CURRENT PROBLEMS OF HEALTH CARE SYSTEMS REFORM IN UKRAINE

Abstract

It has been studied that the process of building a socially protected and politically stable model of society in Ukraine is occupied by the implementation of reforms in the field of health care, which is the basis for preserving the state's human resources. It is noted that currently, a trend is forming to increase the cost of providing medical services due to the improvement of the qualification level of doctors and the introduction of innovative technologies into the medical field, which, accordingly, leads to an increase in the demands of citizens regarding the quality of such services. The implementation of the program regarding the operation of a completely new system of providing primary medical care has been clarified. Its essence lies in the direct dependence of the salary of a general practitioner of family medicine or a pediatrician on the number of his patients. It was determined that the situation in Ukraine with the limited amount of budget funds allocated to finance the effective functioning of the health care system leads to the impossibility of improving the quality of providing medical services to citizens. Based on the scientific output of researchers of the state of implementation of mechanisms of public management of the health care system, the main reasons for the low quality and efficiency of providing medical services to citizens were identified and characterized, namely: insufficient number of specialists; low level of qualification of medical personnel; insufficient amount of medical equipment and its moral obsolescence; low level of wages and lack of an effective incentive and motivation system. There is also a problem of inadequacy of personnel training to the needs of the modern health care system; lack of financial resources and the impossibility of timely provision of medical assistance to citizens.