Com­ing up in med­i­cal re­form in 2019

Kyiv Post - - Business Focus - By Kyiv Post, Yu­liana Ro­manyshyn

From Jan. 1, the Ukrainian health­care sys­tem will ex­clu­sively fund pri­mary care based upon en­rolled pa­tients and ser­vices pro­vided, not the num­ber of hos­pi­tal beds or the ex­is­tence of fa­cil­i­ties. The Na­tional Health Ser­vice of Ukraine will pay for com­mon lab­o­ra­tory and di­ag­nos­tic tests that are not in­cluded in the new sys­tem’s guar­an­teed ser­vices packet. The Health Min­istry will pi­lot the new fi­nanc­ing sys­tem in Poltava Oblast: pri­mary care, lab tests, re­fer­rals to spe­cial­ists, and hos­pi­tal­iza­tions will all be paid through the Na­tional Health Ser­vice. The Health Min­istry is cur­rently applying for fi­nanc­ing to launch a uni­fied dis­patcher ser­vice for am­bu­lances in five oblasts and Kyiv and to re­train am­bu­lance driv­ers as emer­gency med­i­cal tech­ni­cians and am­bu­lance work­ers as paramedics. This fund­ing will also pay for new am­bu­lances and equip­ment for emer­gency rooms. Cur­rently, most hos­pi­tals lack emer­gency rooms. The min­istry hopes to ex­tend fi­nanc­ing for its Ac­ces­si­ble Medicines pro­gram cov­er­ing some of the most com­monly pre­scribed med­i­ca­tions. The Health Min­istry will es­tab­lish a qual­i­fy­ing exam for li­cens­ing physi­cians. By end of 2018, the min­istry wants to pass a law on the pro­fes­sional li­cen­sure of physi­cians and make changes to med­i­cal ed­u­ca­tion.

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