well as advantages and disadvantages of payment for inpatient medical services through DRG (clinical and statistical groups) singled out the main components of the method. Studied foreign practice of DRG method to assess the possibilities of its application in Ukraine. Showing positive results DRG in the context of increasing economic efficiency of hospitals, the efficiency of resource allocation between stationary and ambulatory services, transparency, financing, quality, accessibility of health services.

Keywords:health system, funding mechanisms, medical services, public health budget model, the method of DRG.

JEL: H50, H51

PAVLIUK K. . Financing mechanisms of improvement of medical services in Ukraine / K. . PAVLIUK // Фінанси України. - 2016. - № 2. - C. 64-82.

Article original in Ukrainian (pp. 64 - 82)

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1. World Health Organization. (2010). The world health report: health systems financing: the path to universal coverage. Retrieved from www.who.int/whr/2010/whr10_ru.pdf?ua=1 [in Russian].
2. Gorbacheva, A. (n. d.). Insurance medicine or budget? www.mywebs.su. Retrieved from www.mywebs.su/blog/coin/27088.html [in Russian].
3. Mirkina, N. (2013, October 15). Countries using fiscal financing of health, have better healthcare at a lower cost. www.gazeta.ru. Retrieved from www.gazeta.ru/health/2013/10/15_a_5704585.shtml [in Russian].
4. Thomson, S., Fouboster, T., & Mossialos, E. (2010). Health care financing in the European Union: challenges and strategic decisions. Retrieved from www.euro.who.int/__data/assets/pdf_file/0016/126025/e92469R.pdf [in Russian].
5. Kutzin, J., Cashin, Ch., & Jakab, M. (Eds.). (2011). Health care financing reforms: the experience of countries with economies in transition. Retrieved from www.euro.who.int/__data/assets/pdf_file/0012/151023/e94240R.pdf [in Russian].
6. Scheller-Kreinsen, D., Geissler, A., & Busse, R. (2009). The ABC of DRGs. The Health Policy Bulletin of the European Observatory on Health Systems and Policies, 11 (4), 1-5. Retrieved from eurodrg.projects.tu-berlin.de/publications/EuroObserver_Winter_2009.pdf.
7. Koval’ D. A. (n. d.). Funding for hospital care by diagnostic-related groups (DRG) system. Retrieved from www.hta-rus.ru/files/koval_1301479885.pdf [in Russian].
8. Geissler A., Quentin W., & Scheller-Kreinsen D. (2011). Introduction to DRGs in Europe: Common objectives across different hospital systems. In R. Busse, A. Geissler, W. Quentin, M. Wiley (Eds.). Diagnosis-Related Groups in Europe: Moving towards transparency, efficiency and quality in hospitals. Berkshire: McGrow Hill. Retrieved from eurodrg.projects.tu-berlin.de/publications/DRGbook/Ch2_Geissler.pdf.
9. Giuffrida, A., Kaczaga, A., & Langenbrunner, D. (2013). Introduction to the system of clinical and statistical groups. Retrieved from www.tfoms.e-burg.ru/upload/press-reliz/state_2_2013.pdf [in Russian].
10. Zaib, A. (n. d.). G-DRG calculation system. hanke-medconsult.de. Retrieved from hanke-medconsult.de/ru/система_расчета_g-drg.html [in Russian].
11. Danish National Board of Health uses SAS® Activity-Based Management to provide citizens with high-quality health care without increasing costs. (n. d.). www.sas.com. Retrieved from www.sas.com/ru_ru/customers/dnbh2.html [in Russian].