Decree of the Cabinet of Ministers of Ukraine No. 821-p as of November 15th, 2017 approved the Plan of Measures for the Implementation of the Reform Concept for Financing Healthcare up to 2020. The Concept itself was approved at the end of 2016 in order to create and implement a new financing model that provides clear and transparent guarantees regarding the amount of free medical care, better financial protection of citizens in case of illness, effective and equitable distribution of public funds and reduction of informal payments, creation of incentives for improving the quality of medical care provision to the population by state and municipal healthcare institutions.
The plan of measures identifies specific ways to achieve the set goals (creation of legal basis for a new system of financing health care, creation of a single national customer of medical services for the population), autonomy of public healthcare institutions, creation of a unified electronic system for the exchange of medical information; review of unified clinical protocols for the list of the most common medical conditions and simplification of the requirements for paper accounting in health protection institutions, the introduction of a new funding model for primary, secondary and tertiary health care, creation of hospital districts, the introduction of a national system of reimbursement for drugs from the set list of medical conditions).
Among other things, it is anticipated that in early 2018 an electronic system for the international classification of requests for primary medical care ICPC-2 will be implemented, electronic prescriptions for drugs will be issued, the cost of which will be reimbursed by the state. In addition, in the near future, the introduction of an electronic tool (on the basis of information technologies), which provides for the implementation of open tenders for price proposals in the form of electronic reduction, provides for the calculation of the maximum amount of compensation for costs and the determination of the price of drugs, the cost of which is reimbursed by state.
The plan of measures also provides for the introduction of training programs for the improvement of professional qualifications of healthcare workers in the period from 2017 to 2019 in terms of financial and managerial autonomy (within the framework of technical assistance projects). Training programs for healthcare workers providing primary health care will be introduced.
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