Ruslan Dobrovolskyi doctor, general practitioner,
the head of the Kiev branch of the "Public Service"
Healthcare reform ʼ I – the steps necessary
First of all it is necessary to adopt at the legislative level that the health care system, as well as a network of accommodation establishments are strategically important to ensure the availability of first aid for the population, especially in the conditions of permanent military threat.
Secondly. The transfer of territorial authorities rights to close health care establishments and exclusion from the system of coordination of the MINISTRY OF HEALTH as a body that was responsible for the medical safety of Ukraine, endangering the existence of the uregulovanoï health care system and I think is one of the protikonstitucìjnih and illegal actions.
Moreover, given the significant corruption of local authorities (and unfortunately not only local), there is the threat of mass liquidation of medical institutions (under motivation optimization, reorganization, improvement, etc.
Article 49 of the Constitution expressly prohibits abbreviate a network of medical institutions that mean a constitutional ban on the closure of the medical institutions.
As an example, even in the capital of Ukraine, KYIV CITY STATE ADMINISTRATION in violation of the Constitution and by-laws closed the family medicine clinic patients at St. Three Saints, 7.
No public protests, no lengthy court case were not given an opportunity to reopen the public medical institution.
Thirdly. Should be revised, in general the concept of system health ʼ I (OZ).
At present, the MINISTRY OF HEALTH, as well as subdivisions, more engaged health care not as a process of treatment and the purchase of medical products.
Development of evaluation system not incidence, namely health, its maintenance, cultivation must be the prerogative of the work of the Ministry of health.
In the fourth. Insurance medicine.
Here, first of all I must urozumìti that the insurance company is not a charitable foundation. This is a common enterprise, which belongs to a particular olìgarhu, the purpose of which is to make a profit. In the present system of corrupt government and medicine – super-profits. Transfer medicine at the mercy of insurance companies is one of the areas the corruption activities of officials from the Ministry of health. That is, the recognition that the Organization OZ (actually the MINISTRY OF HEALTH is organizing, reorganìzovuê, will reform and actively on all this spending budget, that is our money with you) is currently inefficient, and promote the transfer of it into private hands, which in the future will have this (and it is considered a "deržavnickoû" policy) talks about the critical work of the ineffectiveness of the MINISTRY OF HEALTH and a deliberate discrediting his work and the value of the Ministry of health.
Returning to the activities of the insurance company as an extra player on the field of medical support of the population, we can see that this entails the inclusion of much of the spending on snake activity of medical and health personnel, as well as legal all sides of their activities. Actually, the high costs of insurance system which over time was under the dependency of the pharmaceutical monopolies and legal support, led to the need to view the medical doctrine in the United States. And this despite the fact that the cost of the OZ in them several orders of magnitude higher from our.
In my view, the correct steps were made towards the return of Institute of family doctor as a person who is personally responsible for the health of the community. Specific error (or embedded underwater stone), was the subordination of its activity to the patients, the territorial community, where he provides medical care, and the Ministry of health. Full accountability to the HEALTH of the community moves away from management and control over the provision of health in the community and puts it in the position of a passive consumer of medical services.
Given the introduction of a system of local government, I believe it appropriate to their functional activity of family physician under the territorial community, and the Ministry was to audit his work and the development of recommendations for the bodies of local self-government.
From the budget of the local community will be motivational Foundation of medical co-payments for the quality of work. Will also form the Foundation from which on the basis of the medical institution will be organìzovuvatis areas of work that are not envisaged (Basic) expenditure at the level of primary care (physiotherapy, reflexology).
Only the active inclusion of the community in the health care system as directly interested in maintaining the health of the party, will form a United society with effective work and funding of the health care system.