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Ukraine: health system review / World Health Organization. Regional Office for Europe;European Observatory on Health Systems and Policies;Lekhan, Valery;Rudiy, Volodymyr;Shevchenko, Maryna;Nitzan Kaluski, Dorit;Richardson, Erica

Tác giả : World Health Organization. Regional Office for Europe;European Observatory on Health Systems and Policies;Lekhan, Valery;Rudiy, Volodymyr;Shevchenko, Maryna;Nitzan Kaluski, Dorit;Richardson, Erica

Nhà xuất bản : World Health Organization. Regional Office for Europe

Năm xuất bản : 2015

Tùng thư : Health Systems in Transition, vol. 17 (2)

Chủ đề : 1. Delivery of Health Care -- organization and administration. 2. Evaluation Studies. 3. Health Care Reform. 4. Health Systems Plans. 5. Healthcare Financing. 6. Ukraine. 7. Publications.

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154 p. This analysis of the Ukrainian health system reviews recent developmentsin organization and governance, health financing, health care provision,health reforms and health system performance. Since the country gainedindependence from the Soviet Union in 1991, successive governments havesought to overcome funding shortfalls and modernize the health care systemto meet the needs of the population’s health. However, no fundamental reformof the system has yet been implemented and consequently it has preserved themain features characteristic of the Semashko model; there is a particularly highproportion of total health expenditure paid out of pocket (42.3% in 2012), andincentives within the system do not focus on quality or outcomes.The most recent health reform programme began in 2010 and sought tostrengthen primary and emergency care, rationalize hospitals and changethe model of health care financing from one based on inputs to one basedon outputs. Fundamental issues that hampered reform efforts in the pastre-emerged, but conflict and political instability have proved the greatestbarriers to reform implementation and the programme was abandoned in 2014.More recently, the focus has been on more pressing humanitarian concernsarising from the conflict in the east of Ukraine. It is hoped that greater political,social and economic stability in the future will provide a better environmentfor the introduction of deep reforms to address shortcomings in the Ukrainian health system.

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Thông tin dữ liệu nguồn

Thư viện	Ký hiệu xếp giá	Dữ liệu nguồn
Tổ chức y tế thế giới		https://iris.who.int/handle/10665/176099

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260	__	$bWorld Health Organization. Regional Office for Europe ,$c2015
490	__	$aHealth Systems in Transition, vol. 17 (2)
520	__	$a154 p.
520	__	$aThis analysis of the Ukrainian health system reviews recent developmentsin organization and governance, health financing, health care provision,health reforms and health system performance. Since the country gainedindependence from the Soviet Union in 1991, successive governments havesought to overcome funding shortfalls and modernize the health care systemto meet the needs of the population’s health. However, no fundamental reformof the system has yet been implemented and consequently it has preserved themain features characteristic of the Semashko model; there is a particularly highproportion of total health expenditure paid out of pocket (42.3% in 2012), andincentives within the system do not focus on quality or outcomes.The most recent health reform programme began in 2010 and sought tostrengthen primary and emergency care, rationalize hospitals and changethe model of health care financing from one based on inputs to one basedon outputs. Fundamental issues that hampered reform efforts in the pastre-emerged, but conflict and political instability have proved the greatestbarriers to reform implementation and the programme was abandoned in 2014.More recently, the focus has been on more pressing humanitarian concernsarising from the conflict in the east of Ukraine. It is hoped that greater political,social and economic stability in the future will provide a better environmentfor the introduction of deep reforms to address shortcomings in the Ukrainian health system.
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650	_2	$aEvaluation Studies
650	_2	$aHealthcare Financing
650	_2	$aHealth Care Reform
650	_2	$aHealth Systems Plans
650	_2	$aUkraine
655	__	$aPublications
700	__	$aEuropean Observatory on Health Systems and Policies
700	__	$aLekhan, Valery
700	__	$aRudiy, Volodymyr
700	__	$aShevchenko, Maryna
700	__	$aNitzan Kaluski, Dorit
700	__	$aRichardson, Erica
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Ukraine: health system review / World Health Organization. Regional Office for Europe;European Observatory on Health Systems and Policies;Lekhan, Valery;Rudiy, Volodymyr;Shevchenko, Maryna;Nitzan Kaluski, Dorit;Richardson, Erica

Thông tin dữ liệu nguồn

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