43% of Ukrainians noted that over the past two years the overall quality of government health services for the country has deteriorated. This is evidenced by the results of a survey conducted by the Sociological group “Rating” in November – December of 2017.
These results suggest that the number of those who see the deterioration in this area, decreased in the previous survey expressed a negative 47%.
At the same time, 11% saw an improvement 38% believe that the level of quality of government health services, nothing has changed, and 8% were unable to answer.
Some awareness in the approved by the Verkhovna Rada of medical reform demonstrate almost 90% of respondents. 74% know about the introduction of a system of free (or small fee) to make medicines from diabetes, asthma and cardiovascular diseases by prescription, 71% the introduction of national health insurance. Two-thirds of respondents know about such initiatives as increasing the salaries of doctors through the introduction of a mechanism of contracts and conclusion of contracts between patients and doctors. 55% of respondents are aware of the creation of hospital districts with one referral hospital in each area, and 4-5 hospitals of intensive treatment the second level for the provision of services-hour emergency assistance, 53% know about the creation of Centers of public health in each region, which aim, first and foremost, disease prevention, epidemic prevention and promotion of healthy lifestyles, 51% – on the introduction of reference pricing for medicines, to ensure the fairness and adequacy of retail prices in accordance with agreements between the Ministry of health and pharmaceutical companies. 47% were aware of the introduction of strict control of public funds for construction of OKHMATDYT. Least of all respondents aware of the subsidy for health services to internally displaced persons from the Donbas and Crimea (39%).
However, Ukrainians do not support all the reforms in the medical field. So, the majority of Ukrainians “for” free or with a small surcharge to make medicines from diabetes, asthma and cardiovascular diseases. The creation of Centers of public health and the introduction of reference pricing for medicines supported by 77% of respondents; the introduction of national health insurance â€“ 71 percent; increasing the salaries of doctors through the introduction of a mechanism of contracts and grants for health services to internally displaced persons from the Donbas and Crimea â€“ 68%; conclusion of contracts with the purpose of obtaining free treatment at primary care â€“ 63%; base hospital districts â€“ 48%.
Support all government initiatives, it should be noted, declined slightly. Now two-thirds of respondents support the bills, and 21% do not support, 13% â€“ are undecided. In August 2017, according to the group Rating 72% supported the bills, while 15% did not support, and 12% undecided.
Began to perform one of the innovations of health reform â€“ the election of your family doctor or therapist is only 54%. Still, 45% of respondents don’t know your doctor. The highest awareness is observed among women and older people. 31% use the services of a family physician or pediatrician, 20% – do not use.
The survey in the format of formal interviews was conducted among 1,200 respondents 18 years and older. The respondents have different age, gender, live in various types of human settlements in different regions of Ukraine. Error studies: not more than 2.8%.
Recall, healthcare reform will start to operate in stages from 1 January 2018. However, the state will begin to pay for the provision of medical services under the program of madhurani institutions only from August 1, 2018. During 2018-2019 planning gradually to introduce state guarantees for all types of medical care to 1 January 2020, all they acted. And until 31 December 2019, the reimbursement will be carried out in accordance with established government procedure.